331 7th St 2014 gas piping CITY OF ATLANTIC BEACH
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l 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Cit
Application Number . . . . . 14-00000808 Date 5/15/14
Property Address . . . . . . 331 7TH ST
Application type description MECHANICAL GAS PIPING
Property Zoning . . . . . . . RES SF DISTRICT
Application valuation . . . . 0
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Application desc
1 OUTLET, POOL HEATER 500 GAL TANK
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Owner Contractor
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OSWALT, SUSAN M EXPERT GAS APPLIANCE SERV CO
4827 MAXWELL DR P O BOX 338
MASON OH 45040 CALLAHAN FL 32011
(904) 219-2968
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Permit . . . . . . MECHANICAL GAS PIPE PERMIT
Additional desc . . 00
Permit Fee . . . . 120 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 11/11/14
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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 120 . 00 120 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 124 . 00 124 . 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
OB ADDRESS: -331 7 r/f S PERMIT#
PROJECT VALUE $ ARI# REQUIRED
Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only
1EW 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
WPLACEMENT 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
IRE 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)
IRE PLACES
MISCELLANEOUS:
Prefabricated Fireplace Qty_ Automobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalators
LLL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets I Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters Solar Collection Systems
.67-" 397,000 Tanks (gallons)
Wells
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To Aieul fbof
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
its 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
ot. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the pggDrma ce of construction.
'roperty Owners Name `�o NA✓ O R W,9 L�' Phone Nup ber #(;—999fr
',!) =119- 7rev
4echanical Company L' t Office Phone$o' al9��o�
;o. Address: .5 !El City State&,6t-Zip
,icense Holder(Print): f^ b- [�_State Certification/Registration# /a 7 9.3
16tarized Signature of License Holder
Before me this day of 20
Signature of Notary Public