1672 Atlantic Beach Dr GSRS18-0125 mech gas permit MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
PERMIT GSRS18-0125
ISSUED: 12/3/2018
CITY OF ATLANTIC BEACH EXPIRES: 6/1/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH 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.
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.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
1672 ATLANTIC BEACH DR MECHANICAL RESIDENTIAL GAS install gas fireplace, 2 water $800.00
heaters, 6 gas-piping outlets
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1695051725 ATLANTIC BEACH
COUNTRY CLUB UNIT 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
FIRST QUALITY GAS, INC. P 0 BOX 16303 JACKSONVILLE FL 32245
OWNER: ADDRESS: CITY: STATE: ZIP:
RIVERSIDE HOMES OF 414 OLD HARD RD FLEMING ISLAND FL 32003
NORTH FLORIDA INC
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.
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DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
GAS PIPING OUTLETS 455-0000-322-1000 6 $14.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
PREFABRICATED FIREPLACES 455-0000-322-1000 1 $30.00
STATE DBPR SURCHARGE 455-0000-208-0700 7-1 $3.29
Issued Date:12/3/2018 1 of 2
MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
ss�� —0125
GSRS18
PERMIT
CITY OF ATLANTIC BEACH ISSUED: 12/3/2018
EXPIRES: 6/l/2019
STATE DCA SU RCHARG E 455-0000-208-0600 0 $2.19
VENTED WALL FURNACE WATER HEATER UNIT 455-0000-322-1000 2 $10.00
WORK WITHOUT PERMIT 455-0000-322-1000 0 $110.00
TOTAL: $224.48
IssuedDate: 12/3/2018 2 of 2
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax (904)247-5845
JOB ADDRESS: A -1PC 1,ee-54 /)'(—]PERMIT# S I
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 Ratinp-
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
#Vented Wall Furnaces Refrigerator Condenser BTU's
4 Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
OTHER: 7- /4e�O CZ,
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 complied with whether specified or
not. The permit does not give authority to violate the rovision,s of any other state or local law regulation construction or the performance of construction.
Property Owners Name Phone Number
Mechanical Company 4fjrST— 0-4 Office Phone Fax
Co. Address: 0, /0;,� city :)7�- StateRzil) V_2 14,
License Holder(Print): -5 LZ�1,� rtification/Registration#
Notarized Signature of License H6100--�
JENNIFER JOHNSTON
MY COMMISSION#GG 0429&4 Before me this day of tC,U(y) 6--C 20
EXPIRES:October 27,2020
Bonded ThrU Notary PUbl:c Underwriters Signature of Notary Public
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