1793 Atlantic Beach Dr mchg permit -d
CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
F.,
INSPECTION PHONE LINE 247-5814
MECHANICAL GAS PIPE PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
308 INFORMATION:
Job ID: 16-MCHG-2367
Job Type: MECHANICAL GAS PIPING
Description: 3 Gas Piping Outlets
Estimated Value: $600.00
Issue Date: 10/20/2016
Expiration Date: 4/18/2017
PROPERTY ADDRESS:
Address: 1793 ATLANTIC BEACH DR
RE Number: None
PROPERTY OWNER:
Name: TOLL FL VI LIMITED PARTNERSHIP
Address:
GENERAL CONTRACTOR INFORMATION:
Name: FIRST QLIA4ITY GAS, INC.
Luis Vila Jr.,09700
Address: P O BOX 16303
Phone: -
FEES:
Gas Pipe Outlets $10.00
State Mach DBPR Surcharge $2.00
State Mech 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
/ /P�h(904)247-58826 Fax(904)247-5845
JOB ADDRESS: 4793 AllaA `/ /� bc
1c- -/-e &e PERMTT#
PROJECT VALUE $ 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 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 cemplied with whether specified or
not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of commuction.
Property Owners Name Z?)L A✓-U+'--e.cS Phone Number
Mechanical Company 105--t 1rST 626 /cJJ <:: . _1:1JC—Office Phone? ? ax
Co. Address: Qtr 'K ( G 30 3 City J—A Sk State/Cax/ Zip.?2 2 /S—
License Holder(Print): 1`S f !- _ State Cerfificatioi # 2
Not
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4011�IFF217e11 E
y y E%PInES:Mpuat 7,2018 Before me this o��� day of l 'IoB4.�L 20 11v
r.�,�h eadrell�u Nb'I PWk NtlriwlYn l' ' ' 1 /1
Signature of Notary Public