310 8TH ST #B - GAS PIPING ,� ' ° ,s1 CITY OF ATLANTIC BEACH
s1
800 SEMINOLE ROAD
75141, z
ATLANTIC BEACH, FL 32233
ft.10;3 s) INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL GAS -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: GSRS17-0022
Description: GAS PIPING -2 OUTLETS
Estimated Value: 0
Issue Date: 8/8/2017
Expiration Date: 2/4/2018
PROPERTY ADDRESS:
Address: 310 8TH ST B
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.
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MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845 G5 2S17- 00Z L
JOB ADDRESS: 3/O - - A q Q.) '7i S 77 PERMIT#
PROJECT VALUE $ 900- 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)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalators
LL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets 2 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.
-operty Owners Name /4,54,,,,f,, /" i- Phone Number
:echanical Company P20,y4,`'te CO", Office Phone?a/-sy3I Fax 72/-4`79 7
). Address: 770 q Al l',v Ayr.
/ City J;iy, StatoZ Zip 3e117
cense Holder(Print): vA- ,C t/C/f'i/D State Certification/Registration#
?tarized Signature of License Holder ,i4 _.
Tool MISSION#EF:9Es efct�e me tY�' day of r\-ogro,:44Arn •.: MY COMMISSION Y Fr 924ST
i c` :a EXd ThruN October a x019 "
' °"` SondsGThrutw:z:yPublic Unden �7] ture of Notary Public