130 CLUB DR - GAS PIPING tf""S- r✓
�' '' \ , CITY OF ATLANTIC BEACH
l j 800 SEMINOLE ROAD
KV, ` , 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-609
Job Type: MECHANICAL GAS PIPING
Description: gas piping 2 outlet 1 water heater 1 tank
Estimated Value: $1,195.00
Issue Date: 3/25/2016
Expiration Date: 9/21/2016
PROPERTY ADDRESS:
Address: 130 CLUB DR
RE Number: 170319-0000
PROPERTY OWNER:
Name: Shields, David
Address: 53 Oceanside DR
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 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.
r : ATLANTIC BEACH
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---� PERMIT RECEIPT
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PERMIT DESCRIPTION: gas piping 2 outlet 1 water heater 1 tank
PERMIT NUMBER: 16-MCHG-609
ADDRESS: 130 CLUB DR
OWNER:
DATE ISSUED:
FEES DUE:
Trade Permit Base Fee $55.00
State Mech DCA Surcharge $2.00
State Mech DBPR Surcharge $2.00
PAID
Gas Piping Vented Units $5.00 MAR 25 2016
CITY OF ATLANTIC.RFAr'H
Gas Pipe Outlets $10.00
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Totals:
$74.00