1249 Beach Ave mchg permit 'rS y`Ly1lJr
CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
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MECHANICAL GAS PIPE PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-MCHG-2742
Job Type: MECHANICAL GAS PIPING
Description: instal 4 gas piping outlets & one (1) 500-gallon tank
Estimated Value: $1,785.00
Issue Date: 12/9/2016
Expiration Date: 6/7/2017
PROPERTY ADDRESS:
Address: 1249 BEACH AVE
RE Number: 170292-0000
PROPERTY OWNER:
Name: Boeneke, Demory
Address: 7093 Ox Bow RD
GENERAL CONTRACTOR INFORMATION:
Name: PROGASCO, CORP.
,09274
Address: 7709 ALTON AVE
Phone: - -
FEES:
Gas Pipe Outlets $40.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $99.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
i
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
.Ph(904)247-5826 Fax(904)247-5845 1 _ MC tF C,_ a�(�
JOB ADDRESS: /e4 Y -39& AV f PERMrr#
PROJECT VALUE$ 7 015. 0 D ARI g 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
Gras Piping Outlets Boilers BTU's
Elevators/Escalatom
ALL OTHER GAS PIPING, Heat Exchanger
Quantity of Outlets 7 P=ps
#Vented Wall Furnaces _ Refrigerator Condenser BTU's
# Water Heaters Solar Collection Systems
Tanks(gallons) /- UP 3A
Wells
OTHER:
Perms becomes void if work does not ewnmence 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 he We and cored. All pmvisims of laws and ordinances governing this work will be complied with whether specified or
not. The permit does not give authority to violate the p%*s of any other state or local law regulation construction or the perfommnee of construction.
Property Owners Name Phone Number
Mechanical Company A9�7A•CC 0 C'd R d Office Phone 71/.r%q , Fax W I-S 7 3 7
Co.Address: 770 9 id I7 tj Ado City TPA y State 2ft Zip 32 Z/ /
License Holder(Print): //rC/ f/9/ANO State C • fon/R •stration# 9a2 7Y
No �•,� r
iR,,:,•"ak+ JEN! ER ----
,
ur coNN�ssiONa Ge me this day of •DPL 20 lb
t\ ��of Notary Public�,L A^ —
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