395 12th St mchg permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
MECHANICAL GAS PIPE PERMIT
MUST CALL BY 4PM FOR NEXF DAY INSPECTION: 247-5814
305 INFORMATION:
Job ID: 16-MCHG-2415
Job Type: MECHANICAL GAS PIPING
Description: install fireplace, 4 gas-piping outlets, 2 water heaters, &
cooktop
Estimated Value: $5,009.00
Issue Date: 10/27/2016
Expiration Date: 4/25/2017
PROPERTY ADDRESS:
Address: 395 12TH ST
RE Number: 171922-0000
GENERAL CONTRACrOR INFORMATION:
Name: CONSTRUCTION SOLUTIONS &
,26657
Address: 5225EDGEWOODCT QA NONE - UNABLETO FIND
Phone:
FEES:
Gas Pipe Outlets $10.00
Gas Piping Units $18.00
Gas Piping Vented Units $15.00
State Mach DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $102.00
PERAHT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC REACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ATLANTIC BEACH
PERMIT RECEIPT
October 27, 2016
PERMIT DESCRIPTION: install fireplace,4 gas-piping outlets,2 water heaters,&cooktop
PERMIT NUMBER: 16-MCHG-2415
ADDRESS: 395 12TH ST
OWNER:
Gas Pipe Outlets $10.00
Gas Piping Units $18.00
Gas Piping Vented Units $15.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Pemit Base Fee $55.00
Totals: $102.00
CL AV
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MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,Fl,32233
Ph(904)247-5826 Fax(904)247-5845
JOBADDRESS: 39512"STREET
—PERMIT# 46-���
PROJECT VALUE$ 5009.00 ARI# ---UIRED
__,Mr Handling Equipment Only __Ak Handling Unit& Condenser —Condenser Only
NEW AIR CONDITIONING& HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tom Per Unit
Heat: Unit Quantity BTU's Per Unit Sm 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 (Req es 3 sets of plans)
Fire Standpipe Quantity
Underground Fire Main (Req es 3 sets of plans)
Fire Hose Cabinets Value (Bell es 3 sets of plans)
Commercial Hoods Quantity (Req res 3 sets of plans)
Fire Suppression Systems Quantity (Requires 3 sets of plans)
Quantity (Requirm 3 sets of plans)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty I Automobile Lifts
Gas Piping Outlets Boilers — BTU's
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets 4
#Vented Wall Furnaces 0�.CondeoSCr BTU's
#Water Heaters 2 FITIVle "Systems
Tanks(gallons)
Wells
OTHER: INSTALL GAS PIPING-4 DROPS-2 WATER HEATERS,FIREPLACE,
COOKTOP
)crunit becomes void if work does net within a six month period or work is suspended or abandoned for six months.I h==,thxt�Ib.,..d
hisappli�6wwdkn�thesm�wb��emdl.L MI prulmions of laws and ordinances governing this work will be complied with whether spcCifical w
WL The permit does net jd�,authority W�ialajc the provisions ofany other state or local law regulation construction or the perfce of construction.
ImPerty Owners Name AF AB VENTURE— Phone Number 904-813-3661
Vlechanical Company coNsTRUcTIoN SOLUTIONS&SUPPLY LLC Office Phone 9043892700 Fax
�0-Address: 225 EDGEWOOD CT- City JACKSONVILLE State FL Zip 32254
-L- - —
*ense Holder(Print): State CertificationtRegistration#26657
��vlarized Signamm of License
this
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MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Serninole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax (904)247-5845
S: 39512 TH STREET PERmrr# 16-SFR-1250
Jo' B ADDRES —
Signature of Notary Public I
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