2001 SEMINOLE RD - GAS PIPING BURNER & LOGS r,,,\�f JG'\S, CITY OF ATLANTIC BEACH
'' - 800 SEMINOLE ROAD
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N 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-482
Job Type: MECHANICAL GAS PIPING
Description: GAS BURNER AND LOGS
Estimated Value: $2,627.00
Issue Date: 2/25/2016
Expiration Date: 8/23/2016
PROPERTY ADDRESS:
Address: 2001 SEMINOLE RD
RE Number: 169723-0012
PROPERTY OWNER:
Name: MCKINNON, DANIEL J
Address: 2001 SEMINOLE RD
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: c-00 I cQ.i'Y\.1 r e(t t `ci . PERMIT#
•
PROJECT VALUE $ '1 / .' 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 MISCELLANEOUS:
Prefabricated Fireplace Qty I 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: buv.,RIA. ` -\DT
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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.
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Property Owners Name Ell Za tkh R2kLbOV Phone Number Co l b- I 5 3,..R
Mechanical Company -S€ {-22 r5 Office Phone-731-910J Fax 730-if 3r
Co. Address: 7(t 1. O PhtLLpS til.oy City , i4iC Statet Zip 32254
License Holder(Print):1' / S to - ertification/Registration# 3O5/0 tU
Notarized Signature of License Holder __ /f� /
TONI GINDLE Z5 day •,‘` -z1►I 20 1
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V. EXPIRES:Octobe 2019 AMR%/Aijf h BondedThruNotaryPub �' ' of Notary Public