1280 W Plaza GSRS19-0022 gas permit MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
Y s� GSRS19-0022
v PERMIT ISSUED: 3/21/2019
CITY OF ATLANTIC BEACH EXPIRES: 9/17/2019
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 , D 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:
1280 W PLAZA MECHANICAL RESIDENTIAL GAS GAS PIPING - 5 OUTLETS. 2 $2255.00
WATER HEATERS
TYPE OF
• • GROUP:
170979 0000 ATLANTIC BEACH SEC H
COMPANY: ADDRESS:
PROGASCO, CORP. 7709 ALTON AVE JACKSONVILLE FL 32211
• ADDRESS: STATE:
BROWN JAMES W 4012 RUSTLING OAKS CT JACKSONVILLE FL 32277
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.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
GAS PIPING OUTLETS 4SS-0000-322-1000 2 $10.00
MECHANICAL BASE FEE 4S5-0000-322-1000 0 $55.00
PREFABRICATED FIREPLACES 4S5-0000-322-1000 1 $30.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 4SS-0000-208-0600 0 $2.00
VENTED WALL FURNACE WATER HEATER UNIT 455-0000-322-1000 2 $10.00
Issued Date: 3/21/2019 1 of 2
MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
PERMIT GSRS19-0022
� ISSUED: 3/21/2019
CITY OF ATLANTIC BEACH
EXPIRES: 9/17/2019
TOTAL: $109.00
Issued Date:3/21/2019 2 of 2
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach. FL 32233 rr��
Ph (904) 247-5826 Fax(904) 247-5845 G S I'S ( q _00 zZ
•JO13 ADDRESS:* 1;2191,0 �P S� 111�a ��l�fiC 3Zl PERMIT# I
PROJECT VALUE$ �,�SS.� _ ARI REOL:IRED
:air Handling Equipment Only Air Handling Unit & Condenser Condenser OnIN
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Conditioning: Unit QuantityTons Per Unit
Heat: (_nit Quantity BTU's Per Unit Seer Rating
Duct S>-stems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
:fir 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)
Underaround Fire Main Value _ (Requires 3 sets of plans)
hire I-lose 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 S Pumps
Vented Wall Furnaces Refrigerator Condenser BTU's
%Water Heaters � Solar Collection Systems
Tanks(gallons)
Wells
OTHER: A- kl 01- 11As �irrs 7v- LzjWa liPu�tr�, 0 C1
:'crmit becomes void if work does not commcncc ithin a six month period or work is suspended or abandoned for six months. l hereby cenif% that I ha:e r�a.l
::u�application and knon the same to be true and correct. All provisions of la%%s and ordinances governing this work will be complied with whether speeitiod or
mot. The permit docs not give authority to violate the rovisions of ani other state or local lawregulation construction or the performance of construction
Property Oxvners Name v/4 rU _ Phone\umber* 19y��7/(0-
/�11 l90 vJ
\lechanical Company ('a .� c�n Office Phone -7Z/_-6y3/Fax U a7 5737
1 "'). Address: ���q /77Ton �vir11/>e — --- Ciiy 4C417!/L//�e StateiAL Zip_3�,_,, _/
License Holder(Print): State Certification/Registration#
Notarized Signature of License Holder
[�:yj
Before met ' � day of Nla�'C� 20Notary Public State of rlor�oaStephanie Renee McGuire Signature of Notary• PublicMy Commission GG 127254Expires 08/01/2021
Cash • , Receipt
1 Number
•
J
J s�
City of Beach • •
DESCRIPTION ACCOUNTCITY PAID
PermitTRAK $109.00
GSRS19-0022 Address: 1280 W PLAZA APN: 170979 0000 $109.00
MECHANICAL $105.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
GAS PIPING OUTLETS 455-0000-322-1000 2 $10.00
PREFABRICATED FIREPLACES 455-0000-322-1000 1 $30.00
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: R8498 $109.00
Date Paid:Thursday, March 21, 2019
Paid By: PROGASCO, CORP.
Cashier: CT
Pay Method: CREDIT CARD 06189D
Printed:Thursday, March 21,2019 8:52 AM 1 of 1 ir
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