1655 ATLANTIC BEACH DR - GAS PIPING ?' ' CITY OF ATLANTIC BEACH
• 800 SEMINOLE ROAD
J . v
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL GAS -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: GSRS17-0010
Description: install 4 gas-piping outlets
Estimated Value: 600
Issue Date: 6/19/2017
Expiration Date: 12/16/2017
PROPERTY ADDRESS:
Address: 1655 ATLANTIC BEACH DR
RE Number: 169505 1345
PROPERTY OWNER:
Name: TOLL FL VI LIMITED PARTNERSHIP
Address: 250 GIBRALTAR RD
HORSHAM, PA 19044
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: FIRST QUALITY GAS, INC.
Address: P 0 BOX 16303
JACKSONVILLE, FL 32246
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 C1 S R Si 1- _D o . a
JOB ADDRESS: /6 c� /. -fir L/� /1;,J 412 PERMIT#
PROJECT VALUE $ 604 �� 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 PIPIN 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 7,44 8 r )--t 4. c Phone Number/Z�6ia c
Mechanical Company /CIO-% (,iG t(1y 7 a S Office Phone jz'l'
Co. Address: /PO 4 o / 4 .? 03 City .75--(4--)‹ . State -"/,ip - )2(7.5.—
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License Holder(Print): �; , State • ication/Registration# 42. 92 2._
Notarized Signature of License H01;4;101 ,,-
<;;VV JENNIFER JOHNSTON Before me this 1 CI day of 3� _ 20 1
�•,. ;.= MY COMMISSION x cc 042964
'*' ,�. EXPIRES.October 27,2020
,S Signature of Notary Public tr
0.0° Boded Tlvu Notary Public Urtdenvriters ` -�