310 8TH #A - GAS PIPING , ,,,,..„,„
,, ,,,_ ` � CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
iv 1ATLANTIC BEACH, FL 32233
i
!r);t �%' INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL GAS -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: GSRS17-0021
Description: GAS PIPING -2 OUTLETS &250 GALS
Estimated Value: 0
Issue Date: 8/8/2017
Expiration Date: 2/4/2018
PROPERTY ADDRESS:
Address: 310 8TH ST A
RE Number: 169918 0100
PROPERTY OWNER:
Name: GROSHELL BENJAMIN S
Address: 107 S ROSCOE BLVD
PONTE VEDRA BEACH, FL 32082
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: PROGASCO, CORP.
Address: 7709 ALTON AVE
JACKSONVILLE, FL 32211
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 c R S ( 7-00Z
JOB ADDRESS: 3/0 - /9 (j 00.71 8 7' s 7— PERMIT#
PROJECT VALUE $ fOO. 00 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)
TIRE 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 a. Pumps
# Vented Wall Furnaces Refrigerator Condenser BTU's
# Water Heaters Solar Collection Systems
Tanks (gallons) j' .SV n(,s
Wells
)THER:
:rmit 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 of er state or local law regulation construction or the performance of construction.
-operty Owners Name U RQAN PAR 1N t ej 6• C f, e,6( Phone Number
:echanical Company PROd g c. U Ca rt Office Phone 71/sy. i Fax 72/-5 73 7
). Address: 7 7 0 9 4 174 Al Ay E City Srix State fZ Zip 3 22 it
cense Holder(Print): , l elf/J/1/ L 1J C //,t/U State Certification/Registration# 9 2 7 V
7tarized Signature of License Holder ,
:4",44 TONI GiNDLESPERGE"n
.' MY COMMISSION#FF 924851 Before me this day of 21, 1 -7
7e= .'a€ EXPIRES:October 6,2019 -�
'r ;,.'tP Bonded Thru Notary Public Underwriters Signature of Notary Public • fr J
INF