750 Paradise Ln mchg permit CITY OF ATLANTIC BEACH
sJ 800 SEMINOLE ROAD
3 ATLANTIC BEACH, FL 32233
t _ INSPECTION PHONE LINE 247-5814
F
MECHANICAL GAS PIPE PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 17-MCHG-3597
Job Type: MECHANICAL GAS PIPING
Description: install one (1) gas-piping outlet& 118 gallon tank
Estimated Value:
Issue Date: 3/27/2017
Expiration Date: 9/2312017
PROPERTY ADDRESS:
Address: 750 PARADISE LN
RE Number: 172376-0250
PROPERTY OWNER:
Name: Farford, Angela
Address: 750 Paradise LN
GENERAL CONTRACTOR INFORMATION:
Name: FLORIDA PROPANE PARTNERS
Address: 461 TRESCA RD TIM CALLAHAN
Phone: -
FEES:
Gas Pipe Outlets $10.00
State Mach DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $69.00
PERMR IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
n Ph(904)247-5826 Fax (904)247-5845 [-`V—(v1Lt}&j -
Jos ADDRESS: -O Rr,cl:Ne L,,>_ PERMIT#
PROJECT VALUE$ 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
FUZE 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)
FIREPLACES MISCELLANEOUS:
Prefabricated Fireplace QtyAutomobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets k Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks(gallons) Rs-1 Y—"A-
.
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�_ r lc "-rr- r c\- Phone Number
Mechanical Company rlor r+ �,j:tln• r V� rHM�CS Office Phone ti N Fax S'oY)�1 3211
Co. Address: tl(,k � St c g5 t City .. d- t 1C. State- Zip 3 3 1
License Holder(Print): _ State Certification/Re gistmtion# 31 ?,o F
_ simall,60 lder 7 -
JENNIFEF Jt1NNSTON �
R' "• NrcO misslONtGGa2s31 Belo me a� ay of — 20 1'+
E%PIRES.ec 27.2=
, ' ' a"i°eOMiNON^'Pip11 ' Signature of Notary Public AAA�C,.