570 COASTAL OAK LN - GAS PIPING Jai
(3' `, 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-3871
Job Type: MECHANICAL GAS PIPING
Description: install 4 gas piping outlets
Estimated Value: $600.00
Issue Date: 5/2/2017
Expiration Date: 10/29/2017
PROPERTY ADDRESS:
Address: 570 COASTAL OAK LN
RE Number: None
PROPERTY OWNER:
Name: TOLL FL VI LIMITED PARTNERSHIP
Address:
GENERAL CONTRACTOR INFORMATION:
Name: FIRST QUALITY GAS, INC.
Luis Vila Jr., 09700
Address: P 0 BOX 16303
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
Total Payments: $69.00
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 I I _ MC.H67 _ 3 (
JOB ADDRESS: ----7Q Coe c \ )( LK1 PERMIT#
PROJECT VALUE $ i - 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)
'.11IRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalators
k.LL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets " Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks (gallons) ,
Wells
)THER: •
;mit 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
is 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
)t. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
roperty Owners Name 'TO L L i ro 4-Le-{5 Phone Number ??
techanical Company F1`�S T 0uc-(`t ( A S ..1> Office Phone f0V 91x
o. Address: F 0 EO X 16 3 O 3 City TA X State - Zip 2.22/S
icense Holder(Print): ._ . S A. Stat= ification/Registration# 702 7-
otarized Signature of License Hold' �
3ER �r-Tr,__.7....7 :Glki'FSPERGER
= 'w... t_ ':..x: :-q ,- r 92490 e re me this `Z da _ �J.'i ..rt,�tlSSiON 8 FF 924951
. ,:; _ 6,2019 I !, ki7:7:47.:r EXPfRES:October 6,2019
' F;;;1° _vim__.4 .ture of Notary Public , • ��j ( 5ci4:d TM
�+Y Ub4c UntfarwSen,!
1 AnO