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1620 MARITIME OAK DR - GAS PIPING �� �A Vii, CITY OF ATLANTIC BEACH r j 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 JOB INFORMATION: Job ID: 17-MCHG-2956 Job Type: MECHANICAL GAS PIPING Description: install fireplace, 5 gas piping outlets, water heater Estimated Value: $1,200.00 Issue Date: 1/9/2017 Expiration Date: 7/8/2017 PROPERTY ADDRESS: Address: 1620 MARITIME OAK DR RE Number: None PROPERTY OWNER: Name: North Florida Builders of Jacksonville Inc. Address: 8825 Perimeter Park BLVD GENERAL CONTRACTOR INFORMATION: Name: TUBE WORKS Zane A. Lloyd, 05614 Address: 9652 CHUTNEY CT Phone: - - FEES: Gas Pipe Outlets $12.00 Gas Piping Units $12.00 Gas Piping Vented Units $5.00 State Mech DBPR Surcharge $2.00 State Mech DCA Surcharge $2.00 Trade Permit Base Fee $55.00 Total Payments: $88.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. MECHANICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904) 247-5826 Fax(904)247-5845 i 1-- /AC 0 CT_ ' ,el S o JOB ADDRESS: `C.)U /nri /, L 4 PERMIT# PROJECT VALUE$ '//,,1 CO, 0e 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 Manual J documentation required on residential change out 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 J Boilers BTU's Elevators/Escalators ALL OTHER GAS PIPING Heat Exchanger Quantity of Outlets Pumps #Vented Wall Furnaces Refrigerator Condenser BTU's # Water Heaters _I__ Solar Collection Systems Tanks(gallons) Wells OTHER: / r)s/ //,;7,3 jos ,?,.7 • 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 complied with whether specified or not. The permit does not give authoritn violas provision of any o er stat or ocal law regulation construction or the performance of construction. Property Owners Name // d (.4_, C �S Phone Number Mechanical Company /6e- 6/Gi. C ie. Office Phone � ��� Fax7 go v - /_..cs'r/ Co. Address: n Ks()) .3 7//) City J 7f---Y Stattl Zip License Holder (Print): (27,/e.- 4 (/ I StateOCertification/Registration# U 5 61V Notari _ ' older C A �- 9� •• ; JENNIFER JOHNSTON ""'" Before me this 9t� day of �ci��u�+ 20 +$'1� ": MY COMMISSION�GG 042964 =� w M` EXPIRES.October 27,2020 "� eo "°� Pubic_______ Signature of Notary Public �-y'\:tk-� ___ --