1650 E Park GSRS19-0034 Gas Fireplace MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
GSRS19-0034
PERMIT ISSUED:4/17/2019
CITY OF ATLANTIC BEACH EXPIRES: 10/14/2019
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, IPIVIC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
NOTICE: In addition tothe requirementsof this permit,there maybe additional restrictions applicable tothis property
that may befound in the public recordsof this county,and there may be additional permits required from other
governmental entities such as water management districts,state agencies,orfederal agencies.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
1650 E PARK TER MECHANICAL RESIDENTIAL GAS GAS FIREPLACE $10750.00
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1720200309 SELVA MARINAUNIT07
COMPANY: ADDRESS: CITY: STATE: ZIP:
SETZERS&COMPANY 7660 PHILLIPS HWY JACKSONVILLE FL 32241
OWNER: ADDRESS: CITY: STATE: ZIP:
Sean Traynor 1952 W. Sevilla Blvd. ATLANTIC BEACH FL 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 ORAN
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
BUILDING PERMIT RENEWAL 455 0000 372 10M 0 $100
FURNACESAND HEATING 455-0001�322-1000 1 $24.00
MECHANICAL BASE FEE 455�322-1000 0 $55.00
STATE DRPR SURCHARGE 4554000-208-0700 0 $2.00
STATEC�SIJRCHIARGE 455�208-0600 0 $2.00
VENTED WALL FURNACE WATER H EATER UNIT 455�3224000 1 $SM
I TOTAL:$99.001
issued Date:4/17/2019 1 of 2
Mechanical Permit Application "ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
(-J 800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept(okoab.us PERMIT#:GS RW9 -OOY4
JOBADDRESS: /to 5'D faA4- 1� , PROJECTVALIJE$ 4 -76-V
El NEW AIR CONDITIONING &HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
13 Air Handling Equipment Only C3 Condenser Only 13 Air Handling Unit&Condenser
Air Conditioning: Unit Quantity_ Tons per Unit
Heat: Unit Quantity_ BTUs per Unit Seer Rating(REQUIRED)
Duct Systems: Total CFM
EIREPLACEMENT AIR CONDITIONING& HEATING SYSTEM INSTALLATION ARI#(REQUIRED)_
[3 Air Handling Equipment Only C3 Condenser Only 0 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)
X IRE PLACES MMISCELLANEOLIS:
Prefabricated Fireplace(Qty)—�—, Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
[]ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTUs
#Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
MOTHER:
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 compiled 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: C,erq, -t- 2p� TjfT14 A en Phone Number: L12LL W Y:E
Mechanical Company: OfficePhone: '751 WDO Fa.2Lo-F�Jf 3J--
Co.Address: - State: Zip:
jZ,2(,r) axlb-L�;� /-6,, - City: :Lau -jL- 1
License Holder: State Certification/Registration h 9Z254919
Notarized Signature of License Holder
The foregom strument was acknowledged before me this xt�ay of npr', I 20-Lq in the State of Florida,
-CQuntyaf 11��,j o-Q -r�L.1, � das) Y) Amg-Lulo
MELINDA I.GALLUP gnature of Notary Public fill.
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N0,tay I S s1UF lard.
,q, Notay Public-State 04 Herds
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COMnission#FF 198796 ersonally Known OR Produced Identification
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751* MY Comm.Expires Apr 16 2019 e of Identific
X., ation:
.U,h A Y
JpdalVd 1019118
020)1
05/ 0/18
Leslie May Leslie May
13722 Marsh Harbor Or N 13722 Marsh Harbor Dr N CR
423-534-7814
Jacksonville, FL 32225 Jacksonville, FL 32225
208315 05/19/18 169600013794 JAX 21 SHIP DATE 05/30/18
OUR TRUCK
CONTRACT LABOR 1.00 1.00 150.00 CA
Dishwasher Installation 150.00
Jan
150.00
.00
.00
COD 150.00
.00
150.00