1785 Selva Marina Dr 2013 gas line CITY OF ATLANTIC BEACH
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J 800 SEMINOLE ROAD
'J r� ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00003846 Date 12/17/13
Property Address . . . . . . 1785 SELVA MARINA DR
Application type description MECHANICAL GAS PIPING
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
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RODRIQUEZ, JASON PROGASCO, CORP.
1785 SELVA MARINA DR. 7709 ALTON AVE.
ATLANTIC BEACH FL 322335638 JACKSONVILLE
E FL 32211
431
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Permit . . . . . . MECHANICAL GAS PIPE PERMIT
Additional desc . . GAS LINE FOR RANGE 00
Permit Fee . . . . 85 . 00 Plan Check Fee .
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 6/15/14
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Other Fees
STATE MECH DCA SURCHARGE 2 . 00
STATE MECH DBPR SURCHARGE 2 . 00
Fee summary Charged Paid Credited Due
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Permit Fee Total 85 . 00 85 . 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) 247-5826 Fax (904) 247-5845
JOB ADDRESS: 17X, - Sfy'/UA /1'1A/W4 b R PERMIT#
PROJECT VALUE $ Z200-06) 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 �_ Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
# Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
OTHER: &V qAT CiOJc �n Z/e risks
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.1 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 an ther to or local law regulation construction or the performance of construction.
Property Owners Name c Phone Number
Mechanical CompanOffice Phone 7Z/-S'0 31 Fax
Co. Address: v 14 tj v L City JAS State r Zip-3 Z z�
License Holder(Print): L d"N v /,-�w State Certification/Registration#
Notarized Signature of License Holder L—;�0'(0'O_S - y—
re me t ' lay of C)c c— 0
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