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1656 MARITIME OAK DR - GAS MECHANICAL RESIDENTIAL GAS PERMIT NUMBER 131119• PERMIT GSRS19-0001 ISSUED: 1/2/2019 - ,: CITY OF ATLANTIC BEACH EXPIRES: 7/1/2019 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: 1656 MARITIME OAK DR MECHANICAL RESIDENTIAL GAS GAS PIPING - FIRE PIT $400.00 TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 169505 1925 ATLANTIC BEACH COUNTRY CLUB UNIT 02 COMPANY: ADDRESS: CITY: STATE: ZIP: JOHNSON'S TRACTOR & PIPING INC 86077 MACAW RD YULEE FL 32097 OWNER: ADDRESS: CITY: STATE: ZIP: TOLL FL VI LIMITED PARTNERSHIP 250 GIBRALTAR RD HORSHAM PA 19044 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. DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT GAS PIPING OUTLETS 455-0000-322-1000 $10.00 MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00 STATE DBPR SURCHARGE 4S5-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 Issued Date: 1/2/2019 1 of 2 MECHANICAL RESIDENTIAL GAS PERMIT NUMBER PERMIT GSRS19-0001 ISSUED: 1/2/2019 CITY OF ATLANTIC BEACH EXPIRES: 7/1/2019 TOTAL:$69.00 Issued Date: 1/2/2019 2 of 2 MECHANICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32236-1 3 Ph (904) 247-5826 Fax (904) 247-5845 SR s 9 I- ��0( JOB ADDRESS: )(oak' Mar.1 "Ihrn.. OA_ ' PERMIT# PROJECT VALUE$ '/VO ARI# REQUIRED Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only — NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION a 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 ALL OTHER GAS PIPING Heat Exchanger Quantity of Outlets Pumps # Vented Wall Furnaces Refrigerator Condenser BTU's # Water Heaters Solar Collection Systems Tanks (gallons) Q11 Wells NOTHER: � ,+ 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 visions of any other state or local law regulation construction or the performance of construction. Property Owners Name t 0 ` J---©�S Phone Number Mechanical Company JV\ruon.� `ra c}or --- )4),.b Office PhoneZZS ZZ aF Co. Address: 812 01 ) ma c a t i RA. f ai City ih l p,e State ¢t Zip 3207 License Holder(Print): .itK,,,,�w Z-01/4. State Certification/Registration# Notarized Signature,of License Holder 41, 1 �` ;oMMISM ,' day of I�6.4.0i �`ftV MYCOMM�S���e si�19 Before me t is 20 EXPIRES:t oary b'`cUnde�a':. �' III . ;4 ' ...... '° `-"Signature of Notary Public Nip • /41 I