1661 Atlantic Beach Dr mchg permit CITY OF ATLANTIC BEACH
,J 800 SEMINOLE ROAD
j ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
—r 1119,
MECHANICAL GAS PIPE PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-MCHG-2487
Job Type: MECHANICAL GAS PIPING
Description: GAS PIPING -4 OUTLETS
Estimated Value: $600.00
Issue Date: 11/4/2016
Expiration Date: 5/3/2017
PROPERTY ADDRESS:
Address: 1661 ATLANTIC BEACH DR
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: FIRST QUALITY GAS, INC.
Luis Vila Jr.,09700
Address: P O BOX 16303
Phone: -
FEES:
Gas Pipe Outlets $10.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $69.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORMA,
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
/ �Ph
(904)247-5826 Fax(904)247-5845 « -rneNG-z487
JOB ADDRESS: le, -PERMIT#
PROJECT VALUE$ .�n� 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 QtyAutomobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalators
ALL OTHER GAS PIPINq Heat Exchanger
Quantity of Outlets 4— Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
OTHER:
Permit bewmw void if work does trot commence within a six month period or work is suspended or abandoned for sin months.I hereby certify that I have read
this application and know the same to be true and carrect. NI provisions of laws and ordinances governing this work will be complied with whether specifrd or
not. The permit does not give authority to violate the provisions of any other slate or local law regulationewsemetion or the performance of wnstmction.
Property Owners Name Phone Number
r
Mechanical Company 4g5M0j .C_a'A�ffice Phone, a
Co.Address: Pd RITX Gb Zd City CrAz State/i—ZipE4� Or
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License Holder(Print): r Slair Certification/Registration#T/2422
Notarized Signature o Lie Id ,
�.. E%PIPES'.October 6,2119
`2 `+' a„mram�reurvumu�^^^°" Signature of Notary Public