365 8TH MECH GAS j!, �jy-
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-1113
Job Type: MECHANICAL GAS PIPING
Description: 2 GRILL HOOK UP/1 OUTLET
Estimated Value:
Issue Date: 5/12/2015
Expiration Date: 11/8/2015
PROPERTY ADDRESS:
Address: 365 8TH ST
RE Number: 169974-0000
PROPERTY OWNER:
Name: FRISCH, BENJAMIN P
Address: 10758 WAVERLY BLUFF WAY
GENERAL CONTRACTOR INFORMATION:
Name: FLORIDA PROPANE PARTNERS
Address: 461 TRESCA RD TIM CALLAHAN
Phone: - -
FEES:
Gas Pipe Outlets $20.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $79.00
PERMIIS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDI G CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: 2Tt-\ PERMIT#
PROJECT VALUE $ Z S ® 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 P VENTION
Fire Sp 'nkler System Quantity (Requires 3 sets of plans)
Fire St dpipe Quantity (Requires 3 sets of plans)
Underg ound Fire Main Value (Requires 3 sets of plans)
Fire Ho e Cabinets Quantity (Requires 3 sets of plans)
Comm cial 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 I , Boilers BTU's
Elevators/Escalators
ALL OTI4ER GAS PIPING Heat Exchanger
Quantity of Outlets 2. Fx b Pumps
#Vented Wall Furnaces p
Refrigerator Condenser BTU's
# Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
OTHER.-
Permit
THER: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 applicationd 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 oes not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name Phone Number iol 8Q 078
Mechanical Company �<<dc. P�O�ne ��rM DQNC C,F--A'5 Office Phone S Fax 4ey 22L Zz-73
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Co. Address: y6 f City C1CkS01ks"(L(- State Zip s
License Holder(Print): State Ce 'fication/Registration# 095
Notarized Signature of License Hol er
Before me this day of 20
Signature of Notary Public