1651 Maritime Oak GSRS18-0094 5�{t.%Ilf�fn
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
PERMITINFORMATION:
PERMIT NO: GSRS18-0094
Description: INstall 5 Gas Outlets
Estimated Value: 600
Issue Date: 6/21/2016
Expiration Date: 2/17/2019
PROPERTY ADDRESS:
Address: 1651 MARITIME OAK DR
RE Number: 169505 2000
PROPERTY OWNER:
Name: CDL AB LLC
Address: 35511TH 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 / p�0 O� b
Ph(904)247-5826 Fax(904)247-5845 � 0 p
dOB ADDRESS:45,L PERMIT# &S
✓I/
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 QtyAutomobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets 4 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 true and comet. All provisions of laws and ordinances governing this work will be complied with whether specified or
not. The permit does not give authority
rrto violate the provisions`of,any other state or local law regulation construction or the performance ofconstruction.
Property Owners Name �r U -rSl�� f ole�f Phone Number
te�
Mechanical Company 6 e-jrT fLy l°_� S e—,Office Phone7a�i x
Co.Address:A 4X City _State&Zip���
License Holder(Print): - i„r ,(l.�TR State Cerufi 'on/Registration#
Notarized Signatures License o
JeawrEaeosµsra+ Before me this�day of �1ILlS�— 20
E%PIRES:IkroEar 9,2010
er ie °M1K'bb Signature of Notary Public