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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 . . . ---------------------------- Application desc PREFAB FIREPLACE ---------------------------- Contractor Owner ---------- 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 -------- Other Fees STATE MECH DCA SURCHARGE 2 . 00 STATE MECH DBPR SURCHARGE 2 . 00 ------ 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 EM LGRq q d subscribed before , thisION k Dq g�7760bruary > at e of Notary Pubic ry Public Undervrriters