1249 Beach Ave GSRS19-0012 gas permit MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
;J' 1
PERMIT GSRS19-0012
V� ISSUED: 1/31/2019
CITY OF ATLANTIC BEACH EXPIRES: 7/30/2019
MUST CALL INSPECTION • 914 247-5814 BY , PM FORDAY INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF • '
CODE, 1 CITY OF • OF • '
ALL CONDITIONS OF PERMIT APPLY, PLEASEREADCAREFULLY.
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:
1249 BEACH AVE MECHANICAL RESIDENTIAL GAS GAS PIPING 9 OUTLETS AND $0.00
2 WATER HEATERS
TYPE OF
ZONING: : • •
• • GROUP:
170292 0000 ATLANTIC BEACH
COMPANY: ADDRESS:
PROGASCO, CORP. 7709 ALTON AVE JACKSONVILLE FL 32211
• ADDRESS:
BOENEKE DEMORY 7093 OX BOW RD TALLAHASSEE FL 32312
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 9 $20.00
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
VENTED WALL FURNACE WATER HEATER UNIT 455-0000-322-1000 2 $10.00
TOTAL:$89.00
Issued Date: 1/31/2019 1 of 2
MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
IGSRS19-0012„ PERMIT ISSUED: 1/31/2019
CITY OF ATLANTIC BEACH EXPIRES: 7/30/2019
Issued Date: 1/31/2019 2 of 2
1VJLt;L.kiA.1N It-AL T K n1Viat I t%r r Jul%-^s i.. I-1.
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845 /' S.RSIq 0 O ( -z—
JOB
z-JOB AnnRESs: ) 2Y9 tar h Ag >+lin ii e- &, I- ILZ-33 PERMT#
PROJECT VALUE $ ARI# REQUIRED
Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INST.A..LLATION
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 B'TU'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)
Wells
OTHER- Ru n in 4 rl7N cs !fY%�e kers ll !( tii�C Cts r
Lint! Y
Permit becomes void if-work does not commence within six month period or work is suspended or abandoned for six months.l hereby certify that 1 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 whcther specified
not. The permit does not give authority to violate the provisions of ani,other state or local law regulation construction or the performance of construction.
Property Owners Name �!^n o t M 96 P-r.P-A _ Phone Number 6 50 5/-003Lf
p
Mechanical Cornpanv `f$-D ar Office Phone 7gi-544t Fax 7A1- 37
Co. Address: '7'7 d ZIYaY AVC City J67Ca('srSYl yr State L ,Zip 322.1/
License Holder (Print): Nlul i G (W16 State Certification/Registration#
Notarized Signature of License Holder
Before me thi day of 20_ �9
,rsr Note Public State of Florida / 1 `i071
�hanle Renee McGuire Signature of Notary Public �„ �.R.s•c.4cr / �
M0=01 Oa 123250 1
19ilov, Cash Register Receipt . _ � .City of Atlantic Beach ' ' 11
DESCRIPTION • CITY PAID
PermitTRAK $89.00
GSRS19-0012 Address: 1249 BEACH AVE APN: 170292 0000 $89.00
MECHANICAL $85.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
GAS PIPING OUTLETS 455-0000-322-1000 9 $20.00
VENTED WALL FURNACE WATER HEATER 455-0000-322-1000 2 $10.00
UNIT
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: R8003 $89.00
REHUNT
CITY OF ATLANTIC BEACH
800 SENINOLE RD
ATLANTIC B;AC,FL 32233
01/31,'2019 09:31:10
CREDIT CARD
VISI,SALE
Card XXXXXXXXXXXX4999
SEQ#, 4
Batch#: 182
INVOICE 4
Approval Code: 033240
Entry Method: Manual
Mode: Online
Card Code: M
SALE AMOUNT $89A
CUSTOMER COPY
Date Paid:Thursday,January 31, 2019
Paid By: PROGASCO, CORP.
Cashier: CB
Pay Method: CREDIT CARD 3324d
Printed:Thursday,January 31,2019 9:35 AM 1 of 1
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