1777 MARITIME OAK DR - GAS PIPING `' ' CITY OF ATLANTIC BEACH
is,
r ,E ' 800 SEMINOLE ROAD
,� yr ATLANTIC BEACH, FL 32233
'740;1 � ' INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL GAS -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: GSRS17-0057
Description: GAS PIPING -6 OUTLETS,
Estimated Value: 0
Issue Date: 12/27/2017
Expiration Date: 6/25/2018
PROPERTY ADDRESS:
Address: 1777 MARITIME OAK DR
RE Number: 169505 1820
PROPERTY OWNER:
Name: MURRAY DEREK BRAXTON
Address: 2019 EASTERN DR
JACKSONVILLE BEACH, FL 32250-3762
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: EXPERT GAS APPLIANCE SERV CO
Address: P 0 BOX 338 ROBERT CARROLL
CALLAHAN, FL 32011
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 -1. R S I _ O c
JOB ADDRESS: / 7 7 7 ) )7)340c, jSoc PERMIT# PES / 7 OC?55
PROJECT VALUE $ 7 7f I$' 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 PIPING _ Heat Exchanger
Quantity of Outlets _ Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
# 615.6 aP•+ ' t Solar Collection Systems
m .i eSS ‘,1) 71•4 H*)771 Tanks(gallons)
cis boryye K ; Wells
Sv/rst2 i<;/-he..,/
OTHER: 't' j , s .,- J',gc-. vJT 5/I:k Gf./.115e 73 ✓-Vet) G.195 "91-/o/ ZNI(yo
150 oar s;pc- Ti�/o ! '. �hh'oi�TS c S /l)
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 to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or
not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name M O rrQ, ` )t\ Phone Number
FaMechanical Company Fp z7 �!S 13��Z,` 'ee S�✓6rC'Uffce Phone9 �a9- ax(9
57-79- 7027/
Co. Address: 5- /Sli Sl r ✓i ' h2 Ir City Cr9i/ A4' State Zip '3 eW
L
License Holder(Print): o P o / State Certification/Re istration# ���v �9 3
Notarized Signature of License Holder I .
Before me this
2'7 da 'w� •, 20
mg
Signature of Notary Public • �•