317 4TH ST 2014 GAS CITY OF ATLANTIC BEACH
1 s 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
MECHANICAL GAS PIPE PEITECTION PHONE LINE 247-5814
. i ALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOBINFORM
J01) - -
Job Type: MECHANICAL GAS PIPING
Description: 2 OUTLETS WATER HEATER AND TANK
Estimated Value:
Issue Date: 10/24/2014
Expiration Date: 4/22/2015
PROPERTY ADDRESS:
Address: 317 4TH ST
RE Number: 169831-0000
PROPERTY OWNER:
Name: COLABELLA, CHRISTING ELIZABETH
Address: 315 -317 4TH ST
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone: - -
FEES:
Gas Pipe Outlets $20.00
Gas Piping Vented Units $5.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $84.00
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
J013 ADDRESS: �� tI y�� 1T ALD�CiL 9,C)'- �� ' PERMIT#
PROJECT VALUE $ 13,00 ." 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 REQUIRED
Duct Systems: Total CFM
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit Seer Rating
Heat: Unit Quantity BTU's Per Unit gREQUIRED
Duct Systems: Total CFM
FIRE PREVENTION Re
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) LLi V,
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 to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name �����n 1„l - Phone Number
Mechanical Company �lor:as, Q�� `n PCt nes 0 ��er(;s �S Office Phon�a �t-y Y Fa boy �\-�2�
Co. Address:
City ( )L d� S(,f\J " State�—(- Zip 3 2 e Z 5-
License Holder(Print): 0 L E State Certificati gistration#nA 0 R
Notarized Signature of License Holder
� r
ANNE REED THOMAS B re me this -` day of OL bc 20
••�O' Y P,„�,,,
` : Notary Public State of Florida ature of Notary Public 1
1.My Comm.Expires Feb 10.2
Commission M EE 63683
unna.