349 3RD ST MECH GAS PIPING I 111,y 7�
CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
'-) ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
MECHANICAL GAS PIPE PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
IOBINFORMATION:
Job ID: 15-MCHG-968
Job Type: MECHANICAL GAS PIPING
Description: 3 OUTLETS
Estimated Value:
Issue Date: 4/24/2015
Expiration Date: 10/21/2015
PROPERTY ADDRESS:
Address: 349 3RD ST
RE Number: 169823-0000
PROPERTY OWNER:
Name: HOFFMAN, DAVID
Address: 349 3RD ST
GENERAL CONTRACTOR INFORMATION:
Name: FLORIDA PROPANE PARTNERS
Address: 461 TRESCA RD TIM CALLAHAN
Phone: -
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 WIN ALL CITY OF ATLANTIC BEACH ORDINANCES AND INE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH p) -
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904)247-5845
JOB ADDRESS' 3 c{5 [ PERMIT#
PROJECT VALUE $_ B7--'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 (Requves 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 9 (At k o�t sca 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 Net I have read
this application and know the some 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 Qc,,1 rt 1-fo Ft`r,. n Phone Number 2o -1 `I27 .Q37S
Mechanical Company Fi :z PrP Qft-nrrt O6k (T,-'G Office Phone -TZI`I t53Fax9WR 2113
Co. Address: City cc ,.��YIe- State Zip ztf
License Holder(Print): , , '-' State Certific tion/Registiation# 0l-W
Notarized Signature off Lice nse Halder
PW'Wpfi Nobry PuOac Sbb a ethis
SMrby L Graham�µ��
'V j My CaamWpn FF 9"a of Notary Public
a Pa' Enpine 0L14Ra1B "`6��