1270 OCEAN BLVD - GAS PIPING `. .;f CITY OF ATLANTIC BEACH
s
800 SEMINOLE ROAD
++j ;� 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: 16-MCHG-563
Job Type: MECHANICAL GAS PIPING
Description: 1 OUTLET 1 TANK WATER HEATER
Estimated Value:
Issue Date: 3/8/2016
Expiration Date: 9/4/2016
PROPERTY ADDRESS:
Address: 1270 OCEAN BLVD
RE Number: 171823-0000
PROPERTY OWNER:
Name: STONE,MITCHELL A & CHRISTINE L, *
Address: 1270 OCEAN BLVD
GENERAL CONTRACTOR INFORMATION:
Name: FLORIDA PROPANE PARTNERS
Address: 461 TRESCA RD TIM CALLAHAN
Phone: - -
FEES:
Trade Permit Base Fee $55.00
State Mech DCA Surcharge $2.00
State Mech DBPR Surcharge $2.00
Gas Piping Vented Units $5.00
Gas Piping Units $0.00
Gas Pipe Outlets $10.00
Total Payments: $74.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION '
CITY OF ATLANTIC BEACH �,'
800 Seminole Rd Atlantic Beach, FL 32233 i
Ph (904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: ( 110 Ocfq() ( U �� . PERMIT#
PROJECT VALUE$ I S 3n 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 Automobile Lifts
Gas Piping Outlets Boilers BTU's
►LL OTHER GAS PIPING Elevators/Escalators
Heat Exchanger
Quantity of Outlets
I.
#Vented Wall Furnaces Refrigerator Condenser BTU's
# Water Heaters ___ Solar Collection Systems
Tanks (gallons) a So GI, u V,
Wells
TILER:
+ •mit 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
>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
. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
Dperty Owners Name C tA r;S t:nt S f-c.,n[ _ Phone Number C(01 S 3 6 c130()
chanical Company '(pc;d.. Qs t t ,-c ctCC% 0 di\ 6r.( ...s Office Phone
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. Address: ti 6( T st c. gra,94 , City d„c(SSoe u t. ((C State cL.Zip s z Z ZS—
sense Holder(Print): ?.,..v.n ?o&lr .)c C 7_ , State Certification/Registration# 3 t'1-(.>(.,
tarized Signature of License Holder T-.e".c-2 ,-- , a;....-- ...,_- -- ,
00A.Put Notary public State of Florida efore met IS day Of �'r,A 20 20 /e0
Shirley L Graham
of My Commission FF 086990 '.gnature of Notary Public ARP'
'40i n°°' Expires 02/14/2018 _