381 5TH ST - GAS PIPING ,,11,A,J,
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f CITY OF ATLANTIC BEACH
' � l800 SEMINOLE ROAD
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ATLANTIC BEACH, FL 32233
L!-'1 INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL GAS -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: GSRS17-0009
Description: GAS PIPING - RANGE, WATER HEATER & 2 FIREPLACES
Estimated Value: 0
Issue Date: 6/15/2017
Expiration Date: 12/12/2017
PROPERTY ADDRESS:
Address: 381 5TH ST
RE Number: 169878 0000
PROPERTY OWNER:
Name: MORRISSEY MELISSA
Address: 381 5TH ST
ATLANTIC BEACH, FL 32233-5345
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: CONSTRUCTION SOLUTIONS &
Address: 5225 EDGEWOOD CT SUPPLY 1041 FOX MEADOW TRIJIM
ROMEKA
JACKSONVILLE, FL 32254
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.
I * 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
i exceeds and estimated value of$7,500.
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MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233 S 7 000`1'00 /
Ph (904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: _ 5- # ��--.5 — 9
PROJECT VALUE $ c�� `3�S ARI# REQUIRE!
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 y (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 eR Pumps
# Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
OTHER: INSTALL GAS PIPING 4 DROPS — RANGE, WATER HEATER, 2 FIREPLACE
I',.rmit becomes void if work does not commence within a six month period or work is suspended or abandoned for six mouths. I hereby certitj that I have read
this application and knou the same to he true and correct. All provisions of Taus and ordinances governing this work will be complied with whether specified or
not. The permit docs not give authority to violate the provisions orally other state or local!au regulation construction or the perlorinance of construction.
Property Owners Name Phone Number 904-389-2700_
Mechanical Company CONSTRUCTION SOLUTIONS & SUPPLY LLC_Office Phone 389-2700_Fax
Co. Address: 5225 EDGEWOOD CT City JAX State FL Zip 32254.
License Holder(Print): ROMEK: State Ce itication/Registration #26657
Notarized Signature of .f,w' ..1141 ' • _ c - `
r l
n pro G,A� ! :� day of C_i. �..L(L x.20 !
Simon' 14414 aI public -- qa. u (.... ....(.0E I),4(.._