335 10TH ST - GAS PIPING -f�:Lyi'w�f.
6, , s� CITY OF ATLANTIC BEACH
Aii
r.r x- 4 800 SEMINOLE ROAD
,� r ATLANTIC BEACH, FL 32233
"%.0;s 9INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL GAS -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: GSRS17-0019
Description: GAS PIPING - RANGE, WATER HEATER &2 FIREPLACES
Estimated Value: 0
Issue Date: 7/19/2017
Expiration Date: 1/15/2018
PROPERTY ADDRESS:
Address: 335 10TH ST
RE Number: 170075 0000
PROPERTY OWNER:
Name: AF AB VENTURE LLC
Address: 800-C THIRD ST
NEPTUNE BEACH, FL 32266
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.
* 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 SRS . -7 O U I
JOB ADDRESS: Thi 10--F-V-1 54'f e _PERMIT #
PROJECT VALUES'( ' 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 BTUs 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 PIPING Heat Exchanger
Quantity of Outlets 4 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
Permit becomes void if work does not commence w ithin 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 he complied with whether specified or
not. The permit does not give authority to violate the provisions of any other state or local law regulation constniction or the perlonnance 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): s _' ROMEK: State Ce ification/Registration # 26657
Notarized Signature of , fy '.ofl( e Ap•, - —_� • /'
(407x; o,s3 �• ISS .k44 . day of eiorc,gal__ 20
Frorrq. aty 21,2 . "'�— ^ U , 44
Signa ra 74Q,al Public �' t�C,�L .01 P€'__