310 CAMELIA ST MECH GAS PERMIT CITY OF ATLANTIC BEACH
l 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
#1� INSPECTION PHONE LINE 247-5814
13-00002561 Date 4/26/13
Application Number . 310 Cp,MELIA ST
Property Address . . • • • •
Application type description MECHANICAL GAS PIPING
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . .
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Application desc
PREFAB FIREPLACE
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Contractor
Owner
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EY DANIEL SETZERS & COMPANY
HURL
310 EY DANA ST 7660 PHILLIPS HIGHWAY
JACKSONVILLE FL 32241
ATLANTIC BEACH FL 32233 (904) 731-4100
_ -----
-----Permit----
• MECHANICAL GAS PIPE PERMIT
Additional desc . Plan Check Fee . 00
Permit Fee . . . . 85 . 00 0
Issue Date Valuation
Expiration Date 10/23/13
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Other Fees STATE MECH DCA SURCHARGE 2 . 00
STATE MECH DBPR SURCHARGE 2 . 00
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Fee summaryCharged
----- -------- -------------
Paid Credited
_ _ 85 . 00 --- ------. 00 . 00
Permit Fee Total 85 . 00 00 00 . 00
Plan Check Total • 00 . 00
Other Fee Total 4 . 00 4 . 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
JOB ADDRESS: y ez,/-n ell o- Q,4-- PERMIT#
PROJECT VALUE $
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating REQUIRED
Duct Systems: Total CFM
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
REQUIRED
Air Conditioning: Unit Quantity Tons Per Unit RE Q
Heat: Unit Quantity BTU's Per Unit Seer Rating REQUIRED
Duct Systems: Total CFM
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 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:
Pen-nit 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 Namelmiz kurl I Phone Number &&0 y/9dpll
�f-+2Z -S —� Office Phone -3 N / Fax-730�`13s
Mechanical Comp/any L '
Co. Address: City State h—zipLicense Holder (Print): t1Shy State e ' egistration# d S9�'D
Notarized Signature of License Holder
,, y of 2013
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