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
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Application desc
5 Outlets 1 W/H & 2SO gal tank
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Owner Contractor
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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
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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
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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 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
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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