303 Atlantic GSRS18-0080 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL GAS -
MUST CALL BY 4PMI FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: GSRS18-0080
Description: Gas Piping for New Restaurant
Estimated value: 4000
Issue Date: 7112/2018
Expiration Date: 1/8/2019
PROPERTY ADDRESS:
Address: 303 ATLANTIC BLVD
RE Number: 1697290000
PROPERTYOWNER:
Name: JUNKSHIRLEY
Address: 915 `13TH ST N
JACKSOWILLE BEACH, FL 32250-3653
GENERAL CONTRACTOR INFOR14ATION:
Name:
Address:
Phone:
Ham: DOUG'S DRAINS AND MORE, INC S
Add�. 2453 BAYWAY CT CA DOUGLAS MATTHEW PARSON
ATLANTIC BEACH, FL 32233
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval.
WARNING TO OWNER: YOUR FAILUREA 0 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,arid 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 &SIM 181-06 8_0
JOB ADDRESS:_3:(�) -3 PERmrir#/�-aw-.7zip
PROJECT VALUE $ 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
Elevato scalators
ALL OTHER GAS PIPIN% Heat Exchanger
Quantity of Outlets 7 Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters 51 Solar Collection Systems
Tanks(gallons)
Wells
OTHER:
Pencitbeconnes void if work does not counrawnce within a six month Period or work is suspended or abandoned for six months.I herebycernify that I have mad
this application and know the same to be one and cancer. All provisions of laws and ordinances governing this work will be complied with whether specified or
not. The permit does not give anthority to violate the provisions of my other state or local law regulation construction or the perfortmance of construction.
Property Owners Name fwz��Ie4 Phone Number
Mechanical Company :!5�2z?-c Vrllyx —Office Phorw�*!,771_;Vf7wx_
Co. Address: 11V ze 0*2 City /e 4/ _7W
4,1 , State Zip—)
License Holder(Print): State Certification/Registration# edeA,7srn)
Notarized Signature of License Holder
efore me this
TONI� LES IT
MYCOMI
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ignature of Notary Publio-n=?=
EXPIRE
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