1660 Atlantic Beach GSRS18-0124 MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Bewh,FL 32233
Ph(904)247-5926 Fait(904)247-5845 pfs/ 8-- oz�,p,
JOB ADDRESS: I to (a b 7M-1.n�,,, &" b r, PERMIT# Gspsld-
PROJECTVALUES ARI# _REQUIRED
__Air Handling Equipment Only _.Air Handling Unit & Condenser _CondenserOnly
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tom 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)
Cominercial 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
De"tors/Escalators
ALL OTHER GAS PIPING Heat Exclistriger
Quantity of Outlets .5 Pumps
#Vented Wall Furnaces — Refrigerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
OTHER: (6s,�N p! A5 - r. bm�5 - C 01A�Qp , t0QAQ,- &661`� 0��C�1�41wle, �,o,oct
Parruitboxecom,cid if wokcious;not commence within a six,orenth period or work is suspended or abandoned for six months.I herobytertify that I have mad
this application and know the sameto be true and correct. All provisionsoflaws and ordinances governing this work will be complied with whether specified or
not. The permit does not give authority to violate the provisions ofarry other state or local law regulation oustroction or the performance of,costruction
Property Owners Name T� I rAc,"a —Phone Number
Mechanical Company ,:-W b6s 01 Lkln Wi t ffice Phone :eq-:�766 akj��6-r7
Co.Address: C—la r EA�P�,,J 0p"r-� -------- City jcxrk!,or)u!16 State—FL Zip �W,5q
License Holder(Print,*. Slin Cfftification/Registration#26[y,�-i
Notarized Signature a�License er AA,s
efore
same a Ronda me this day-Qf.QTgVTeX- 20 tt
Je �' cras"ner.
�Wj =. :17. ignatme fNotary Public(
MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
GSRS18-0124
PERMIT ISSUED: 12/3/2018
CITY OF ATLANTIC BEACH EXPIRES:6/1/2019
MUST CALL INSPECTION PHONE LINE (904) 247-SS14 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPIVIC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
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,orfederal agencies.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
1660 ATLANTIC BEACH DR MECHANICAL RESIDENTIAL GAS Gas Piping $1275.00
j TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
ATLANTIC BEACH
1695052045 COUNTRY CLUB UNIT 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
CONSTRUCTION 5225 EDGEWOOD CT JACKSONVILLE FL 32254
SOLUTIONS&SUPPLY, 1-1-C
OWNER: ADDRESS: CITY: STATE: ZIP:
ATLANTIC BEACH 414 OLD HARTS RD STE 502 FLEMING ISLAND FL 32003
PARTNERS U-C
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 rlght-of�way.
DESCRIPTION ACCOUNT I QUANTITY PAIDAMOUNT
GAS PIPING OUTLETS $12m
MECK
STATE 1 $2.00
ASURCHARGE 4S5 0000-208 0600 1 0 $2,00
Issued Date:12/3/2018 1of2
MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
GSRS18-0124
PERMIT ISSUED: 12/3/2018
CITY OF AT L ANTIC B EACH EXPIRES:6/l/2019
TOTAL:$71.00
Imued Date:12/3/2018 2 of 2
Cash Register Receipt Receipt Numbe
is City of Atlantic Beach R7506
DESCRIPTION ACCOUNT CITY PAID
PermitTRAK M��
GSRS18-0123 Address: 1703 ATLANTIC BEACH DR APN: 169505 1385 $69.00
MECHANICAL $65.00
MECHANICAL BASE FEE 455 0000L322-1000 0 $55.00
GAS PIPING OUTLETS 455 0000 322 1000 1 4 $10.M
STATESURCHARGES $4.00
STATE DEER SU RCHARGE 455 0000 208 $2.00
STATE DCA SURCHARGE 455 0000 208 0600 1 0 $2.00
GSRS18-0124 Address: 1660 ATLANTIC BEACH DR APN: 169505 2045 $71.00
MECHI $67.00
MECHANICAL BASE FEE 455-0000-322-1000 1 - $55.00
GAS PIPING OUTLETS 455-0000-322-1000 1 5 $12.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 4""No'08 0700 1 0 $2,00
STATE DCA SURCHARGE 455-0000-108
TOTAL FEES PAID BY RECEIPT: R7506 $140.00
Date Paid: Monday, December 03,2018
Paid By: CONSTRUCTION SOLUTIONS&SUPPLY, LLC
Cashier: BA
Pay Method: CREDIT CARD 2
Pilimted:Monday,December 03,2018 10:09 AM 1 of 1