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Permit Mech Gas Pipe 2061 Beach Ave 2012 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12-00001820 Date 12/17/12 Property Address . . . . . . 2061 BEACH AVE Application type description MECHANICAL GAS PIPING Property Zoning . . . . . . . RES SF DISTRICT Application valuation . . . . 0 : ---------------------------------------------------------------------------- Application desc tank and outlets ---------------------------------------------------------------------------- Owner Contractor ------------------------ ----I------------------- SHAW RICHARD AND MIMI TRUST PROGASCO, CORP. 2061 BEACH AVE 7709 ALTON AVE. ATLANTIC BEACH FL 322335934 JACKSONVILLE FL 32211 (904) 721-5431 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL GAS PIPE PERMIT Additional desc . . Permit Fee . . . . 89 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 6/15/13 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE MECH DCA SURCHARGE 2 . 00 STATE MECH DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 89 . 00 89 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 93 . 00 93 . 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 Ph(904)247-5826 Fax(904)247-5845 PERmrr#/ JOB AiDDRESS: ;�0 L ___4 20 PROJECTVALUE $ NEW AIR CONDITIONING & BEATING 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 Ratm* g— 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 Qty_ Automobile Lifts Gas Piping Outlets Boilers BTU's Elevators/Escalators ALL OTHER GAS PIPING Heat Exchanger Quantity of Outlets Pumps #Vented Wall Furnaces Refrigerator Condenser BTU's #Water Heaters Solar Collection Systems Tanks (gallons) Z12 Wells OTHER: CA-3 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 provis f any other state or local law regulation construction or the performance of construction. Property Owners Name A-fee Phone Number Mechanical Company —Office Phone Fax Z -tlp tj gag city State 1—C-6 Zila Co. Address: �2 26 ki. LWAW AJ Q # 19,11) 7 IV License Holder(Print): State Certification/Registration Notarized Signature ofLicense Holder Sworn d s efore e s ay-of 2012- -,,Z, SHIRLEY L.GRAHAM, 44*pj�gm eofNotaryP lie 4 4.. MY COMMISSION 4 N EXPIRES:Febwary 14,2014 Bonded Thru Notary Pmbiic Unjefwn�,ers io