364 7th GSRS18-0126 a ' MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
PERMIT GSRS18-0126
ISSUED: 12/5/2018
CITY OF ATLANTIC BEACH EXPIRES:6/3/2019
INSPECTIONMUST CALL • r , FOR NEXT DAY INSPECTION.
ALL •ikl( NIVST C4UF4ik7A T1 THE CYRRE74T fTH ETITIVJt • • • • • :
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:
364 7TH ST MECHANICAL RESIDENTIAL GAS Outdoor Kitchen & Pavers $850.00
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1699010000 ATLANTIC BEACH
ADDRESS: CITY: STATE: ZIP:
BILL FENWICK PLUMBING, 8245 BEACH BLVD JACKSONVILLE FL 32216
INC.
• ADDRESS:
NOVAK EMILY E 364 7TH ST ATLANTIC BEACH FL 32233-5434
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 ACCOUNT QUANTITY PAID AMOUNT
FURNACESAND HEATING 455-0600322-1000 2 $2400
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 4550000,208-0700 0 $2'00
STATE OCA SURCHARGE 455-OM-208-0500 0 $2'm
TOTAL:$83.00
Issued Date:12/5/2018 1 of 2
'*ALL ON
Mechanical Permit Application HIGHLIGHTEDIN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 G�S Rn SI S - (-> I10 Z
Phone: (904) 247-5826 Email: Building-Dept@coab.Us PERMITa:�
JOB ADDRESS �Li 1 I `\ �4 - PROJECT VALUE $ `< `)D
❑NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
0 Air Handling Equipment Only o Condenser Only 0 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 aCondenser Only C3 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)
Fir Suppression Systems Quantity (Requires 3 sets of plans)
FIRE PLACES ❑MISCELLANEOUS:
Prefabricated Fireplace (Qty)_ Automobile Lifts
Gas Piping Outlets �`freP� k Boilers BTUs
/ Elevators/Escalators
0AUL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets �_R0-,c . Pumps
#Vented Wall Furnaces Refrigerator Condenser BTUs
#Water Heaters - Solar Collection Systems
Tanks (gallons)
Wells
MOTHER: wc�Y�s y�Cn QL�S�'ED� C�lt.� C�'XiY Y'2?:fVG12 `� 1�-P Pi 'Y
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 provisions of any other state or
local law regulation construction or the performance of construction.
Owner Name: 1'm\` N)0\1aIL Phone NumberGl'0Li'72'-(- -In2�
Mechanical Company tl\� -�C.hll 'o -/ �Umbffce Phoneg0a�12,y---)<12Z Faxgi+-IZ`Z4-htstG
Co.Address:'11\ (\)t��'�� �Cx�IL Y City: -:ICiX State:-a Zip: zza5g
License Holder: State Certification/Registration a C,FCf�`�CX)� �
Notarized Signature of License Holder 1�'
The fore oin instru ent was acknowledged before me this_d y o K (efT bW..j22AA I S' in the State of Florida,
g S IANNA TALI AN Signature of Notary Public ._ 671e��
Commission I GG 4411111114
My commission Exyltls [VfPersonally Known OR [ ] Produced Identification
No"Mear 14. 2020 1
Type of Identification:
Updated 10/9/18