346 8th St GSRS18-0100 gas permit Lv
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SS CITY OF ATLANTIC BEACH
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;' 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
PERMIT INFORMATION:
PERMIT NO: GSRS18-0100
Description: Gas Water Heater& 118-gal. tank
Estimated Value: 1000
Issue Date: 9/26/2018
Expiration Date: 3/25/2019
PROPERTY ADDRESS:
Address: 346 8TH ST
RE Number: 169930 0000
PROPERTY OWNER:
Name: AHO GAY FAMILY TRUST
Address: 346 8TH ST
ATLANTIC BEACH, FL 32233
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: 3 9 G 81-' S7-. A rLAOT I(- 13r_A[,la PERMIT#6 Sks 610 d
PROJECT VALUE $ 1, 000 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 Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
# Water Heaters �_ Solar Collection Systems
Tanks (gallons) jig Gat,l, O [yyo pbuNt)�
Wells
OTHER: f U}JQQ(: &A3 10
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 M 16 9' A 40 Phone Number 35�L r%( qgU$
Mechanical Company FLOPCOA PRUPNFi PA*j 0.15 A GKlrl't 5 Office Phone Fax
Gqs
Co. Address: City CWxfl U L'' State FL Zip 3;Z
License Holder(Print): ve r t Z State Certification/Registration#
Notarized Signature of License Holder
Befot me this # day of 41 L.4v
NADF:TTE T.ALFONSO
MY COMMISSION N OG206906
s,�a7, EXPIRES'.April l2,2022 Signature of Notary Public
Cash
City ofAtlanticBeach • • • •
DESCRIPTION • QTY PAID
PermitTRAK $89.00
GSRS18-0100 Address: 346 8TH ST APN: 169930 0000 $89.00
MECHANICAL 585.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
GAS PIPING OUTLETS 455-0000-322-1000 1 $10.00
TANKS GAS OR LIQUEFIED PETROLEUM 455-0000-322-1000 118 $20.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R6656 $89.00
Date Paid: Wednesday, September 26, 2018
Paid By: FLORIDA PROPANE PARTNERS
Cashier: CB
Pay Method: CREDIT CARD 9160g
Printed:Wednesday,September 26,2018 4:17 PM 1 of 1