388 11TH ST - GAS PIPING ry.) , : � A CITY OF ATLANTIC BEACH
c) 800 SEMINOLE ROAD
sly iz
ATLANTIC BEACH, FL 32233
P,fi9%' INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL HVAC -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ACRS18-0126
Description: GAS PIPING -4 OUTLETS
Estimated Value: 795
Issue Date:
Expiration Date:
PROPERTY ADDRESS:
Address: 388 11TH ST
RE Number: 170092 0000
PROPERTY OWNER:
Name: COHEN GREGORY M
Address: 184 TUSCANY BEND ST
DAYTONA BEACH, FL 32117
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.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions
applicable to this property that may be found in the public records of this county, and there may
be additional permits required from other governmental entities such as water management
districts, state agencies, or federal agencies.
* 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 �`o�
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845
>JOB .ADDRESS:3n i ITh 5w:e. ..-- _P MIT
PROJECT VALUE $ —1qS-C2 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
14 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 PIPINGU DROPS — RANGE3VATER HEATER. 0....r\--GtX k-Uk
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 1 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 )eruit does not a ve authority to violate the provisions of any other state or local law regulation construction or the perhrilance of construction.
Propt}rt'' 'nets Name Phone Number 904-389-2700
Mechanical Company CONSTRUCTION SOLUTIONS & SUPPLY LLC_Offfce Phone 389-2700_Fax
Co. Address: 5225 EDGEWOOD CT City JAX State FL Zip 32254_
License Holder(Print): ,.;: :Y1us.,_.. ' ROMEKA. State Ce ification/Registration # 26657
Notarized Signature of t Y1M _ ='�� c:.�
1
("7 rs3 e "riss�o day of l.' 20 r/I)
Fiongallo t'arY2r.2 4344474.l -�—
C3ull d'� (1 Sign � e P, a�Public a `>j�/)pit
Work Order
instruction
lutions&
upply uc Date Work Order#
904-389-2700 3/26/2018 71822
5225 Edsewood Court
Name/Address Ship To
Epic Custom,LLC 388 11th Street
6750 Epping Forest Way North Atlantic Beach,Fl 32233
#I04
Jacksonville,Florida 32217
Rep I P.O.No. Project
DK Q1 388 11th Street(GS)
Item Description Qty
Service Fireplaces Install Gas Piping RANGE,2-WATER HEATERS AND 13
OUTDOOR KITCHEN STUB OUT 4-DROPS PROPANE
GASPART GAS PARTS 1 [
TRCGAS PIPE 1/2"GAS PIPE INSTALLED I Ii
TRCGAS PIPE 3/4 3/4 TRAC PIPE I ft
BLACK IRON 1/2" 1/2"BLACK IRON T&C PIPE I fi
BLACK IRON 3/4 3/4"Black Iron T&C Pipe I It
881-9443
3