1132 LINKSIDE DR - GAS PIPING -j y\1
Jj'� CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
j ;� 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-3688
Job Type: MECHANICAL GAS PIPING
Description: GAS PIPING - ONE FIREPLACE
Estimated Value: $2,046.00
Issue Date: 4/5/2017
Expiration Date: 10/2/2017
PROPERTY ADDRESS:
Address: 1132 LINKSIDE DR
RE Number: 172374-5020
PROPERTY OWNER:
Name: ARMOUR, SUSAN
Address: 720 AQUATIC DR
GENERAL CONTRACTOR INFORMATION:
Name: SETZERS & COMPANY
, 030560
Address: 7660 PHILLIPS HWY BERRY ROBERTS
Phone: - -
FEES:
Gas Piping Vented Units $5.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Gas Pipe Outlets $10.00
Total Payments: $74.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233 ,
Ph(904) 247-5826 Fax (904) 247-5845 7 -/h C(.-.( -3 G:x.>
/
JOB ADDRESS: // 3 p2 ,, kY/f.) /2---. PERMIT#
PROJECT VALUE$ JO Y(p, 6R 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
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 visions of any other state or local law regulation construction or the performance of construction.
Property Owners Name rZaZ * 41.2),a/r) A2MULc/L Phone Number 4-/q5- 7/1/3
Mechanical Company SP-fZZ.-'S Office Phone 73/-7io Fax 73i2-? 3.3
Co. Address:-7 Lc* ? Philips �,c>y City ✓r�J)6 StatelG Zip 3.217,57.:
License Holder (Print): P4"rL/ �r7 n State Certification/Registration # ,3•06'iej
Notarized Signature o Lice lder
`,' '- ., TON/GINDLESPERGER da O'• \2o17
'' ,: MY CCVMISSICN "rr"920959 efore me this
As EXPIRES:October bode 19 '
•.,,' Fa' 6cndedThruNow/Puba..0 ignature of Notary Public i 4
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