1644 Maritime Oak Dr GSRS18-0133 gas permit MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
PERMIT GSRS18-0133
ISSUED: 12/20/2018
flit CITY OF ATLANTIC BEACH EXPIRES: 6/18/2019
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, 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,or federal agencies.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
1644 MARITIME OAK DR MECHANICAL RESIDENTIAL GAS install 5 gas-piping outlets $1275.00
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1695051935 ATLANTIC BEACH
COUNTRY CLUB UNIT 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
CONSTRUCTION 5225 EDGEWOOD CT JACKSONVILLE FL 32254
SOLUTIONS & SUPPLY, LLC
OWNER: ADDRESS: CITY: STATE: ZIP:
TOLL FL VI LIMITED 250 GIBRALTAR RD HORSHAM PA 19044
PARTNERSHIP
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
AT-FORNEY 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.
0
DESCRIPTION ACCOUNT QUANTITY PAIDAMOUNT
GAS PIPING OUTLETS 455-0000-322-1000 5 $12.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.001
Issued Date: 12/20/2018 1 of 2
MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
GSRS18-0133
PERMIT
CITY OF ATLANTIC BEACH ISSUED: 12/20/2018
EXPIRES: 6/18/2019
TOTAL:$71.00
Issued Date: 12/20/2018 2 of 2
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: L� L\ M c,,[-A � I'N, Q- 0 C�,k f— PERMIT
PROJECT VAL UE$ *1 a-7 !S ,V -' 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 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)
Commercial Hoods Quantity (Requires 3 sets of plans)
Fire Suppression Systems Quantity (Requires 3 sets of plans)
�IRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty_ Automobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalators
�LL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
# Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
)THER: C-Aaor,, rick o O�Qr F- I-r11r-r-j)6Ce Llf-�A)C� I
-rmit 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
is 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
it. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
roperty Owners Name TOU Phone Number
lechanical Companyc-jc3n 4-- r-"C or,\SCA(KyAl 6Y14-1, Office Phone
o. Address: E)Aaj�) C-L City State rLZip
icense Holder(Print):, State Certification/Registration#
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Expires 071�812022
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1.51=7 3 Signature of Notary Public-
Receipt Number
Cash Register Receipt
City of Atlantic Beach R7687
DESCRIPTION ACCOUNT QTY PAI D
PermitTRAK $142.00
GSRS18-0133 Address: 1644 MARITIME OAK DR APN: 1695051935 $71.00
MECHANICAL $67.00
MECHANICAL BASE FEE 455-0000-322-1000 $55.00
GAS PIPING OUTLETS 455-0000-322-1000 $12.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
GSRS18-0134 Address: 611 TIMBER BRIDGE LN APN: 169505 2090 $71.00
MECHANICAL $67.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
GAS PIPING OUTLETS 455-0000-322-1000 5 $12.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R7687 $142.00
Date Paid: Thursday, December 20, 2018
Paid By: CONSTRUCTION SOLUTIONS &SUPPLY, LLC
Cashier: CB
Pay Method: CREDIT CARD 70955
Printed:Thursday, December 20, 2018 11:34 AM 1 of 1