1303 Ocean Blvd mech gas permit CITY OF ATLANTIC BEACH
j; 800 SENHNOLE ROAD
/ ATLANTIC BEACH,FL 32233
j _
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-2254
Job Type: MECHANICAL GAS PIPING
Description: GAS PIPING - 3 OUTLETS
Estimated Value: $1,231.00
Issue Date: 10/5/2016
Expiration Date: 4/3/2017
PROPERTY ADDRESS:
Address: 1303 OCEAN BLVD
RE Number: 171835-0000
PROPERTY OWNER:
Name: PRIDGEN LIFE ESTATE, MARIAN S, '
Address: 1303 OCEAN BLVD C/O DAVID M PRIDGEN
GENERAL CONTRACTOR INFORMATION:
Name: PROGASCO, CORP.
,09274
Address: 7709 ALTON AVE
Phone: -
FEES:
Gas Pipe Outlets $10.00
State Mach DBPR Surcharge $2.00
State Mach DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $69.00
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 A � r I
Ph(904)247-5826 Fax(904)247-5845 ) l/0- I v `CHC _z zs4
JOBADDRESS: /303 OCPAnI Q 10 .6 PERMIT#
PROJECT VALUE $ /I 7- .7,J- 6 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
r
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 QtyAutomobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalators
ALL OTHER GAS PIPINY Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks(gallons) rI 1 3
Wells
OTHER:
Permit becomes said 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 one and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or
not. The permit does not give an or the mvisions/oyan other state or local law regulation construction or the performance of construction.
Property Owners Name � L '� Oi pt�. /GYeeJ Phone Number
Mechanical Company kul a" 6BLr Office Phone 7zFS}37Fax
Co. Address: 7 7 0 T A /'Ey,v AVP City .AY Statert Zipy"-'l
License Holder(Print): 1Ztlzm ZaLISAAOState Certification/Registration#
No a older
; � ," MY CAadIss0N$FFa24651
E%PIRES:O_sca6.2019 Before me dayo
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Signature of Notary Public