303 10TH ST - GAS PERMIT ,• I ` °S f CITY OF ATLANTIC BEACH
J A 0 800 SEMINOLE ROAD
J •, :Z.' 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-779
Job Type: MECHANICAL GAS PIPING
Description: GAS PIPING -4 OUTLETS & ONE WATER HEATER
Estimated Value: $1,145.00
Issue Date: 4/1/2016
Expiration Date: 9/28/2016
PROPERTY ADDRESS:
Address: 303 10TH ST
RE Number: 170063-0000
PROPERTY OWNER:
Name: BOUY, KIM L
Address: 303 10TH ST
GENERAL CONTRACTOR INFORMATION:
Name: FIRST SOURCE GAS APPLIANCES
Address: P O BOX 1192
Phone: - -
FEES:
Gas Pipe Outlets $10.00
Gas Piping Vented Units $5.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $74.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.