371 8TH sT MECH GAS 2013 CITY OF ATLANTIC BEACH
f 800 SEMINOLE ROAD
J -r
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00003324 Date 8/29/13
Property Address . . . . . . 371 8TH ST
Application type description MECHANICAL GAS PIPING
Property Zoning . . . . . . . RES SF DISTRICT
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
gas tank/outlet
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
WOOD JEREMY B SAWYER GAS COMPANY
371 8TH STREET 98 PENMAN ROAD
ATLANTIC BEACH FL 32233 JACKSONVILLE BEACH FL 32250
(904) 246-6471
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL GAS PIPE PERMIT
Additional desc . .
Permit Fee . . . . 85 . 00 Plan Check Fee . 00
Issue Date . . . . 8/27/13 Valuation . . . . 0
Expiration Date . . 2/23/14
----------------------------------------------------------------------------
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 . 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)247-58�(904) 247-5845
JOB ADDRESS: � I PERMIT#
PROJECT VALUE $ ARI#
REQUIRED
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating
Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating
Duct Systems: Total CFM REQUIRED
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 -C) _ Boilers BTU's
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets 0_ Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks(gallons) k G'—
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 1 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 authori to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name t3-63D Phone Number
Mechanical Company IT /Ic A-J� ��' � - Office Phone A&-�1F � e
Co. Address: City�fEZState AL Zip 22��
License Holder(Print): > �� State Certification/Registration# �4?9
Notarized Signature of License Holder
Sworn and subsc d before me this_o.�_ ay of S�_20 15
MARLErE E ME1WT-EY (yn
y�
19-4
W OOWSSION#DD 9073!9 L
ExwP�s:�ry2s.2ot3 Signature of Notary Public
eondea nru Nday P.W UW-4w