1500 W Park Terrace GSRS18-0113 MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
'A GSRS18-0113
PERMIT
ISSUED: 11/13/2018
CITY OF ATLANTIC BEACH EXPIRES: 5/12/2019
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MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PIM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT ETH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
F NOTICE:in addition to the requirements of this permit,there may be additional restrictions applicable tc this property
that may be found in the public recordsof this county,and there may be additional permits required from oth,r
NOI I In a d
tha may be
t, federal agencies.
governmental entities such as water management districts,state agencies,or
$1564.00
150 PARK TER MECHANICAL RESIDENTIAL GAS POOL HEATER
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION: i
CONSTRUCTION: NUMBER: GROUP:
1719370010 SELVA MARINA UNIT 02
PROGASCO, CORP. 7709 ALTON AVE JACKSONVILLE FL 32211
OWNER: - ADDRESS: CITY: STATE' ZIP:
MORAN RICHARD 1500 W PARK TER 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
TL $10.00
GAS PIPING OUTLETS 455 WOO 322 IWO
GAS PIPING PERMIT FEE 455-0000 322-100) $55DO
$2.00
48G
STATE DBPR SURCH48GE 45S COW-209 07M 0
E
S'TATC CA SURIC,AIR -�InA N;m 0
TATE DCA SURCHARGE 455 nom TOTAL:$69.00
issued Date: 11113/2018 1 of 2
MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
GSRS18-0113
PERMIT
ISSUED: 11/13/2018
CITY OF ATLANTIC BEACH EXPIRES: 5/12/2019
issued Date:11/13/zola 2 of 2
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,171, 32233
Ph(904) 247-5826 Fax (904)247-5845 G SPSILs-011-'s
JOB ADDRESS:—ISOO Ap—le A) , PERMIT N
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 Pumps
4 Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
OTHER: a4-
pursuit bocanses void if work does not cornmence within a six Mouth period or work is suspended or abandoned for six nionths.I hereby cerfify that I have read
this application and know the same to be"!and correct. A.11 provisions of laws and ordinances governing this work will be complied with whether specified or
not. The pennit does not give gjthoflt�Aio violate the provisions of my other gate or imai law regulation construction or the perfarnicusee of construction.
Property Comners Name /,�, 0-4,4'a'o Al 0/,2,4 Aj Phone Number
Mechanical Company 10"4APeZ 4012,0 Office Phone 72/-3`01 Fax_72/^-5�3 '7
Co. Address: I -7c � 414,1 Aut city a'A>C Statd�4_Zip-V Z 2
License Holder(Print): _,—ICf 0 14 o State C,rtification/Registration#
IV
7
Notarized Signature of License Holder
efore s 2(�
IR efore s da
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r 'is 12 to ri
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=11=0N.FFG
M1 Mj
aP1RES:0c1ossx(,20l9 I ignature of Notary Publi