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Permit MechGas 366 10th St 2013 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00002218 Date 2/25/13 Property Address . . . . . . 366 10TH ST Application type description MECHANICAL GAS PIPING Property Zoning . . . . . . . RES SF DISTRICT Application valuation . . . . 1200 ---------------------------------------------------------------------------- Application desc 5 Outlets 1 W/H & 2SO gal tank ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ CDL AB LLC FLORIDA PROPANE PARTNERS CHRIS LAMBERTSON DBA:GRIFFIS GAS & MACK GAS 3S7 12TH STREET 115 B SOLANO RD ATLANTIC BEACH FL 32233 PONTE VEDRA BEACH FL 32082 (904) 543-4343 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL GAS PIPE PERMIT Additional desc 5 OUTLETS 1 W/H 1 2SO GAL TANK Permit Fee . . . . 130 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 1200 Expiration Date . . 8/24/13 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE MECH DCA SURCHARGE 2 . 00 STATE MECH DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 130 . 00 130 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 134 . 00 134 . 00 . 00 . 00 a fAWA"� d-p PERMIff IS APPROVED ONLY IN ACCORDANCE WITH ALI, 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 JoB ADDRESS: PERMIT PROJECTVALUE $ — ARI# REQUIRED NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity Tons Per Unit I Heat: :! Unit Quantity BTU's Per Unit Seer Rating Duct Sy I stems: Total CFM REQUIRED REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity Tons Per Unit Heat: 1, Unit Quantity BTU's Per Unit Seer Ratin Duct Systems: Total CFM REQUIRED FIRE PREVENTION Fire Sprinkler System Quantity (Requires 3 sets of plans) Fire Staridpipe Quantity (Requires 3 sets of plans) Underground Fire Main Value (Requires 3 sets of plans) Fire Hoe Cabinets Quantity (Requires 3 sets of plans) Comme�rcial Hoods Quantity (Requires 3 sets of plans) Fire Suppression Systems Quantity (Requires 3 sets of plans) FIRE PLACES MISCELLANEOUS: Prefabr�cated Fireplace Qty Automobile Lifts Gas Piong Outlets Boilers BTU's Elevators/Escalators ALL OTHER GAS PIPING Heat Exchanger Quantity of Outlets Pumps 9 Vented Wall Furnaces Refrigerator Condenser BTU's # Water Heaters Solar Collection Systems 4fl- Tanks (gallons) Wells OTHER: V1 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 Ovmers Name Phone Number Mechanical Company_r-7 I G DAq-j Wn���0)��Office Phone --Fax Co. Addre cf-')j city ss: X StateF zip�,_3,1, License Ho"der (Print): State Certificatip#Registration 4 �JZ2�2 Notarized Sfgnature ofLicense Holded U/Y,�5 W16– tip i Before me this yk.:7 day of –20/Z MELWA A.HW MYCOMMISSMEE86IN5 Signature of Notary Public #A4,� EXPIRES:January 1,2017 B=M Thru Notmy Pubic UntImfiflers