1651 Mayport Rd mchg permit 00'R 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
306INFORMATION:
Job ID: 17-MCHG-3229
Job Type: MECHANICAL GAS PIPING
Description: 2 Gas Piping Outlets; 1 Prefabricated Fireplace
Estimated Value: $3,290.00
Issue Date: 2/9/2017
Expiration Date: 8/8/2017
PROPERTY ADDRESS:
Address: 1651 MAYPORT RD
RE Number: 172072-0000
PROPERTY OWNER:
Name: CONSELICE JR ET AL, JOSEPH J
Address: 1651 MAYPORT RD
GENERAL CONTRACTOR INFORMATION:
Name: SAWYER GAS OF THE BEACHES
Larry Williams Jr.Cert# 30564 Exp.6/08/2017 Qualifier,01084
Address: 98 PENMAN RD CIA WILLIAM H. MOBLEY
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
Prefabricated Fireplaces $30.00
Total Payments: $99.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(9/04)247-5826 Fax(Q904)247-5845
JOB ADDRESS: —PERM1T#
PROJECT VALUE$ 3 Z-90, 0V 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 REQUIRED
Duct Systems: Total CFM Q
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit SeerRatmgRSQUIRED
Duct Systems: Total CFM
FIRE PREVENTION
Fire Sprinkler System Quantity (Regavea 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 �_ Boilers BTU's
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 if work does not commence within a sic month period or work is suspended or abandoned for sic months.I hereby certify that I haw 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 anthon/ty/y�violate the visions of�v�ylother stere or local law regulation construction or the performance of construction.
Property Owners Name ; .J / ✓E ✓-���9'�`S Phone Number
Mechanical Company_5j�v!�� B93 g,4- %� &X e4(eS Office Phone
Co.Address: qv S �r�m.2r� 4 City, 444/ State 9zip .3LZ.i'Q
License Holder(Print): F State Certification/Registration# a
il
e Holder
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ay Comm.Enplraa Jul 16,2019 Signature of Notary Public
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