248 11TH ST - GAS PIPING , ;-jl..-AMECHANICAL RESIDENTIAL GAS PERMIT NUMBER
' GSRS19-0014
t.,N's,,‘ ,, PERMIT ISSUED: 2/11/2019
�r
`;, t CITY OF ATLANTIC BEACH EXPIRES: 8/10/2019
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:
248 11TH ST MECHANICAL RESIDENTIAL GAS install gas-piping outlet $479.41
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170251 0000 ATLANTIC BEACH
COMPANY: ADDRESS: CITY: STATE: ZIP:
PROGASCO, CORP. 7709 ALTON AVE JACKSONVILLE FL 32211
1 OWNER: ADDRESS: CITY: STATE: ZIP:
PAUL BROWN 248 11TH ST ATLANTIC BEACH FL 32233
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.
-a;
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
TOTAL: $69.00
Issued Date:2/11/2019 1 of 2
MECHANICAL PERMIT APPLICATION .
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904)247-5845 e S g let-0011/41
JOB ADDRESS:* _,: in J/A 51r(zi- I /, fie I 3 PERMIT# .
PROJECT VALUE $X .9-79 • y/ ARI# REQUIRED
.Aar 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 PIPING Heat Exchanger
Quantity of Outlets 1 Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
# Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
OTHER: eun in 4e,r1.1)v' jot& hhc. 1Y ra n5-&.
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(
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 W✓� Phone urnl1��er9a4)y��D /Ili
fl) 6cS.OA f Office Phone i 3 Fax 7a/ "x737
Mechanical Company C{ � � �f Alfa
Co. Address: '776 f /144 iti rlu - City•660n),)1 State Zip 322//
License Holder(Print): k4 i ON 141G4Gra State Certification/Registration# q ilii
Notarized Signature of.License Holder _
Wily pubes State et Ffraticta Before me ±' day of Feb,um#-y 20 /I
TStephanie Ranee McGuire . O c 4
i. Mpins o lara2G 12 56 Signature of Notary Public /�t.�t,tt.' t
Receipt Cash Register Receipt p Number
City of Atlantic Beach R8112
DESCRIPTION I ACCOUNT I QTY I PAID
PermitTRAK $69.00
GSRS19-0014 Address: 248 11TH ST APN: 170251 0000 $69.00
MECHANICAL $65.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
GAS PIPING OUTLETS 455-0000-322-1000 1 $10.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 I 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R8112 $69.00
CITY OF ATLANTIC BEACH
800 SENINOLE RD
ATLANTIC BEAC,FL 32233
0211:2019 13:49:14
CREDIT CARD
VIS{,SALE
Card; XX 4999
SEQ;: 9
Batch ri: 789
INVOICE 9
Approval Code: 07434D
Entry Method: Manual
Mode: Online
Card Code: M
SALE AMOUNT 569.1
CUSTOMER COPY
Date Paid: Monday, February 11, 2019
Paid By: PROGASCO, CORP.
Cashier: CB
Pay Method: CREDIT CARD 7434d
Printed: Monday, February 11, 2019 1:49 PM 1 of 1 111