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350 6th St 2013 gas line to pool CITY OF ATLANTIC BEACH S 800 SEMINOLE ROAD j ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00003780 Date 12/04/13 Property Address . . . . . . 350 6TH ST Application type description MECHANICAL GAS PIPING Property Zoning . . . . . . . RES SF DISTRICT Application valuation . . . . 0 ------------------------------------------------------------------- Application desc BURIED GAS LINE TO POOL HEATER ------------------------------------------------------------------ Owner Contractor - ------------------------ ----------------------- GEORGI, KIROVALL SAWYER GAS COMPANY 307 BRAYDEN WAY 98 PENMAN ROAD LAYTON UT 84041 JACKSONVILLE BEACH FL 32250 (904) 246-6471 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL GAS PIPE PERMIT Additional desc . Permit Fee 90 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 6/02/14 ---------------------------------------------------------- Other Fees . . . . . . . . . STATE MECH DCA SURCHARGE 2 . 00 STATE MECH DBPR SURCHARGE 2 . 00 --------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 90 . 00 90 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 94 . 00 94 . 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: 510 J PERMIT# PROJECT VALUE S 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 Qty Automobile Lifts Gas Piping Outlets 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) 11 Wells C)THER: 21r0 'ermit 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 his 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 tot. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. 3roperty Owners Name T'f2 Ro Phone Number Mechanical Company I Office Phone*L4 ; �JLFax oZ - 6 7 a g s �' � :o. Address. � City Statel��i Zip J?o2a'bo License Holder(Print): .tl; �i a^'� 6 b I z�1 State Certification/Registration# ;2 9 0�1 Votarized Signature of License Holder 4 " MAfitMEE.MEHAFFEY Before me this day of Q- 20/-� MY COMMISSION ISf FF01041 EXPIRF 'Jul 20117 VSorc' Wary Polk twiftn Signature of Notary Public