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
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Application desc
GAS TANK AND 4 OUTLETS
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Owner Contractor
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KOVACS GREGORY FRANK & LUANN SAWYER GAS COMPANY
394 9TH ST 98 PENMAN ROAD
ATLANTIC BEACH FL 32233 JACKSONVILLE BEACH FL 32250
(904) 246-6471
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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
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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 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
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