574 tIMBER bRIDGE gsrs18-0105 s1 MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
a GSRS18-0105
PERMIT ISSUED: 10/17/2018
CITY OF ATLANTIC BEACH EXPIRES:4/15/2019
PHONEMUST CALL INSPECTION t - FOR NEXT DAY INSPECTION.
CODE,ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
AND CITY OF ATLANTIC BEACH CODEOF • .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
FE: In addition to the requirements of this permit,there may be additional restrictions applicable to this property
ay be found in the public records of this county,and there may be additional permits required from other
nmental entities such as water management districts,state agencies,or federal agencies.
574 TIMBER BRIDGE LN MECHANICAL RESIDENTIAL GAS Exterior Gas Line $1696.00
TYPE OF REALESTATE ZONING: BUILDING SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
ATLANTIC BEACH
169505 2130 COUNTRY CLUB UNIT 02
ADDRESS: CITY: STATE: ZIP:—
PROGASCO, CORP. 7709 ALTON AVE JACKSONVILLE FL 32211
ADDRESS:
LANEJOHN 574 TIMBER BRIDGE LN ATLANTIC BEACH FL 32233
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR 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.
LIST OF CONDITIONS
Roll off container company must be on City approved list. Container cannot be placed on City right-of-way.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
$10
GAS PIPING OUTLETS
655.0000.333-1000 3 .00
MECHANICAL BASE FEE
455-0000-322-1000 0 $5500
STATE OBPR SURCHARGE
a55-0000-208-0700 0 $300
STATE OCA SURCHARGE
451-0-208 0600 0 $.00
TOTAL:$69.00
Issued Date: 10/17/2018 1 oft
MECHANICAL RESIDENTIAL GAS PERMITNUMBER
PERMIT GSRS18-0105
n ^' ISSUED: 10/1712018
CITY OF ATLANTIC BEACH EXPIRES:4/15/2019
Issued Date:10/17/2018 2 of 2
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax(9044))247-5845
JOBADDRESS: S?.� �.rad�i /2C 0'j £ LAI PERMrf#G-FS O/6
PROJECT VALUE$ 44^V P 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 Ratin¢
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 PIPINGHeat Exchanger
Quantity of Outlets Pumps .
#Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
OTHER: f' 2 m f✓r `iti E
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 in 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 consvoction.
Property Owners Name - �N LAN Phone Number L 2 P-7D 2.0
Mechanical Company R 0j1AVCA 5q2,e4 Office Phone 72/S` 3/ Fax
Co. Address: T70 9' Q 1lar! A ✓E City Thi StateFL zip3LP/
License Holder(Print): LCw/N L✓ Ci pry D State CertiScafion/Registration# 92 7k
Notarized Signature of License Holder p
`• uMED.SMMI Before ethis_L�dayof "file
(k WCOMA3SIO M255331
t'�p' Exi+iaEs:seµe�a5zon Signature of Notary Pu