1977 Seminole Rd mchg permit 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
JOB INFORMATION:
Job ID: 17-MCHG-3196
Job Type: MECHANICAL GAS PIPING
Description: install 2 gas piping outlets and fireplace
Estimated Value: $600.00
Issue Date: 2!1/2017
Expiration Date: 8/6/2017
PROPERTY ADDRESS:
Address: 1977 SEMINOLE RD
RE Number: 169542-0502
PROPERTY OWNER:
Name: Winkelman, Dennis
Address: 1977 Seminole RD
GENERAL CONTRACTOR INFORMATION:
Name: Hall's Gas Services, Inc.
Jason E. Hall,32781
Address: 11428 Princessa Lane Jacksonville, FL 32218-4054
Phone: -
FEES:
Gas Pipe Outlets $10.00
Gas Piping Vented Units $5.00
State Mach DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $74.00
PERMIT IS APPROVED ONLV IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BOLDING CODES
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax(904)247-5845 1-1 _ M U�-_ sill,
JoBADDREss: /.,J PERMIT#
PROJECT VALUE$ 6drlf'— 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 / 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 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 authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name &,^, 1y,El, Phone Number S03->0>- />6
Mechanical Company pII//a//s Gss �,✓/, Office Phone ?,(d-704 Fax
Co. Address: 3166- Sf. ad— /3/`./{ -.If *;�r City J 0A State/`C- Zip 3X'/6
License Holder(Print): J aro,. =/rG// State Certification/Registration#
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Signature of Notary Public ix I