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391 Main St 1 gas outlet 2013 CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00003678 Date 11/14/13 Property Address . . . . . . 391 MAIN ST Application type description MECHANICAL GAS PIPING Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ----------------------------------------------- Application desc 1 outlet --------------------------------------------- Owner Contractor - ------------------------ ----------------------- KING HALL BARBARA FERRELLGAS L. P. 391 MAIN ST 922 9TH STREET SOUTH ATLANTIC BEACH FL 322332529 JACKSONVILLE BEACH FL 32250 (904) 246-7316 ------------------------------------------- Permit . . . . . . MECHANICAL GAS PIPE PERMIT Additional desc . . . 00 Permit Fee . . . . 65 . 00 Plan Check Fee Issue Date . . . . Valuation . . . . 0 Expiration Date . . 5/13/14 --------------------- ---------------------------- Other Fees . . . . . . . . . STATE MECH DCA SURCHARGE 2 . 00 STATE MECH DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----- ---------- - Permit Fee Total 65 . 00 65 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 69 . 00 69 . 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: 5q PERMIT# PROJECT VALUE $_4110 ARI# REQUIRED Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only 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 Manual J documentation required on residential change out 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 QtyAutomobile 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 laws and ordinances governing this work will be complied with whether specified or not. The permit does not give authority yto violate the provisions ofanyother state or local law regulation construction or the performance of construction. Property Owners NameT i5� /�2f,+- l'� !�-� � /� �( Phone Number Mechanical Company���' -e-��1 S Office Phone Fax Co. Address: L City ��� State�lZip License Holder(Print): A/6 S ate ationlRegistration# Notarized Signature of License Holder -jHihLEY L GRAHAM Before meis day "COMMISSION#DD 957760 =�brtiary 14,2014 "nary public Underwriters Signature of Notary Public