1875 HICKORY LN - PERMIT GSRS18-0071 ..'''''''7,, MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
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1 GSRS18-0071
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PERMIT ISSUED: 6/15/2018
�;si�r CITY OF ATLANTIC BEACH EXPIRES: 3/27/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
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.
JOB ADDRESS: PERMIT TYPE: I DESCRIPTION: VALUE OF WORK:
1875 HICKORY LN MECHANICAL RESIDENTIAL GAS Install Prefab Gas Fireplace $4482.78
TYPE OF ,REAL ESTATE ZONING: ! BUILDING USE SUBDIVISION:
CONSTRUCTION: ' NUMBER: i GROUP: ,
172020 1430 SELVA MARINA UNIT
12C R/P
COMPANY: I ADDRESS: CITY: STATE: I ZIP:
SETZERS & COMPANY 7660 PHILLIPS HWY JACKSONVILLE FL 32241
OWNER: ADDRESS: CITY: STATE: ZIP:
PRICE ROBERT W 1875 HICKORY LN ATLANTIC BEACH FL 32233-4548
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR 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.
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
GAS FINAL 09/28/2018 RBE 45500003221002 0 $55.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
•
PREFABRICATED FIREPLACES 455-0000-322-1000 1 $30.00
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 45500002080700 0 $2.00
TOTAL:$144.00
Issued Date: 6/15/2018 1 of 2
MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
"' ' PERMIT GSRS18-0071
ISSUED: 6/15/2018
`!,�,; ,r CITY OF ATLANTIC BEACH EXPIRES: 3/27/2019
Issued Date: 6/15/2018 2 of 2
2" I; �. Permit Inspections
City of Atlantic Beach
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Permit Number: GSRS18-0071 Description: Install Prefab Gas Fireplace
Applied:6/15/2018 Approved: 6/15/2018 Site Address: 1875 HICKORY LN
Issued:6/15/2018 Finaled: 12/10/2019 City,State Zip Code:Atlantic Beach, Fl 32233
Status: FINALED Applicant:<NONE>
Parent Permit: Owner: PRICE ROBERT W
Parent Project: Contractor:<NONE>
Details:
LIST OF INSPECTIONS
SEQ SCHEDULED DATE COMPLETED DATE TYPE INSPECTOR RESULT REMARKS
ID
8/3/2018 8/3/2018 GAS ROUGH Rick Bell PASSED
Notes:
BERRY 607-0532
DOOR CODE 126
9/28/2018 9/28/2018 GAS FINAL Rick Bell FAILED WITH
FEE
Notes:
All Trades. Mike 838-7743 AM Inspection
no 6awg bond
12/10/2019 12/10/2019 MECHANICAL GAS Rick Bell PASSED
FINAL**
Notes:
AM inspection requested
Mike
904-838-7743
Printed: Wednesday, 11 December, 2019 1 of 1