778 Vecuna Rd GSRS19-0033 Gas Piping, h20 Heater, Grill, Range MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
PERMIT GSRS19-0033
ISSUED:4/16/2019
CITY OF ATLANTIC BEACH EXPIRES: 10/13/2019
INSPECTIONMUST CALL • 1 , FOR •
CODE,ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDIN
OF •DOF
ALL CONDITIONS OF
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:
778 VECUNA RD MECHANICAL RESIDENTIAL GAS GAS PIPING-WATER $4720.00
HEATER, GRILL, RANGE
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
171353 0000 ROYAL PALMS UNIT 02A
COMPANY: ADDRESS:
SUNSHINE STATE 710 Haines Street Jacksonville FL 32202
PLUMBING
• ADDRESS:
Porter Mason 1340Trailwood Drive Neptune Beach FL 32266
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 . r
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 4550000322-1000 3 $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 $200
TOTAL:$69.00
Issued Date:4/16/2019 1 of 2
- MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
PERMIT GSRS19-0033
CITY OF ATLANTIC BEACH ISSUED:10/13/019
EXPIRES: 10/13/2019
Issued Date:4/16/2019 2 of 2
Mechanical Permitlication "ALL INFORMATION
® PP HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 Cl S IRSI 9 _ 0033
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: 77k Vipel a P7 - PROJECTVALUE$ y7Z O. FE
NEW AIR AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
❑Air Handling Equipment Only ❑ Condenser Only ❑ Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tonsper Unit
Heat: Unit Quantity BTUs per Unit Seer Rating(REQUIRED)
Duct Systems: Total CFM
❑REPLACEMENT AIR CONDITIONING& HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
❑Air Handling Equipment Only ❑ Condenser Only ❑Air Handling Unit&Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating(REQUIRED)
Duct Systems: Total CFM
❑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)
F-1 FIRE PLACES ❑ MISCELLANEOUS:
Prefabricated Fireplace(Qty)_ Automobile Lifts
Gas Piping Outlets Boilers BTUs
r{, Elevators/Escalators
DCIALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTUs
#Water Heaters Solar Collection Systems
Tanks(gallons)
(�
Wells
[OTHER: I- CYril\ Sd, OUO l:cwtte. dg.0 WA--) I1Pc.}C!�CS-t
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 or 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.
Owner Name: Ma/:rjOr7 /VO/ l Phone Number: 4C%•SPp -Y09/
Mechanical Com pan, .ri.nfbme jun rli Gli7 Office Phone: 4oY-LL•/w.G Fax
i
Co.Address: 7/OQ/»,rt -5< City:l�' (C.�ortri/�i State:��Zip:,Y)Jv 7,
License Holder:,"I-Aael T State Certification/Registration#rrl- /i/Z 6.0,"
Notarized Signature of License Holder 1M&7-
The foregoing
jinstrument was acknowledged before me this day of ,-( 20 q in the State of Florida,
County of I JUUi D
Signature of Notary Public
xrr nq DA"RDf2KERON Personally Known OR I ) Produced Identification
jF`—.,r Cp Nsskx#GGt4" ype of Identification:
Exptru GebEer 12.2021 Updated10/9/18