461 ATLANTIC BLVD GSRS19-0006 GAS PIPING PERMIT MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
GSRS19-0006
PERMIT
ISSUED: 1/16/2019
CITY OF ATLANTIC BEACH EXPIRES: 7/15/2019
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 + CH CODE OF ORDINANCES .
ALL • ! i 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:
461 ATLANTIC BLVD MECHANICAL RESIDENTIAL GAS GAS PIPING 7 OUTLETS & 2 $3000.00
WATER HEATER
TYPE OF + BUILDING
• • GROUP:
1706910010 SALTAIR SEC 03
COMPANY: ADDRESS:
DOUG'S DRAINS AND 1198 MAYPORT ROAD, SUITE #4 ATLANTIC BEACH FL 32233
MORE INC
• ADDRESS:
ATLANTIC BEACH YARD 1238 BEACH AVE ATLANTIC BEACH FL 32233
REAL ESTATE 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
FURNACES AND HEATING 455-0000-322-1000 2 $24.00
GAS PIPING OUTLETS 455-0000-322-1000 7 $16.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
Issued Date: 1/16/2019 1 of 2
s
MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
PERMIT GSRS19-0006
ISSUED: 1/16/2019
CITY OF ATLANTIC BEACH EXPIRES: 7/15/2019
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $99.00
Issued Date: 1/16/2019 2 of 2
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
/ Ph(9 247-5826 Fax(904)247-5845 ��� 5,_
QS l g _ oo O
JOB ADDRESS: �G /�a/y L Ir�l/w PERMIT #
PROJECT VALUE S 7Q°O,o--> 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
ALL OTHER GAS PIPIN5 Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
# Water Heaters Z Solar Collection Systems
Tanks (gallons)
Wells
OTHER:
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.
Property Owners Name �ti✓� �c y�..o� ��T LL C Phone Number
Mechanical Company'��v s 's �2,rivs �d re -Office Phone�D�/ '72-'7�X
Co. Address: //`f �f�:yo��� 1-;Fel City/02► 0/1 X A State Zip ?7-Z,33
License Holder(Print): P,1. 5'e)s✓< State Certification/Registration# Cr6yZfU111
Notarized Signature of License Holder
JNI GINDLESPERGER efore me this day of Q A 20
MY COMISSION#FF 924951
� ) EXPIRES:October s,2019 ignature of Notary Public
Bonded Thru Notary Public Underwriters
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