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1655 Atlantic Beach Dr GSRS19-0010 gas permit MECHANICAL RESIDENTIAL GAS PERMIT NUMBER GSRS19-0010 PERMIT CITY OF ATLANTIC BEACH ISSUED: 1/23/2019 L EXPIRES: 7/22/2019 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. I—-___ JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK: 1655 ATLANTIC BEACH DR MECHANICAL RESIDENTIAL GAS gas-piping outlet to pool $721.46 heater I TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 1695051345 ATLANTIC BEACH COUNTRY CLUB UNIT 02 COMPANY: ADDRESS: CITY: STATE: ZIP: PROGASCO, CORP. 7709 ALTON AVE JACKSONVILLE FIL 32211 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 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 1 $10.00 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: 1/23/2019 1 of 2 MECHANICAL RESIDENTIAL GAS PERMIT NUMBER GSRS19-0010 PERMIT ISSUED: 1/23/2019 CITY OF ATLANTIC BEACH EXPIRES: 7/22/2019 TOTAL:$69.001 1 Issued Date: 1/23/2019 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 C) -00)o JOB ADDRESS:. 5' "(7� &64Ct) bfl'1101 PERMIT PROJECT VALUE $--12��. q �� 4pi# 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: UWt Quantity BTU's Per Unit Seer Rating Duct Systems: Total CFM REQUIRED FIREPREVENTION 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) Conunercial 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 I Pumps 4 Vented Wall Furnaces Refrigerator Condenser BTU's #Water Heaters Solar Collection Systems Tanks (gallons) Wells OTHER: -0,6d I kkn Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.I hcreby certify that I beLveread this appUcation and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whcthcr specifiod 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 bn 110- T,2 I CL n PhoneNumber(q5L1)(VSo--Lass lflu�) — tqpq) Mechanical Company Office Phone 221 SV31 Fa 1 -573-7 Co. Address. -7-70 9 &I+Pn LiWe- City� �ar 65—opy)16 State FLzip 32-21, License Holder(Print): M rl Lu C-1 6Ln 0 State Certification/Registration 4 2--7 r I-VI Notarized Signature of License Holder Xt44-� RApPOK& NaftryPubllelitataofflOrida ' eforemethis day of QQLnL:�j� 20 fq Stephanie Renee McGuire my Commission 00 1232N ignature of Notary Public "W, Cash Register Receipt Receipt Number City of Atlantic Beach R7921 DESCRIPTION ACCOUNT CITY PAID PermitTRAK $69.00 GSRS19-0010 Address: 1655 ATLANTIC BEACH DR APN: 169505 1345 $69.00 MECHANICAL $65.00 MECHANICAL BASE FEE 455-0000-322-1� 0 $55.00 455-0000-322-1000 1 $10.00 GAS PIPING OUTLETS 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: R7921 $69.00 CITY OF ATIANTIC BEACH 800 SEIVINCLE RD ATLANTIC BEEAC,R.32233 01/23/2019 15:55:57 CREDIT CARD VISI,SALE Card XWA=4999 SEQ 11 W 776 INVOICE 11 Approval Code: 06707D Entry Method: Manual Mode: Online Card Code: M SALE AMOUNT $691 CUSTOMER COPY Date Paid: Wednesday,January 23, 2019 Paid By: PROGASCO, CORP. Cashier: BA Pay Method: CREDIT CARD 11 Printed:Wednesday,January 23,2019 3:57 PM 1 of 1