405 skate GSRS18-0121 MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
GSRS18-0121
PERMIT
� . . ISSUED:11/28/2018
y CITY OF ATLANTIC BEACH EXPIRES:5/27/2019
INSPECTIONMUST CALL • , • FOR DAY INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITIONI OF • D• BUILDING
CODE, . CITY OF • •
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
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: VALUEOFWORK:
405 SKATE RD MECHANICAL RESIDENTIAL GAS Gas Piping $2000.00
ZONING:TYPE OF REALESTATE
SUBDIVISION:
CONSTRUCTION: NUMBER: G I ROUP:
ROYAL PALMS UNIT
1715300000 02A3.00
ADDRESS:
FLORIDA PROPANE-Griffis 461 TRESCA RD JACKSONVILLE FL 32225
Gas
• ADDRESS:
MIKE&AMY FRANQUI 405 SKATE RD ATLANTIC BEACH FL 32233-3821
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.
CONDITIONSLIST OF
Roll off container company must be on City approved list. Container cannot be placed on City right-of-way.
DE6CRIPTION ACCOUNT QUANTITY PAID AMOUNT
GAS PIPING OU TLETS 455-0000-321.7 4 $1000
MECHANICAL BASE FEE 455-0000-3223000 0 $5500
STATE OBER SURCHARGE 455-0000-208-0]00 0 $2'W
STATE DCA SURCHARGE 455-0000-208-0600 0 $2'00
TOTAL:$69.00
Issued Date: 11/28/2018
WFU
Cash Register • • 1City of Atlantic Beach R7476
DESCRIPTION
• •
PermitTRAK $69.00
GSRS18-0121 Address: 405 SKATE RD APN: 171530 0000 $69.00
MECHANICAL $65.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
GAS PIPING OUTLETS 455-0000-322-1000 4 $10.00
STATESURCRARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL1 $69.00
Date Paid: Wednesday, November 28, 2018
Paid By: FLORIDA PROPANE-Griffis Gas
Cashier: CB
Pay Method: CREDIT CARD 28578
Printed:Wednesday,November 28,2018 2:16 PM 1 of 1
ALL
INFORMATIONMechanical Permit Application HIGHLIGHTEDIN
I
City of Atlantic Beach Building Department GRAY IS REQUIRED.
n 800 Seminole Rd, Atlantic Beach, FL 32233 P—ey1I &— 001,1 )
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMITN:`SgsIS(— Ut2t
JOBADDRESS I/OS .SKATE gQr ATLAWX GeAcH PROJECTVALUE$ 9-, 000
❑NEW AIR CONDITIONING &HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
13 Air Handling Equipment Only 0 Condenser Only i3 Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTUs per Unit Seer Rating(REQUIRED)
Duct Systems: Total CFM
❑REPLACEMENT AIR CONDITIONING&HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
i]Air Handling Equipment Only 13 Condenser Only i Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating (REQUIRED)
Duct Systems: Total CFM
❑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)
F-IFIRE PLACES ❑MISCELLANEOUS:
Prefabricated Fireplace (Qty)_ Automobile Lifts
G s Piping Outlets 5 _ Boilers BTUs
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTUs
If Water Heaters _JSolar Collection Systems
Tanks(gallons)
Wells
❑OTHER: &JA V TA//K C>I/TLE%c Pik /ZfXXA , VANE NE147EK AND C$13GL
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 mm plied 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.
Owner Name: MIKE FIZAAJ0VI Phone Number: 9047211 4eN3
Mechanical Company:llUFFIc !AI DhA FCdIDA QRuPAdt'?M Office Phone: %Iq 7$11 47111 Fax
Co.Address: 4C1 rX0CA RD City:## TACI(jDaV11 f; State:_EL zip: 122a4
License Holder: RYA oluic- ieation/Registration# 31.-06
Notarized Signature of License Holder
The forego' instrum t was acknowled d before me his Na—, of /�� 0 Intl f Florida,
County of
Signature of Notary Public
=* 1,1MAD11 [personally Known Oft l ] Produced Identlficatlon
cov
TypeofldentiKnown:
Updatetl 10/9/18