812 OCEAN BLVD - GAS PIPING LAN.,
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� ' • `S, CITY OF ATLANTIC BEACH
2 800 SEMINOLE ROAD
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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-1593
Job Type: MECHANICAL GAS PIPING
Description: GAS PIPING - FIREPLACE, 6 OUTLETS AND TANK
Estimated Value: $2,290.00
Issue Date: 7/15/2016
Expiration Date: 1/11/2017
PROPERTY ADDRESS:
Address: 812 OCEAN BLVD
RE Number: 170335-0000
PROPERTY OWNER:
Name: REED, DAVID
Address: 418 S 4TH AVE
GENERAL CONTRACTOR INFORMATION:
Name: SAWYER GAS COMPANY
Address: 98 PENMAN RD QA WILLIAM H. MOBLEY
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 BF:A( II ORDINANCES AND THE FLORIDA
BUILDING CODES.
MEC! 1 ANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax(904) 247-5845 1 6-111 CHC` 159 3
JOB ADDRESS: 7/1" seaEi ) ho> PERMIT# /3-3-0/
PROJECT.VAL UE $ Z229 7, 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 6, Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's _
#Water Heaters Solar Collection Systems
Tanks (gallons) /be;?)
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 that 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 v late the provisions of other state or local law regulation construction or the performance of construction.
Property Owners Name L ,✓ 1(e /94) Phone Number 1444-=//3I/
Mechanical Company GA---7 E 9,'C',4L5- Office Phone ZYlo- 7/Fax Z —O 7/('
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Co. Address: 97 -5: 4 #4 CitY a State Zip
2-2-Z
License Holder(Print): VfCrdg�A
X• 2 4 )) State Certification/Registration# 3o f 3 Z
' ' • older Ve,atCbte ` *-7, (
_,..a,,, 11EfUS JAY
if �. Notary Public-State of Florida Before me this ( 4 dayo 20 t �O
• Commission ill FF 896938 _
:?,; o. My Comm.Expires Jul 16.2019 Signature of Notary Public
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