1445 Seminole Rd gas permit AIVAL CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
rr
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL GAS -
MUST CALL BY 4PM FOR NEICT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: GSRS17-0027
Description: GAS PIPING-FIREPLACE
Estimated Value: 0
Issue Date: 8/25/2017
Expiration Date: 2/21/2018
PROPERTY ADDRESS:
Address: 1445 SEMINOLE RD
RE Number: 171901 0000
PROPERTY OWNER:
Name: WEST JAMES V LIFE ESTATE
Address: 1445 SEMINOLE RD
ATLANTIC BEACH, FL 32233-5501
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: SETZERS & COMPANY
Address: 7660 PHILLIPS HWY BERRY ROBERTS
JACKSONVILLE, FL 32241
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$7,500.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
/ (P�h(904)247-5826 Fax(904) 247-5845
JOB ADnRESS:_—V/4/:6 \ Poi e n! o 2) / PERMIT#
PROJECT VALUE$ Jl N? 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—2L— Automobile Lifts
Gas Piping Outlets Boilers BTU's
Elevatscalators
ALL OTHER GAS PIPING 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 m be true and wrrect. All provisions of laws and ordinances governing this work will be complied with whether specified or
not. The permit does not give authorry to violate the ptmy.s/io-ns ofany other slate or local law regulation construction or the perfomtence of construction.
Property Owners Name(( eh e-1 S "YA C U Phone Number
Mechanical Company Office Phone / tea Fax 736 -?13s
Co.Address: hr i Cityro �— Stater- Zip 1ZJT�
License Holder(Print): t, State Certification/Registration#
ie use Hofder I '
MELINDAt.GALLUP Before me this SN" day of 20
Notary Punk 91ata d Fbrly
B;a Camlrlllarlan err FF 19!798
rw `ddF My Comm.EXQIRs Apr 16.2019
Signature of Notary Public
9omlerl tnrppa National Wary Ara