1877 Beach Ave 2015 Gas �.s�,,:O
r f�SS\ CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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MECHANICAL GAS PIPE PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-MCHG-362
Job Type: MECHANICAL GAS PIPING
Description: 3 outlet for fireplaces
Estimated Value:
Issue Date: 2/18/2015
Expiration Date: 8/17/2015
PROPERTY ADDRESS:
Address: 1877 BEACH AVE
RE Number: 169682-0000
PROPERTY OWNER:
Name: PIETAN, JERAL H
Address: 1877 BEACH AVE
FEES:
Gas Pipe Outlets $30.00
Gas Piping Units $0.00
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.
t
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: g� �) P 4�� t' PERMIT#
PROJECT VALUE $ I SaJ 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 Seer Rating Heat: Unit Quantity BTU's Per Unit gREQUIRED
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 (Requires 3 sets of plans)
Fire Sprinkler System Quantity (Re q
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 3 Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
OTHER: c e S
Y
Permit becomes void if work does not comme
d correct. All provisions of laws nce within a six month period or work is suspended or abandoned for six months.I hereby certify that I have read
and ordinances governing this work will be complied with whether specifi
this application and know the same to be true an ed 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 �c.T V-3c_CC,
_Phone Number��°`��a�3� �b��
Mechanical Company —Office Office Phone Fax 9o` 7 a1 aa:?
� �� �� F�S �S
Co. Address:
Y(� �eS City (�cc k5�n�s jke' State Zip 3ZZZ
License Holder(Print): State Certification/Registration#
Notarized Signature of License Holder
Before me this day of 20
Signature of Notary Public