Permit Mech Gas 1163 Beach Ave 2012 z� CITY OF ATLANTIC BEACH
y 800 SEMINOLE ROAD
J ., ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00000490 Date 12/06/12
Property Address . . . . . . 1163 BEACH AVE
Application type description RESIDENTIAL ADDITION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
2nd story addition and remodel
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Owner Contractor
------------------------ ------------------------
ADAMS CHARLES P WORSHAM CONSTRUCTION CO INC
1163 BEACH AVE 2329 URBAN RD
ATLANTIC BEACH FL 322335727 JACKSONVILLE FL 32210
(904) 545-2357
-- Structure Information 000 000 ADDITION 452 SF AND REMODEL
Construction Type . . . . . TYPE 5-B
Occupancy Type . . . . . . RESIDENTIAL
Flood Zone . . . . . . . . ZONE AO
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Permit . . . . . . MECHANICAL GAS PIPE PERMIT
Additional desc 7 OUTLETS/1 WTR HTR/500GAL TNK
Sub Contractor FLORIDA PROPANE PARTNERS
Permit Fee . . . . 96 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 6/04/13
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Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE
*SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST
CONTROL COMPANY PRIOR TO C.O.
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
WINDOW AND DOOR INSPECTION:
*INSTALLATION INSTUCTIONS REQUIRED
*ALL STICKERS ARE TO REMAIN ON THE WINDOWS
*PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS
Roll off container company must be on City approved list
and container cannot be placed on City right-of-way.
Contact Public Works (247-5834) for Erosion and Sediment
Control Inspection prior to start of construction.
Roll off container company must be on City approved list
and container cannot be placed on City right-of-way.
Contact Public Works (247-5834) for Erosion and Sediment
Control Inspection prior to start of work.
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PERMIT Ot VirOVE$WLY IN ACCORDANCE WITH ALL. THE FLORA 0 0
BUILDING CODES.
CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
J =': ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Page 2
Application Number . . . . . 12-00000490 Date 12/06/12
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 96 . 00 96 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 100 . 00 100 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
I Ph(904)247-58 Fax(904) 247-5845 /J
Jos ADDRESS: } � i ,/ ERMIT#�OC
PROJECT VALUE$
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating
Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
ARI#
Air Conditioning: Unit Quantity Tons Per Unit REQUIRED
Heat: Unit Quantity BTU's Per Unit Seer Rating
Duct Systems: Total CFM REQUIRED
FIRE PREVENTION
Fire Sprinkler System Quantity (Requires 3 sets of plans)
Fire Standpipe Quantity (Requires 3 sets of plans)
Underground Fire Main Value (Requires 3 sets of plans)
Fire Hose Cabinets Quantity (Requires 3 sets of plans)
Commercial Hoods Quantity (Requires 3 sets of plans)
Fire Suppression Systems Quantity (Requires 3 sets of plans)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Automobile Lifts
Gas Piping Outlets �� Boilers BTU's
Elevators/Escalators
ALL OTHER GAS PIP Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters Solar Collection-Systems —
�T�n1zS(�gncl
Wells
OTHER: n ff L 12 k;� l
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.I hereby certify that I have read
this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified
or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name Phone Number
Mechanical Company Office •Phone 22& �!Fax
Co. Address: lS1 City ✓� State T"L- Zipg2aa-�5
License Holder(Print): State Certification/Registration#
Notarized Signature of License Holder ,
Sworn and subscribed befor me s_ d y of 2012—
Pub 11c
p.
MY CODAMISSION I,or.,96"T:n
";• oc
EXPIRES:February 14,20i4
Bonded 7bru Notary Public Un•9e Wnite s
P,.,