1969 SEMINOLE RD - GAS TANK r\J`J
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�s CITY OF ATLANTIC BEACH
;-, c) 800 SEMINOLE ROAD
�� _ ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-MECH-1786
Job Type: MECHANICAL HVAC ONLY
Description: GAS TANK FOR RANGE
Estimated Value:
0 Issue Date: 7/27/2015
Expiration Date: 1/23/2016
PROPERTY ADDRESS:
Address: 1969 SEMINOLE RD
RE Number: 169542-0506
PROPERTY OWNER:
Name: MCHAN. JOSEPH H
Address: 1969 SEMINOLE RD
GENERAL CONTRACTOR INFORMATION:
Name: BILL FENWICK PLUMBING
Address: 11623 E COLUMBIA PARK DR QA WILLIAM K. FENWICK, JR
Phone: - -
PERMIT INFORMATION: Sticker for overcurrent protection must be on A/C equipment prior to
inspection. Failure to comply will result in a failed inspection and reinspect fees. No
exceptions.
FEES:
Tanks $20.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $79.00
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
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OB ADDRESS: , I Szm1 k Q8 PERMIT#
PROJECT VALUE $ I ,260.00 ARI# REQUIRED
Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only
JEW 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
tEPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
j Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating
Duct Systems: Total CFM REQUIRED
r_—Fire E PREVENTION si i i}
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)
IRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
1?Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
# Water Heaters Solar Collection Systems
Tanks(gallons) 1
Wells
)THER: Ra l\C),e_
ermit 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
tis.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
at. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
'roperty Owners Name ('e Kavix Phone Number 38'CD'Ci5110
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4echanical Company(\11 fen uo\C.tL ■vrb►r\q Office Phone`124"1022 -Fax-12%4-Yyy(99
;o. Address: \1 1.9 23 e n\V'Mb I C1 6(k- I,. - Z• City i-ok X State C L Zip'3 225 i
,icense Holder(Print): al 1' t e� 11k) C.I State Certification/Registration#are O9Od3°
Jotarized Signature of License Holder
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4,►•� Notary Pudic State of Flood. Before me this ,_ day of / ('
Susan T Slocum 'P
'�j / My Commission FF 196022 Signature of Notary 'ublic • ' '
"?p�h� Ex'ires03/06R019