1729 E Park Ter 2015 Gas I J CITY OF ATLANTIC BEACJI
800 SEMINOLE ROAD
J
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
MECHANICAL GAS PIPE PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-MCHG-381
Job Type: MECHANICAL GAS PIPING
Description: 3 outlets
Estimated Value:
Issue Date: 2/20/2015
Expiration Date: 8/19/2015
PROPERTY ADDRESS:
Address: 1729 E PARK TER
RE Number: 172020-0402
PROPERTY OWNER:
Name: NEVILLE, THOMAS & SHEILA,
Address: 1729 PARK TER
GENERAL CONTRACTOR INFORMATION:
Name: SAWYER GAS COMPANY
Address: 98 PENMAN RD QA WILLIAM H. MOBLEY
Phone: - -
FEES:
Gas Pipe Outlets $30.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $89.00
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 D
JOB ADDRESS: 2 / � �1 lue-e �2 PERMIT#f ',eAgp- zz�
PROJECT VALUE $ 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
Heat: Unit Quantity BTU's Per Unit Seer RatingREQUIRED
Duct Systems: Total CFM
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:
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 tW;e!f7V/z&--
isions of any other state or local law regulation construction or the performance of construction. /
Property Owners Name /h- Phone Number 70—/- PZL s-
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Mechanical Company pp ''//�
Co. Address: ✓. y✓
City�� �Ei /State�� Zip
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�� State Certification/Registration
License Holder(Print): #
7vd Holder
"'" . �ifvtNEt.MEHAFFEY day of 20 )5
y, *_ r�r COMMISSION FF0Seat Before me this a,4 FEB.
- i EXPIRES July 29.20?�
gc' gpndedThn No Signature of Notary Public