1858 Selva Grande Drive WOOD FIREPLACE ;'I I-'Ly.%
4 , �S, CITY OF ATLANTIC BEACH
J 800 SEMINOLE ROAD
r 44'..'' . " i s)
J �r 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-2902
Job Type: MECHANICAL GAS PIPING
Description: INSTALL WOOD FIREPLACE
Estimated Value:
Issue Date: 12/16/2015
Expiration Date: 6/13/2016
PROPERTY ADDRESS:
Address: 1858 SELVA GRANDE DR
RE Number: 169542-5020
PROPERTY OWNER:
Name: FLEMING, THOMAS
Address: 1858 SELVA GRANDE DR
GENERAL CONTRACTOR INFORMATION:
Name: SETZERS & COMPANY
Address: 7660 PHILLIPS HWY BERRY ROBERTS
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: $69.00
1
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
From:SETZERS & COMPANY INC 9047308935 12/16/2015 08:39 #872 P.001 /001
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845 1 5 - l\\ C H OZ-
7B ADDRESS:
J. _ Get 2 PERMIT#
PROJECT VALUE$
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity ` Tons Per Unit
Heat: Unit Quantity BTU's Per Unit
Duct Systems: Total CFM Seer Rating
REQUIRED
-----�
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM IN
Air Conditioning: Unit
Quantity LT INSTALLATION
---�_ nit ARI#
uant
Q Y Tons Per Unit REQUIRED
Heat: Unit Quantity BTU's Per U
Duct Systems: Total CFM Seer Rating
_______
FIRE PREVENTION REQUIRED
Fire Sprinkler System
Fire Standpipe Quantity
(Requires 3 sets of plans)
Underground Fire Main Quantity (Requires 3 sets of plans)
Fire Hose Cabinets Value (Requires 3 sets of plans)
Quantity (Requires 3 sets of plans)
Commercial Hoods
Q
Fire Suppression Systems Quantity
Quantity
(Requires 3 sets of plans)
(Requires 3 sets of plans)
',IRE PLACES
Prefabricated Fireplace Qty MISCELLANEOUS:
Gas Piping Outlets Automobile Lifts
– — y Boilers BTU's
ALL OTHER GAS PIPING V Elevators/Escalators ------
Quantity of Outlets Heat Exchanger
#Vented Wall Furnaces Pumps
# Water Heaters n Qx Refrigerator Condenser BTU's
o`J R V Solar Collection Systems
0 Tanks (gallons)
'\ -. <<v Wells
►THER:
snit 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 r
application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether s specified
lot. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
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)perty Owners Name 1. F
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chanical Company 11311Milir �C,r D7-05 `-3
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arizedSi• , � _ --I
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Signature of Notary Public �