575 Timber Bridge GSRS18-0111 MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
GSRS18-0111
PERMIT ISSUED: 11/2/2018
CITY OF ATLANTIC BEACH EXPIRES: S/1/2019
INSPECTIONMUST CALL . t • FOR DAY INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITIONI OF • D• BUILDING
CODE, OF ATLANTIC BEACH CODEOF • .
ALL CONDITIONS
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.
JOBADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
575 TIMBER BRIDGE LN MECHANICAL RESIDENTIAL GAS 20' UG Gas Piping $600.00
— TYPE • ZONING: DING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
ATLANTIC BEACH
169505 2060 COUNTRY CLUB UNIT 02
• ADDRESS:
Hall's Gas Services, Inc. 3165 St Johns Bluff Rd S N8
OWNER: ADDRESS:
BRIGHT TIMOTHY 575 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.
LISTOF 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
GAS PIPING OUTLETS 455-0000322-1000 1 $10.00
MECHANICAL BASE FEE 455-0000-3221000 0 $55.00
STATE OBPRSURCHARGE 455-000P208-0700 0 $2'00
STATE OCA SURCHARGE 455-0000-208-0600 0 $2'm
TOTAL:$69.00
Issued Date:11/2/2018 1 of 2
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax(904)247-5845
JOBADDRESS: S > 6- PERMIT#63f2S/8'x111
PROJECT VALUE r ARI# REQUIRED
_Air Handling Equiplawnt 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 f Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
OTHER: aIO�c F U//r �' • !. G -�- '
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 he true and cored. All provisions of laws and ordinances governing this work will be complied with whether specified or
not. Ile permit does not give authority to violate the provisions of any other state or local law regulation ooastmction or the performance of wrstruotion.
Property Owners Name T �r,��{� Phone Number rAY(-45-t-a0sr
Mechanical Company 1-1411,5 Office Phtnt-Xa- orb Fax
Co. Address: 3t6.t S-4-3!4 0 d P City J State A Zip 3cag6
License Holder(Print): '•fit-`-11stl State Certification/Registration# j1>8l
No rized Signature of License Holder
this�_ of 20
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MY C0MMISSIONCGG2SWj
rmlaEs: ,6 wu ignature of Notary Pu
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