255 Pine St - Gas Piping - 1 Fireplace (-----
`� CI TY OF A . TLANTIC BEACH
-
800 SEMINOLE ROAD
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: 16- MCHG -5
Job Type: MECHANICAL GAS PIPING
Description: GAS PIPING - ONE FIREPLACE
Estimated Value: $2,507.00
Issue Date: 1/5/2016
Expiration Date: 7/3/2016
PROPERTY ADDRESS:
Address: 255 PINE ST
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: SETZERS & COMPANY
Address: 7660 PHILLIPS HWY BERRY ROBERTS
Phone: - -
FEES:
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Gas Piping Vented Units $5.00
Total Payments: $64.00
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:0_5 '1)0,\,t. PERMIT #
PROJECT VALUE $ ,&50 7• IP 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) O
Fire Hose Cabinets Quantity (Requires 3 sets of plans) ( A • d
Commercial Hoods Quantity (Requires 3 sets of plans) 1 n
Fire Suppression Systems Quantity (Requires 3 sets of plans) U+
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty / Automobile Lifts
Gas Piping Outlets Boilers BTU's
ALL OTHER GAS PIPING Elevators /Escalators
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 provi ions of any / oth e r state or local law regulation construction or the performance of construction.
Property Owners Name I3D–tipi'D provi
1/ f f, Phone Number g15 -52,716)
Mechanical Company 2e121A)) Office Phone 73/- y /UV Fax 7-0 '1135 —
Co. Address: 7b(,0 P I I l i , i 9S City /9-y State - , Zip ,.2. 6'/
Y '
License Holder (Print): / k. . I / ( S State Certification/Registration # 3.J5c06
Not. .: , ' 7 . , e e hi ier
o e V P k'e Notary Public State of Florida
Shirley L Graha
y a c ` M y Commission Fm F 086990 id. efore me this day o ' AZ 20 44'
ry +of f Expires 02/14/2018
ignature of Notary ' bh����