2400 SEMINOLE RD - GAS PIPING ,„!,„,.„,.,
g ' _ CITY OF ATLANTIC BEACH
' 800 SEMINOLE ROAD
uv ze.
ATLANTIC BEACH, FL 32233
''!ort >� INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL GAS -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: GSRS18-0098
Description: GAS PIPING-5 FIREPLACES, 3 WATER HEATERS, 1000 GAL TANK
Estimated Value: 2500
Issue Date: 9/6/2018
Expiration Date: 3/5/2019
PROPERTY ADDRESS:
Address: 2400 SEMINOLE RD
RE Number: 168354 0000
PROPERTY OWNER:
Name: GATSBY LAND TRUST
Address: 839 PONTE VEDRA BLVD
PONTE VEDRA, FL 32082
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: FLORIDA PROPANE PARTNERS
Address: 461 TRESCA RD DEWEY FLOWERS
JACKSONVILLE, FL 32225
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
JOB ADDRESS: atAuo ceN i•nv1e, 4 . PERMIT# GER3is, -O098
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
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets 49\. Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
# Water Heaters 3 Solar Collection Systems
Tanks (gallons) /c:c o
Wells
OTHER:
sommommilimmommommoommommommommomi
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 correct. All provisions of laws and ordinances governing this work will be complied with whether specified or
not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name Y c S i e INA c./1 _ Phone Number
Mechanical Company-CT-0: a Q�,���c QC k-nec %PC lja- Office Phone 7:,H-L1134c3Fax cit
Co. Address: Cr� in SC4 . City ,,,l•,Suo_ . State -Zip?2Z?
License Holder(Print): 'c11 • •te Gertificaton/Registration# 31Z UE,
_
Notarized Signature of License Holder z -�
- or: me this 6, day of 20
%` TONI*: MY .te CertLESPERGER ifi#FF 92 951 ignature of Notary Public SL ; t
•- EXPIRES:October 6,2019
`pc 1.. Bonded Thru Notary Public Underwriters
>�ai