1650 E Park Terr GSRS19-0023 gas permit MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
-0023
GSRS19
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 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.
7
JOB ADDRESS: PERMIT TYPE: I DESCRIPTION: VALUE OF WORK:
1650 E PARK TER MECHANICAL RESIDENTIAL GAS install 5 gas-piping outlets & $2900.00
water heater
TYPE OF REALESTATE BUILDING USE
ZONING: SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP: i
1720200308 SELVA MARINA UNIT 07
7
COMPANY: ADDRESS: CITY: STATE: ZIP:
PROGASCO, CORP. 7709 ALTON AVE JACKSONVILLE FL 32211
OWNER: ADDRESS: CITY: STATE:
Sean Traynor 19S2 W. Sevilla Blvd. ATLANTIC BEACH FIL 32233-5824
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 4SS-0000-322-1000 5 $12.00
MECHANICAL BASE FEE 4SS-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 45S-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
VENTED WALL FURNACE WATER HEATER UNIT 4S5-0000-322-1000 + 1 $5.00
TOTAL: $76.00
Issued Date:3/21/2019 1 of 2
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL ')2233)
Ph(904) 247-5826 Fax (904)247-5845
JOB ADDRESS: A
6 Y,/( 7; C/ PERMIT#
PROJECT VALUE S -
I(- ;, '/0 0--__- — ARI# REQUIRED
—Air Handling Equipment Only Air Handling Unit & Condenser Condenser Onlv
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity- BTU's Per Unit Seer Rating
Duct S.-stems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: C; Unit Quantit� 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)
Undenyround 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: X(Am "n4crior- qAS Ants 61j001L-qA,,
, 11)
aA 10 1 CLPM,1 Vz,
Permit becomes void if work does Adt commence,%ithin asix month period or work issuspended orabandoned forsix months.I hereby certif� that I ha�e-cad
ciis application and knov% the same to be true and Correct. All provisions of laws and ordinances governing this work v%ill be complied with%Nhether spec0l,"'
!wt. The permit does not give authority to violate the provisions of an) other state or local law regulation construction or the performance ofconstruction.
Propertv Owners Name V 0t)Jr, Phone Num er S450 d 10fto - /f(oz
Mechanical Compam._��rv _ Office Phone 79/-6Y31 Fax 7,9 6-73-7
L/
Co. Address: T70"? Alh'" 14Ve,'70,e_ Citv \,lackso-m--,11le State H- Zip
License Holder(Print): State Certificatiori�Registration# ?2
Notarized Sigowature of License Holder
Before me this �.q day of' IWAC 20
RIKEI4r Notary Public Slate of Ficrica
Signature of Notary Public
stephanie Renee McGuire
mycommi
ssion GG 123258
of Expires 0810112021
Cash Register Receipt Receipt Number
City of Atlantic Beach R8508
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $76.00
GSRS19-0023 Address: 1650 E PARK TER APN: 172020 0308 $76.00
MECHANICAL $72.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
GAS PIPING OUTLETS 455-0000-322-1000 5 $12.00
VENTED WALL FURNACE WATER HEATER 455-0000-322-1000 1 $5.00
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: R8508 $76.00
Date Paid:Thursday, March 21, 2019
Paid By: PROGASCO, CORP.
Cashier: CT
Pay Method: CREDIT CARD 5
Printed:Thursday,March 21,2019 1:59 PM I of 1