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982 OCEAN BLVD GAS PIPE PERMIT CITY OF ATLANTIC BEACH j 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-1359 Job Type: MECHANICAL GAS PIPING Description: GAS PIPING- 3 OUTLETS &WATER HEATER Estimated Value: $2,386.00 Issue Date: 6/13/2016 Expiration Date: 12/1012016 PROPERTY ADDRESS: Address: 982 OCEAN BLVD RE Number: 170342-0000 PROPERTY OWNER: Name: ROULEAU, DAVID W Address: 962 OCEAN BLVD GENERAL CONTRACTOR INFORMATION: Name: FERRELLGAS L.P. Address: 922 9TH STREET S Phone: - FEES: 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: $64.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDMG CODES. MECHANICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 op(� Ph(904) 247-5826 Fax (904)247-5845 fv_M`a u(i_ 13 S ) JOBADDRESS: / (t �J. -D�DCI�( 8 ( tir) PERMIT# PROJECT VALUE$ U8_�� 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 Elevators/Escalatom ALL OTHER GAS PIPIkG Heat Exchanger Quantity of Outlets _ Pumps #Vented Wall Furnaces Refrigerator Condenser BTU's #Water Heaters = Solar Collection Systems Tanks(gallons) Wells 671011 T� a 'er it 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 his 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 tot The perut does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. rropeny Owners Name Phone Number dechanical Company&4/�A?F J- 3�FV.?y e`3S7. -G�a- P Y -C - Office Phone 8 9 Fax a,q�� ;o.Address: //OU :f/LE/fc.[!a-tI'6 0/02 Cit)jq�c/Jc . State(Zipt/3aaSC� .icense Holder(Print): 'L/C ,Q Ce cation/RegisVation# ©d b 7orariaed c N&AIININ911mat TONI GI:S F'1 ' uvccuuisEicsiFF ethis___ da of EXPIflES:Ocmber&2019 Y ' '� ecwm rnN aomr °' eofNotary Public I a bo