2346 OCEANFOREST DR W GAS PIPE PERMIT CITY OF ATLANTIC BEACH
7 800 SEMINOLE ROAD
I 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-1501
Job Type: MECHANICAL GAS PIPING
Description: installing (1) prefabricated fireplace and (4) gas piping outlets
Estimated Value: $1,295.00
Issue Date: 7/13/2016
Expiration Date: 1/912017
PROPERTY ADDRESS:
Address: 2346 W OCEANFOREST DR
RE Number: 169463-1564
PROPERTY OWNER:
Name: MONTAGNA, JULIUS &TINEKE, '
Address: 2346 W OCEANFOREST DR
GENERAL CONTRACTOR INFORMATION:
Name: SAWYER GAS COMPANY
Address: 98 PENMAN RD CIA WILLIAM H. MOBLEY
Phone: -
FEES:
Gas Pipe Outlets $10.00
Gas Piping Vented Units $5.00
State Mach DBPR Surcharge $2.00
State Mach DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $74.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES
MECHANICAL PERMIT APPLICATION _
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax 9 4)247-5845
235/6 OBJ
P. � , / /J
JOB ADDRESS: PERMIT#/`'K��"
cJ flJ
PROJECT VALUE$ 295 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/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:
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 and 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 pro isoons of any oth state or local law regulation construction or the performance of construction
Property OwnersName // T ^'s ^• Phone Number 3/6-30
� 9
Mechanical Company A 4;s o`�� Arz�ES Office Phone ax
Co.Address:� rn.a-.�� /Ca City�b'z�f'7l� State Zip 32�.fd
License Holder(Print): /CTO/ /A m 2 DState Certification/Registration# 349 Y3 2
en Holder
• v unary hdk.Bt e701FIondarr11,,.n,`C6wnUabn F' 1 Beforemethisl :/ da �f w 20V4 Caron.Erpina J019y eudae"a*NMWW .:a. Signature of Notary Public
CITY OF ATUBNTIC BEACH
B00 SEIIIS E ROOD
ATLANTIC
PHONE (904) 247-E 32233
5055
Cashier Id: atlb0d\atlbbja
Receipt Receipt Nu4 :13:41
mber: OS-70291 PM
Job I0: 16-MCHG-1591 - imtalinrg (1) Preis
bsicatedGfireplace
Piping and
Out (4) ga310ets iping guile
as
Joh 10: 16-MCHC-15B1 - installing (1) Prefa
sGa
n t- Gas piping Ve ted $
) Units pipingas 5 .00 tle
i
Joh ID: 16-MGIC-1501 - install
ing (1) Preis
is'jmBPR fiStatecMechOBPR Suarchorge $2.0
0
job ID: 16-KHG-1501 - installing (1) Preis
bsn Maw fireplace MechnOCR Surchargeir�g$2.00a
Job ID: 16-ITA-1501 - installing (1) Prefa
si IT- Trade Base
)Fees P$55, 000 ing utle
i
Amount Due: $74.00
Tender Inforeatim: Cash $74.00
Tender Type: CC
Tender Aawnt: $74.00
Change Due: $0.00