1865 LIVE OAK LN - GAS PIPING J4 , S1
CITY OF ATLANTIC BEACH
;? 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
JR 9r INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL GAS -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: GSRS18-0008
Description: install 1 gas piping outlet
Estimated Value: 1000
Issue Date: 1/18/2018
Expiration Date: 7/17/2018
PROPERTY ADDRESS:
Address: 1865 LIVE OAK LN
RE Number: 172020 1410
PROPERTY OWNER:
Name: VARKONDA KERRY G
Address: 1865 LIVE OAK LN
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: JOHNSON'S TRACTOR & PIPING INC
Address: 86077 MACAW RD JEREMY JOHNSON
YULEE, FL 32097
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 S (2-s' Y -0 ci -)0p
JOB ADDRESS: /I(S (_/v e OAA Zn. PERMIT# Rt SI9 I7- ea;
PROJECT VALUE $ /62 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
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: Crt/`
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 Phone Number
Mechanical Company Juhnsuns Ifac---tvx ' (p nq Office Phone Yop gi3-o'2/Fax
Co. Address: tbD7.7 (V\Gca, fcl City lutler_ State FL4 Zip 3Z017
License Holder(Print): Jere,/ 3011.13 ,N State Certification/Registration# a 33"1 5-
Notarized Signature o ' • i • - +lder
ti^Y p��V JENNIFER JOHNSTON + day of ZQ(1 til G(L 20 I tj
:20.' - MY COMMISSION#GG 042984 Before e this ,
`-h. in , EXPIRES:October 27,2020 `
'fJ�o? Bonded Thru Notary Public Underwriters ,�ignature of Notary Public ` k ��.. / �►