2055 BEACH AVE GSRS19-0025 gas permit MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
GSRS19-0025
PERMIT
ISSUED: 3/25/2019
CITY OF ATLANTIC BEACH EXPIRES: 9/21/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF • '
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF • • 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: PERMITTYPE: DESCRIPTION: VALUE OF WORK:
2055 BEACH AVE MECHANICAL RESIDENTIAL GAS install 2 gas-piping outlets $1180.00
TYPE OF
ZONING: :D •
• • GROUP:
169714 0000 NORTH ATLANTIC BCH
UNIT 3
• • . ADDRESS:
PROGASCO, CORP. 7709 ALTON AVE JACKSONVILLE FL 32211
• ADDRESS: CITY: STATE: ZIP:
NOTTMEIER ERIC W 2055 BEACH AVE 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.
F LIST OF • •
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
— x
FROM
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
GAS PIPING OUTLETS 4SS-0000-322-1000 2 $10.00
MECHANICAL BASE FEE 4SS-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: 3/25/2019 1 of 2
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach: FL 32233
Ph (904) 247-6826 Fax (904) 247-6846
_)B ADDRESS: 02,965 . it r h Ave 444,4c .t��i lG,. A 3ZZ33 PERivIIT# �� 5� ��l r��S
PROJECT VALUE S .;k 0 11 /90 -Od ARJ# REQUIRED
Air Handling Equipment Only Air Handling unit & Condenser Condenser Onli
NE«• AIR CONDITIONING & HEATING SYSTEM INSTALLATION
.-\ir Conditioning: unit Quantity Tons Per unit
Heat: V Unit Quantity BTU's Per Unit I Seer Rating
:duct S\stems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
tilt Conditioning: Unit Quantity Tons Per unit i
Heat: Unit Quantity BTUs Per unit I Seer Rating
Duct Sx-stems: Total CFM I REQUIRED
EIRE PREVENTION
rare Sprinkler System
p Quantity (Requires 3 sets of plans)
Fire Standpipe Quantity (Requires 3 sets of plans)
L nderground Fire Main Value (Requires 3 sets of plans)
Fire Hose Cabinets Quantity (Requires 3 sets of plans)
C onimercial 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
= \\Vater Heaters Solar Collection Systems
Tanks (gallons)
Wells
OTHER: Xuln -eA+e rve- Gtis �ih& G jr,//Ili .Grafi Y
?'cr-nit becomes oid if work does not commence�.ithin a six month period or work is suspended or abandoned for six months.I hereby certif% that 1 ha,.a r:a:
....,application and kno%%the same to be true and correct. All provisions of lases and ordinances po%erning this work will be complied with%%hether speci'i.d
net. The permit does not give authority to violate the provisions of any other state or local laic reputation construction or the performance of construction.
'ropem ONners\ame rac t� Phone Ner L3 -1,3�/
lccltdnical Company S i Office Phone IA/- Fax 7a/ '5937
o. :\ddress: "714f 41/yn r71/PnLI e City e4!s�ily/Me State FL Zip 32l//
_i;:nse Holder(Print): Aulml4 State CertificatiorvRegistration
Nomrized Signature of License Holder
potaryticStateofFlorida Before me this . __kb day �
of Q20��
,py r1% Stephanie Renee McGuire
MyCommission eG 123258 Signature of Notary Public
Expires oerot2021
Cash Register Receipt Receipt Number
ON W1 A
City • Atlantic Beach • •
�Ji3 1A
DESCRIPTION • CITY PAID
PermitTRAK $69.00
GSRS19-0025 Address: 2055 BEACH AVE APN: 169714 0000 $69.00
MECHANICAL $65.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
GAS PIPING OUTLETS 455-0000-322-1000 2 $10.00
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 $69.00
Date Paid: Monday, March 25, 2019
Paid By: PROGASCO, CORP.
Cashier: CT
Pay Method: CREDIT CARD 6288D
Printed: Monday, March 25,2019 4:36 PM 1 of 1 to
miuu,