1657 Maritime Oak GSRS18-0092 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL GAS -
MUST CALL BY 4P1M FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: GSRS18-0092
Description: Install 5 GAs Outlets
Estimated Value: 600
Issue Date: 8/21/2018
Expiration Date: 2/17/2019
PROPERTY ADDRESS:
Address: 1657 MARITIME OAK DR
RE Number: 169505 2005
PROPERTY OWNER:
Name: CDL AB LLC
Address: 355 11TH ST
ATLANTIC BEACH, FL 32233-5531
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: FIRST QUALITY GAS, INC.
Address: P O BOX 16303
JACKSONVILLE, FL 32246
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$7,500.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax(904)247-5845 je
JOB ADDRESS: AS_7 04 fl� e)aKs PExnuTgGSQS/B-OD`/
PROJECT VALUE$ aOG- 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 UnitSeer 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 SystemQt1antiTy (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
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets .5S_ 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 or abandoned for six months.I hereby certify that I have read
this application and know the same to be one and correct All provisions of laws and ordinances governing this work will be complied with whether specified or
not The permit does not give autho�rity-m violate the prov,rns of my other state or Total law regulation construction or the performance of construction.
Property Owners Name x/r / _/ f Phone Number
Mechanical Company��!/S'T�i/r_ (� �y � z�.r Offiicee Phone
Co.Address:. Pa �V ��11 City_— AX State Zip
License Holderrint r
� ): r�( State Ce ' ation/Registration# /Z C1 Z 2
Notarized Signature of License Hn/
JENNIFER JOHN9TON Before me this day O L1,5'� 20
MYCOMMISSION#OG W2996
pi ExalRss.
October 27.2020 Signature of Notary Public
::! Bwkea Tlw Notary PW4c uMemnlen 't