1067 BEACH GAS 2017 o CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
MECHANICAL COMMERCIAL GAS DETAILS PER BUILDING PLANS -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: MGAS17-0001
Description: install 3 outlets, water heater, & 118-gal. aboveground tank
Estimated Value: 0
Issue Date:
Expiration Date:
PROPERTY ADDRESS:
Address: 1067 BEACH AVE
RE Number. 170267 0000
PROPERTY OWNER:
Name: MANDARIN EMPORIUM INC
Address: 2240 MAYPORT RD#7
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: FLORIDA PROPANE PARTNERS
Address: 461 TRESCA RD DEWEY FLOWERS
JACKSONVILLE, FL 32225
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB
SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For HVAC work,a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845 M 61 4 ,sn -0001
JOB ADDRESS: 10 (J��Cr f �vP, ,. PERmrr#
PROJECT VALUE$ 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
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 QtyAutomobile 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 1 Solar Collection Systems
T
Tanks(gallons)
Wells
OTHER:
Permit becomes void ifwork does not commence within a six month period or work is suspended or abandoned for six months.1 hereby certify that I have read
this application and know the same to be me 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 army other state oral11law agulation construction or the performance of construction.
Property Owners Name Q$tf� Argo nrA GIIAUdil f rC,"Phone Number 20U D'AI IIlI
Mechanical Company Qir�( e.__e�kk[s i2h h2s, 4,�,Office Phone?-y744W, Ox9O 7a1�1�1
Co.Address: .W�[ I fZ.S Lt's GI - City ckSo State 6—Zip.3 ZZ
License Holder(Print): c s �Sta[�Certification/Registration# I I a O A _
Nor—'—or older
"r%+yt JENNIFERJOHNSt0h
3`R'• = MV COMMISSION a GG W208a Before me this yof l-1(\-Q_ 20
t EXPIRES:CCNWr2r,3020 AA p
`x;,o ;FP maa.arnvxa.�y nslMa emnm Signature of Notary Public A .tn J'iA-
�L