1775 ATLANTIC BEACH DR - GAS PIPING •$yL`Jrn.
� Y
.� ' `" � , CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
1.5101
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL GAS -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: GSRS17-0035
Description: 6 OUTLETS
Estimated Value: 0
Issue Date: 10/12/2017
Expiration Date: 4/10/2018
PROPERTY ADDRESS:
Address: 1775 ATLANTIC BEACH DR
RE Number: 169505 1480
PROPERTY OWNER:
Name: ATLANTIC BEACH PARTNERS LLC
Address: 414 OLD HARTS RD STE 502
FLEMING ISLAND, FL 32003
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: FIRST QUALITY GAS, INC.
Address: P 0 BOX 16303
JACKSONVILLE, FL 32246
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 S R S 7 - ao�,s
JOB ADDRESS: /7 7 /.171%,/,/4" l(e %rCt A R PERMIT#
PROJECT VALUE $ 'e%Yf r 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
ALL OTHER GAS PIPIN9 Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
OTHER:
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Permit becomes ..'d 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 know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or
not. Tfte permit 1.•s not give authority t 'olate the provisions
offany other statestteor local law regulation construction or the performance of construction.
Proptiy Q, •rs Name f `/er<_o ai r)..V e_ /`7d ykt er Phone Number
Mecb� ,mpal,any /t' T �{ 041 7 � (7 Office Phone 7O �4gCo. rAs / �� ) I ��_� City J �,. )4 Statip�-)�K
Lice, sari' r(Print): State Certifi ii•o ��'•-gistration#/3 9,2�
Notarized S'":. attire • '' --.-• ,old' -z.
17'- ''
;SIR GNOIESPEP;3En I`C/ da o (7
cr p;VusSICN It FF 92951 Before me this 20
2019
—�PF$.OctoberUncen+rters
°'erySignature of Notary Public . 9 _� `A