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
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Application desc
1 outlet
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Owner Contractor
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KING HALL BARBARA FERRELLGAS L. P.
391 MAIN ST 922 9TH STREET SOUTH
ATLANTIC BEACH FL 322332529 JACKSONVILLE BEACH FL 32250
(904) 246-7316
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Permit . . . . . . MECHANICAL GAS PIPE PERMIT
Additional desc . . . 00
Permit Fee . . . . 65 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 5/13/14
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Other Fees . . . . . . . . . STATE MECH DCA SURCHARGE 2 . 00
STATE MECH DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
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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