251 S Nautical Blvd 2014 fireplace CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J
l ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000329 Date 3/11/14
Property Address . . . . . . 251 S NAUTICAL BLVD
Application type description MECHANICAL GAS PIPING
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
FIREPLACE
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Owner Contractor
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JURGENS, CONRAD & PAT CONSTRUCTION SOLUTIONS &
251 S NAUTICAL BLVD SUPPLY 1041 FOX MEADOW TR
ATLANTIC BEACH FL 32233 JIM ROMEKA
MIDDLEBURG FL 32068
(904) 370-0772
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Permit .
. MECHANICAL GAS PIPE PERMIT
Additional desc . . . 00
Permit Fee . . . . 85 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 9/07/14
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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 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.
03/10/2014 09:36 9043890277 CSS CONST SOLUTIONS PAGE 02/04
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax(904) 247-5845
JOB ADDRESS: 25"1 ti AI Se-&) rltvl S', f�11 fiQ Fc- 3 Z PERF'[ #
PROJECT VALUE $ ARI# REQUIRED
-Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only
4EW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity� Tons Per Unit Seer Patin
Heat: Unit Quantity BTU's Per Unit gREQUIRED
Duct Systems: Total CFM
iEPLA,CEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer RatingREQUIRED
Duct Systems: Total CFM
IRE PREVENTION a ui>res 3 sets of fans)
Fire Sprinkler System Quantity (Requires
3 sets of plains)
Fire Standpipe Quantity (
Underground Fire Main Value (Requires 3 sets of plans)
Fire Hose Cabinets Quat tity (Requires 3 sets of plans)
commercial Hoods Quantity (Requires 3 sets of plans)
Fire Suppression Systems Quantity (Requires 3 sets of plains)
{IRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty I Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
iLL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Refrigerator Condenser BTU's
#Vented Wall Furnaces � Sol ollection Systems
# Water Heaters Tanks (gallons)
Wells
�As�sh iye R re,�l •t- p ,�l.�.., il�'c2�il�+tar 334c. Glr4a-'I�tFi'�
)THER: Remy%fe. -
LAP 14c.q
ermit becomes void if work does not commence wi � a six month period or work is suspended or abandoned for six months.I hereby certify that I have read
its application and know the same to be true and cox ^t All provisions of laws and ordinances governing this work will be complied with whether specified or
Dt. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
Phone Number Rao z4► ,.35��
property Owners Dianne Coj;-;4 19c�k- .
Mechanical Company - :as ��= - Office Phone, 0q__2_7ceFax9_ao5j I
Co. Address: E:XX57
City State V Zip loitl�5 _
p icense Holder (Print): State Certification/Registration
�s n eh older
HART
�1Y�OMM1481'DN, i�E2oto97
Before this day o£ 0
�7i1kM�W� �� Signature of Notary Public