1753 MARITIME OAK DR - MECH GAS PIPING ',;s CITY OF ATLANTIC BEACH
41, s) 800 SEMINOLE ROAD
'4" 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-1966
Job Type: MECHANICAL GAS PIPING
Description: PREFAB FIREPLACE
Estimated Value:
Issue Date: 8/21/2015
Expiration Date: 2/17/2016
PROPERTY ADDRESS:
Address: 1753 MARITIME OAK DR
RE Number: None
FEES:
Gas Piping Vented Units $5.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $64.00
I'ER)II I IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC REACH ORDINANCES AND THE FLORIDA
BUILDING'CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
M Ph 1(904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: n6 ._) TgATi c _ -. PERMIT#
PROJECT VALUE $ \110 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 (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 1 MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets 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 b ,'� L &2C12 Z Phone Number QOt217o73 q
Mechanical Company 4 \eAATkbU.. 1ZS l.L Office Phone*-' A ax Ivy '4A-Di
Co. Address:kpnn r ` p�ae�
`� ` lS-"T \�u pt � City katU.� State Zi
License Holder(Print): State Certification/Registration# (5902.
Notarized Signature of License Holder '�G IV 4...412
,•;� `', 7 ST JESSICA A WALSH Before me this ' da cf 1 U 20
=' � •' MY COMMISSION#EE876172
it
;
�•••• : EXPIRES April 13,2017 Signature of Notary Public I .s,
Ia07)398-0153 FlaldeNomryServlce.com