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345 6TH ST MECH GAS �. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number 13-00002449 Date 4/10/13 345 6TH ST Property Address . . . . . Application type description MECHANICAL GAS PIPING Property Zoning . . . . . . . RES SF DISTRICT Application valuation . . . . 0 -------------------------------- Application desc GAS PIPING ---------------------------- Owner Contractor -------------- ------------------------ ---------- DAVID P ROGERS OWNER 380 10TH ST ATLANTIC BEACH FL 32233 ----------------- -- Permit . . . . . . MECHANICAL GAS PIPE PERMIT Additional desc . Plan Check Fee . 00 Permit Fee . . . . 85 . 00 0 Issue Date Valuation Expiration Date . . 10/07/13 ------------------------------- Other Fees STATE MECH DCA SURCHARGE 2 . 00 STATE MECH DBPR SURCHARGE 2 . 00 Fee summary Charged Paid Credited Due ---------- Permit Fee Total 85 . 00 85 . 00 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 Grand Total 89 . 00 89 . 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 Jos ADDRESS: G PERMIT# PROJECT VALUE $ NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity Tons Per Unit Seer Rating BTU's Per Unit Heat: Unit Quantity REQUIRED Duct Systems: Total CFM REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSAT�ALLATION Air Conditioning: Unit Quantity Tons Per Unit REQUIRED Seer Rating BTU's Per Unit Heat: Unit Quantity REQUIRED Duct Systems: Total CFM FIRE PREVENTION Re uires 3 sets of plans) Fire Sprinkler System Quantity ( q (Requires 3 sets of plans) Fire Standpipe Quantityeuires 3 sets of plans) Underground Fire Main Value (Requires 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) 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 any of laws and orinances other state orlocal lawgoverning regulation tconstru t is work onlor the performance of be complied with oonstruction.her d or not. The permit does not give authority to violate the provisions Property Owners Name Q it! EX Phone Number Mechanical Company Office Phone ax Co. Address: f 1P,G�`r City CIC I / State � Zip _3 � State Certification/Registration# License Holder Print): l � Notarized Signature of License Holder Oki Sworn and subscribed before e s C '� da of 20 MY(XNUSSAMIONAAM EE� e of Notary Public EXPIRES:May 21,2015 Rf, Bonded Thr.Notay FubBc UnderWiiers