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611 Timber Bridge Ln GSRS18-0134 revised gas permit MECHANICAL RESIDENTIAL GAS PERMIT NUMBER GSRS18-0134 PERMIT ISSUED: 12/20/2018 CITY OF ATLANTIC BEACH EXPIRES: 7/15/2019 MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION. ALL •RK MUST CONFORM T• THE CURRENT 6TH EDITIONi OF • + 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: 611 TIMBER BRIDGE LN MECHANICAL RESIDENTIAL GAS install 6 gas-piping outlets $1275.00 TYPE OF ZONING: :D • • • GROUP: ATLANTIC BEACH 169505 2090 COUNTRY CLUB UNIT 02 COMPANY: ADDRESS: CITY: STATE: ZIP: CONSTRUCTION 5225 EDGEWOOD CT JACKSONVILLE FL 32254 SOLUTIONS& SUPPLY, LLC • ADDRESS: ATLANTIC BEACH 414 OLD HARTS RD STE 502 FLEMING ISLAND FL 32003 PARTNERS LLC 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 • • I Roll off container company must be on City approved list. Container cannot be placed on City right-of-way. ------------ - DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT GAS PIPING OUTLETS 455-0000-322-1000 1 $10.00 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 Issued Date: 12/20/2018 1 of 2 MECHANICAL RESIDENTIAL GAS PERMIT NUMBER r � PERMIT GSRS18-0134 ISSUED: 12/20/2018 CITY OF ATLANTIC BEACH EXPIRES: 7/15/2019 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL:$81.00 Issued Date: 12/20/2018 2 of 2 Cash City of Beach • • �•Ji3 � DESCRIPTION • QTY PAID PermitTRAK $10.00 GSRS18-0134 Address: 611 TIMBER BRIDGE LN APN: 169505 2090 $10.00 MECHANICAL $10.00 GAS PIPING OUTLETS 455-0000-322-1000 1 $10.00 TOTALR8465 $10.00 Date Paid: Tuesday, March 19, 2019 Paid By: CONSTRUCTION SOLUTIONS & SUPPLY, LLC Cashier: CB Pay Method: CREDIT CARD 67471 Printed:Tuesday, March 19, 2019 10:12 AM 1 of 1 Revision Request/Correction to Comments **ALL INFORMATION HIGHLIGHTED IN r City of Atlantic Beach Building Department GRAY IS REQUIRED. 800 Seminole Rd, Atlantic Beach, FL 32233 Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: GSRS18-0134 Revision to Issued Permit OR ©Corrections to Comments Date:03/18/2019 Project Address: 611 Timber Bridge Lane Contractor/Contact Name: jim Romeka,Construction Solutions and Supply-Debi Wagner Contact Phone: (904)389-2700 Email: debi@cssjax.us CJ,9 Description of Proposed Revision/Corrections: Add additional drop for a dryer in the garage IJim Romeka,Construction Solutions andSupply-DebiWagner affirm the revision/correction to comments is inclusive of the proposed changes. (printed name) • Will proposed revision/corrections add additional square footage to original submittal? MNo ©Yes(additional s.f.to be added: ) • ill proposed revision/corrections add additional increase in building value to original submittal? 0No Q*Yes(additional increase in building value:$ )(contractor must sign if increase in valuation) *Signature of Contractor/Agent; (Office Use Only ❑ Approved ❑ Denied ❑ Not Applicable to Department Permit Fee Due$ Revision/Plan Review Comments Department Review Required: Building Planning&Zoning Reviewed By Tree Administrator Public Works Public Utilities Public Safety Date Fire Services Updated 10/17/18 MECHANICAL RESIDENTIAL GAS PERMIT NUMBER PERMIT GSRS18-0134 -" CITY OF ATLANTIC BEACH ISSUED: 12/20/2018EXPIRES: 6/18/2019 MUST CALL INSPECTION • • • 14) 247-5814 BY 4 PM FORDAY INSPECTION. ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF • ' CODE, • OF BEACH CODEOF • ' ALL CONDITIONS OF . . 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: 611 TIMBER BRIDGE LN MECHANICAL RESIDENTIAL GAS install 5 gas-piping outlets $1275.00 TYPE OF • • GROUP: 169505 2090 ATLANTIC BEACH COUNTRY CLUB UNIT 02 COMPANY: ADDRESS: CONSTRUCTION SOLUTIONS & SUPPLY, LLC 5225 EDGEWOOD CT JACKSONVILLE FL 32254 • ADDRESS: ATLANTIC BEACH 414 OLD HARTS RD STE 502 FLEMING ISLAND FL 32003 PARTNERS LLC 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 • Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT 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 $2.00 Issued Date: 12/20/2018 1 of 2 MECHANICAL RESIDENTIAL GAS PERMIT NUMBER JS � s1 PERMIT GSRS18-0134 ISSUED: 12/20/2018 CITY OF ATLANTIC BEACH 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 01 S (LS 1 O 13Y JOB ADDRESS: (P T,, v , hp.n- r-ti ,G F L.,n_ PERMIT# PROJECT VALUE $ I�� , `'Z' 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) FIRE PLACES MISCELLANEOUS: Prefabricated Fireplace Qty Automobile Lifts Gas Piping Outlets Boilers BTU's Elevators/Escalators kLL OTHER GAS PIPING Heat Exchanger Quantity of Outlets �_ Pumps #Vented Wall Furnaces Refrigerator Condenser BTU's # Water Heaters Solar Collection Systems Tanks (gallons) 1, Wells )THER: �as �i4'� ✓�c� ' �(���� ' (' �nf��r.n �c�le� ��ecsZr� �ru r� F,reQlc�L� j 1_t3r�o t ermit 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 )t. 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 toA`` c .i1`i Phone Number lechanical Company OY ' -' k A Office Phone Fax 3 -LNC o. Address: City _lca< kscx�U i�--StateF"L. Zip 32,2 5 icense Holder(Print): �- State Certification/Registration# Notary Public State of Florida David Joseph Klotz Be ore me this day of Ae aA&h-e K 201_ My Commission GG 239595 an Expires 0711(;12022 Signature of Notary Public �- 1 r 7 Receipt Number Cash Register • • . • . . • l � • City ofAtlanticBeach • • DESCRIPTION • QTY PAID PermitTRAK $142.00 GSRS18-0133 Address: 1644 MARITIME OAK DR APN: 169505 1935 $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 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 TOTAL11 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 1