1657 Seminole Rd gas piping permit �Vjlj
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL GAS -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMrr INFORMATION:
PERMIT NO: GSRS18-0043
Description: install gas-piping outlet to generator
Estimated Value: 2000
Issue Date: 4/27/2018
Expiration Date: 10/24/2018
PROPERTY ADDRESS:
Address: 1657 SEMINOLE RD
RE Number: 1695640030
PROPERTYOWNER:
Name: FINKLEA ROBBY JAY
Address: 1657 SEMINOLE RD
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: BILL FENWICK PLUMBING
Address: 11623 E COLUMBIA PARK DR QA WILLIAM K. FENWICK, JR
JACKSONVILLE, FIL 32258
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
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax(904) 247-5845
JOBADDRESS: PERMIT#
PROJECT VALUE $ <1-� , M2-0 ,QD 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 BTUs
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: 1�\ r\q +o 9gt&r-a+c�,r
\j
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?\Arybbk 'i�%r\keos Phone Number ZJSO-2914--�f-1 I
Mechanical Company 1�k I k Vef-NL,) kC-L Oumh,k Office Phone-)1,-1-'1 022Fax-1 Z-4- ? i(-V':1
Co. Address: �tCD2�3 0AAr\%1C�ia &VA- ;:�-w E. city -jwe StaO—'L Zip -�Z25
License Holder(Print): EC hwl C� State Certification/Registration _Q\1�I
Notarized S�.qnature (?f L icense Ito r wt
ALEXANDRIA ACOSTA
Before me this day of 2 0 1 r)
my commi&WON 0 GG09=1
EXPIRES W1 04,2021 Signature of Notary Public
10v�
Cash Register Receipt Receipt Number
w City o At ant c Beac R4916
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $69.00
GSRS18-0043 Address: 1657 SEMINOLE RD APN: 169564 0030 $69.00
MECHANICAL $65.00
MECHANICAL BASE FEE 455-0000-322-1000 1 0 $55.00
GAS PIPING OUTLETS 455-0000-322-1000 1 1 $10.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0600 1 0 $2.00
STATE DCA SURCHARGE 45500002080700 1 0 $2.00
TOTAL FEES PAID BY RECEIPT: R4916 $69.00
CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,Fl.32233
04/271212018 16:02:08
CREDIT CARD
VISA SALE
Card# XXXXXXXXXXXX5774
SEQ#: 10
Bath#: 594
INVOICE 10
Approval Code: 062652
Entry Method: Manual
Mode: Online
Tax Amount: $0.00
Card Code: M
SALE AMOUNT $691
CUSTOMER COPY
Date Paid: Friday, April 27, 2018
Paid By: BILL FENWICK PLUMBING
Cashier: BA
Pay Method: CREDIT CARD 10
Printed: Friday,April 27,2018 4:03 PM 1 of 1
TMT