725 Atlantic Blvd #3 mchg permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
JRIs,
MECHANICAL GAS PIPE PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5914
706 INFORMATION:
Job ID: 17-MECH-3022
Job Type: MECHANICAL GAS PIPING
Description: install 639K-BTU boiler&gas piping outlet for brewery
Estimated Value: $30,000.00
Issue Date: 1/19/2017
Expiration Date: 7/16/2017
PROPERTY ADDRESS:
Address: 725 ATLANTIC BLVD UNIT 03
RE Number: None
PROPERTY OWNER:
Name: ATLANTIC-PENMAN LLC
Address: 166 N HWY AIA
GENERAL CONTRACTOR INFORMATION:
Name: Bemie's Boiler & Cleaners Equipment Service, Inc.
Bernhard David Echt,LP Gas Installer#03642
Address: 11313 W Distribution AVE
Phone: -
FEES:
Gas Pipe Outlets $42.00
State Mach DBPR Surcharge $2.00
State Mach DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Gas Piping Units $12.00
Total Payments: $113.00
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
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Ph(904)2n47-5826 Fax (904)(904)2247-5845
JOB ADDRESS:��AjtO J, C 1, If/`d ✓�,/ &gr PERhHT#
PROJECT VALUE $ , 000.00 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 QtyAutomobile Lifts
Gas Piping Outlets Boilers , K BTU's COO
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets _ Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
OTHER:
Permit becomes void ifwork 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 tc be true and correct, All previsions of laws and ordinances governing this work will be complied with whether specified or
not The permit does not give authority�too//violate the proviss!o_ns of any other state or local law regulation construction or the performance of construction.
Property Owners Name /T/ Iy rr11 J`L 4 K a^ LLC Phone Number
Mechanical Company Bey-hl a lc ISa7 (F ctonersEO SPY&r Office Phone 90 -2A2-(�0')&c
/7
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Co. Address: �I4)30t'c 6k�enAye�qW City3a SOhv�e State�Zip 3ZM
License Holder(Print): 2 V E Sttaate/CCper/tification/Registration#
Notarized Signature o License Holder /S �t Ti Z7
J@RAFERJoaMSIDM Before me this-1_' day of / 20
rMYco1MjSSIoa Oooanaat
E%RREs'.oa a.102a
`"` aareramuranrvnouctxdr+.a.r Signature of Notary Public a,