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 :
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Application desc
tank and outlets
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Owner Contractor
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SHAW RICHARD AND MIMI TRUST PROGASCO, CORP.
2061 BEACH AVE 7709 ALTON AVE.
ATLANTIC BEACH FL 322335934 JACKSONVILLE FL 32211
(904) 721-5431
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Permit . . . . . . MECHANICAL GAS PIPE PERMIT
Additional desc . .
Permit Fee . . . . 89 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 6/15/13
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Other Fees . . . . . . . . . STATE MECH DCA SURCHARGE 2 . 00
STATE MECH DBPR SURCHARGE 2 . 00
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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
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