1638 Maritime Oak GSRS18-0130 MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
goo Seminole Rd Atlantic Beach,Fl,32233
Ph(904)247-5826 Fax(904)247-5945
' SCS18-606
JOB ADDRFSS: I LP e, ,'�11 vy, PERMIT#(�
PROJECT VALUE S a-1 6 f ARI# REQUIRED
_.Air Handling Equipment Only _.Air Handling Unit& Condenser —CondenserOnly
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 Tom Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating
Duct Systems: Total CFM REQUIRED
IT"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 (R:quires 3 sets of plans)
Fire Suppression Systems Quantity (R quires 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 -r� Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters Solar Collection Systems
(, Tanks(gallons)
0 r�Vt,� Wells
OTHER:
Pe,nnit beennaes void ifok does M corennence,within a six roafth period or work is suspended or abandoned for six..Ihs.I herebyemify that I have mad
this application and know the sanne an be orse,and correct All provisions of laws and ordinances,governing this work will be compiled with whether specified or
not� The ,ornsit does not ghc authority ho violate the provisions of my other state or Ina]low regulation constroction or the perionownce of constroetion.
Property Owners Narrb:T�11 B,4�vzf-, Phone Number
Mechanical Office Phone
Co. Addrvss: -'��Ia-S city�n-ksmu;la- State�L Zip 31 Otj
License Holder(Print): P41, tateCertification/Registration# �ji)la6-7
NotariktedSigna re of License Holder
d of [)2�f-�Ma 2012)
Before me this
chAstiow cononamo Signature of Notary Pulbli���
=C �?.GG2WN,
Cash Registe
r,,,Roceipt �Recelpt Numb��' z
R7�'�s �'i�Al
DESCRIPTION
PermitTRAK $71.00
GSRS18-0130 Address: 1638 MARITIME OAK DR APN: 169505 1940 $71.00
MECHANICAL $
MECHANICAL BASE FEE 455 OULU 62 1000 0
5 OULU 6 2-
GAS PIPING OUTLETS 455-CMI(i 1 5 $12.00
STATE SURCHARGES 2$12tZO
STATE DBPR SURCHARGE 1 455-0000 208-0700 0
STATE DCA SURCHARGE 1 455 0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R7595 $71.00
Date Paid: Wednesday, December 12, 2018
Paid By: CONSTRUCTION SOLUTIONS &SUPPLY, U-C
Cashier: CB
Pay Method: CREDIT CARD 3
Printed:Wednesday, December 12,2018 10:39 AM i of I or
MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
GSRS18-0130
PERMIT ISSUED: 12/12/2018
CITY OF AT L ANTIC B EACH EXPIRES:6/10/2019
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.
INOTICE: 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:
1638 MARITIME OAK DR MECHANICAL RESIDENTIAL GAS Gas Piping to 5 outlets $1275.00
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
ATLANTIC BEACH
1695051940 COUNTRY CLUB UNIT 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
CONSTRUCTION 5225 EDGEWOOD CT JACKSONVILLE FL 32254
SOLUTIONS &SUPPLY, U-C
OWNER: ADDRESS: CITY: STATE:
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 right-of-way.
FEES
DESCRIPTION
G CAS N
AS PIPING OUTLETS 45S-CGOOI 5
'r -OUTLETS $5S.00
ME I
MECHANICAL BASE FIE 45S-COMI 0
C A -L-As E
S TAT S, _ R -07M 0 $2.00
TATE DBPR SURCHARGE 455�208
STAT ECA SUR A -C —
STATE DCA SURCHARGE 411 —1 0
issued Date: 12/12/2018 1 of 2
MECHANICAL RESIDENTIAL GAS PERMITNUMBER
PERMIT GSRS18-0130
ISSUED: 12/12/2018
CITY OF ATLANTIC BEACH EXPIRES: 6/10/2019
TOTAL $71 O�O
Issued Date: 12/12/2018 2 of 2