1769 Atlantic Beach DR GSRS18-0078 r ?,, CITY OF ATLANTIC BEACH
_ 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL GAS -
MUST CALL BY 4PM FOR NEItT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: GSRS18-0078
Description: Install Prefab Gas Fireplace
Estimated Value: 1668
Issue Date: 7/2/2018
Expiration Date: 12/29/2018
PROPERTY ADDRESS:
Address: 1769 ATLANTIC BEACH DR
RE Number. 169505 1475
PROPERTY OW NER:
Name: ADCOCK BRIAN J
Address: 14560 ISLAND DR
JACKSONVILLE, FL 32250
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: SETZERS &COMPANY
Address: 7660 PHILLIPS HWY BERRY ROBERTS
JACKSONVILLE, FL 32241
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 a encies.
* 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$7,500.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904) 247-5845
JoB ADDRESS: M l.9 11 n h nC. �Dg PERMrr h1coZ 1607
PROJECTVALUE$ /Wld 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-)L_ 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:
Permit becomes void if work does not commence within a six month period or work is suspended m abandoned for six months.I hereby certify that I have reed
this application and know the same to be true and correct All provisions of laws and ordinances goveming this work will be complied with whetherspecified or
not. The permit does not give authority to violate the provisions ofany other state or local law regulation construction m the performance of consWction.
Property Owners Name /-�J oro k Phone Number 71P'-3afZ
Mechanical Company ia� &rn OfficePhone7i/-Yiw Fax73o-P43s—
Co. Address: 71,91o0 Phh)21 City7i4L- State Et Zip 3 ZZ.,�
License Holder(Print): tate Certification/Registration#
MiDt i r turaofLicense Holder _
MEIIND:FF198796 Before me this 9�h day of SU 201_
�v6y NMMy Paas, rMA �,p
; f .FCommission Signature of Notary Public Plrn� g Jn Q11 h0
y Comm.Er019Aan