388 4th 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 NEXT DAY INSPECTION: 247-5814
106 INFORMATION:
lob ID: 16-MCHG-2386
Job Type: MECHANICAL GAS PIPING
Description: 4 Outlets 1 Water Heater.
Estimated Value:
Issue Date: 10/24/2016
Expiration Date: 4/22/2017
PROPERTY ADDRESS:
Address: 388 4TH ST
RE Number: 169826-0000
PROPERTY OWNER:
Name: AYCOCK III THOMAS J & MARY ANN, '
Address: 491 SATURIBA DR
GENERAL CONTRACTOR INFORMATION:
Name: FLORIDA PROPANE PARTNERS
31206 RYAN RODRIGUEZ
Address: 461 TRESCA RD DEWEY FLOWERS
Phone: - -
FEES:
Gas Pipe Outlets $12.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $71.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLOMA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(C90{4))247-5826 Fax(904)247-5845 / ^l
.IUBADDRESS: 3 &% 1� ,l( , PERMIT# IV*C+IG)3$/a
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 QuantityBTU'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 QtyAutomobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets �_ Pum s
#Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks(gallons) �w
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 comet. 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 provisions ofany other slate or local law regulation construction or the performance of construction.
Property Owners Name E� , Lock Phone Number-To-1Z
Mechanical Company�(r,I-.•ct,, &t P cr) 111Sk} (,r:Ffl (ie6 Office Phone 9a471gill Fax 'ey�
Co.Address: Y 6 ( T rf%r9 Z,—A . City l) cksonW 11C State Zip JM.T
License Holder(Print): State Certification/Registration# 317dr
N r o License Roder _
(;tri ` so�t� Beforem this � da of 20 �t0
MYfXI,'R•ASSKKII FFmB982 y
"+• FJ(PIRES:May 14,W17
..2. �onOetliArv1°'"yPo1�'Ai°°""°" Signature of Notary Public OmytA,