159 OCEAN MECH GAS MECHANICAL GAS PIPE PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 14-MCHG-666
Job Type: MECHANICAL GAS PIPING
Description: GAS PIPING/TANKS
Estimated Value:
Issue Date: 12/16/2014
Expiration Date: 6/14/2015
PROPERTY ADDRESS:
Address: 159 OCEAN BLVD
RE Number: 170209-0000
PROPERTY OWNER:
Name: HUDSON,
Address: 159 OCEAN BLVD
GENERAL CONTRACTOR INFORMATION:
Name: FERRELLGAS L.P.
Address: 922 9TH STREET S
Phone: - -
FEES:
Gas Piping Vented Units $30.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $89.00
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904)247-5826 Fax (904) 247-5845
JoB ADDRESS: PERMIT#
PROJECT VALUE$_ yc.� �� 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
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
ALL OTHER GAS PIPING Elevators/Escalators
Heat Exchanger
Quantity of Outlets �— pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
# Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
)THER
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
tis 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
)t. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
roperty Owners Name Phone Number
fechanical Company /–r.'�" .��5, Office Phone Fax
o. Address: 'j y 7
- -� r � 4G' City��,�.X /4G�t State,�/ Zip
icense Holder(Print): /�;,-r-y ��� /� ° �, >,
State Certification/Registration# _CC-�.3
otarized Signature of License Holder
Before me this day of 20
Signature of Notary Public