341 8TH MECH GAS CITY OF ATLANTIC BEACH
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800 SEMINOLE ROAD
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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-1112
Job Type: MECHANICAL GAS PIPING
Description: 1 POOL HEATER
Estimated Value:
Issue Date: 5/12/2015
Expiration Date: 111/8/2015
PROPERTY ADDRESS:
Address: 341 8TH ST
RE Number: 169965-0000
PROPERTY OWNER:
Name: BROWN, TAWANA LEA
Address: 341 8TH ST
GENERAL CONTRACTOR INFORMATION:
Name: FLORIDA PROPANE PARTNERS
Address: 461 TRESCA RD TIM CALLAHAN
Phone: - -
FEES:
Gas Pipe Outlets $10.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $69.00
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
JOB ADDRESS: 3 �� ' S 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 REQUIRED
Duct S stems: Total CFM
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: I Unit Quantity BTU's Per Unit Seer RatingREQUIREDDuct Systems: Total CFM
FIRE PR�VENTION
Fire Spnnkler 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 S4ppression Systems Quantity (Requires 3 sets of plans)
FIRE ;P CES MISCELLANEOUS:
Prefab icated Fireplace Qty Automobile Lifts
Gas Piping Outlets Boilers BTU's
ElevatoriU-calators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets k_P.,t k^eC.k-C(- . 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 the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name o h dl 4 n C Phone Number�o `/ 6 Z Z 8 30
One3iFxMechanical Company bion� en-ners 06A ( C: Fs ��cS fce Phofo -J-122( 2272
Co. Address: 11�� res« art City Clic k ru..u lie State Zip 2 22
License Holder(Print): State Certificatio egistration# 015 5r7A
Notarized Signature of License Holder
Before me this day of 20
Signature of Notary Public