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Permit Mech Gas 357 4th St 2013 SS CITY OF ATLANTIC BEACH >1 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00002159 Date 2/14/13 Property Address . . . . . . 357 4TH ST Application type description MECHANICAL GAS PIPING Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc GAS TANK AND 4 OUTLETS ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ KOVACS GREGORY FRANK & LUANN SAWYER GAS COMPANY 394 9TH ST 98 PENMAN ROAD ATLANTIC BEACH FL 32233 JACKSONVILLE BEACH FL 32250 (904) 246-6471 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL GAS PIPE PERMIT Additional desc . . GAS TANK & 4 OUTLETS Permit Fee . . . . 85 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 8/13/13 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE MECH DCA SURCHARGE 2 . 00 STATE MECH DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 8S . 00 85 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 89 . 00 89 . 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 �4-4 S—r- C�-fsj JOB ADDRESS: 7 PERmrr# PROJECT VALUE $ — ARI# REQUIRED 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 Air Conditioning: Unit Quantity Tons Per Unit 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 Ru's Elevators/Escalators ALL OTHER GAS PIPING Heat Exchanger Quantity of Outlets Pumps #Vented Wall Furnaces Refrigerator Condenser BTU's #Water Heaters I Solar Collection Systems Tanks(gallons) Po Wells OTHER: 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 Comp, AL lr44Z 0 �)94 Vjg!g� Office Phone 74-A0WFax2-11Z- Co. Address: I--, A State t'—L zip city License Holder(Print): M/4c- State Certification/Registration#A Notarized Signature of License Holder 1� Sworn and su s d before me this of C 20j,3 MARLBE E MOWRY MY COMMISWN#DO 907= Signature of Notary Public'm WWMIRE 2013 underwdtars