2434 Seminole Road GSRS19-0040 gas-piping permit MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
PERMIT GSRS19-0040
ISSUED:4/29/2019
CITY OF ATLANTIC BEACH EXPIRES: 10/26/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PIM FOR NEXT DAY INSPECTION.
CODE, NEC, IPIMC, 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.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
2434 SEMINOLE RD MECHANICAL RESIDENTIAL GAS GAS PIPING - 6 OUTLETS, 2 $2900.00
WATER HEATERS
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1683540150 SECTION LAND
COMPANY: ADDRESS: CITY: STATE: ZIP:
PROGASCO, CORP. 7709 ALTON AVE JACKSONVILLE FL 32211
OWNER: ADDRESS: CITY: STATE: ZIP:
GLOVER S TAYLOR 2400 SEMINOLE RD ATLANTIC BEACH FL 32233-5928
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 455 GOOD 322 1000 5 $12 ED
MECHANICAL BASE FEE 455 FORD 322 1000 0 $55,00
STATE DBPR SURCHARGE 455-0000-208 0700 0 S2G0
STATE DCA SURCHARGE 455 EDGE 20M60D 0 $2,00
VENTED WA�L FURNACE WATER HEATER UNIT 455 WX-322-IOW 3 $15.w
TOTAL:$86.00
issued Date;4/29/2019 1 of 2
MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
GSRS19-0040
PERMIT ISSUED:4/29/2019
CITY OF ATLANTIC BEACH EXPIRES: 10/26/2019
15Sued Date;4/Z9/2019 2 of 2
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTICBEACH
soo Seminole Rd Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax(904)247-5845 GSRS (9 -C)oq-0
JOB ADDRESS:* X44 -Aild A&0& &Kh,1�PERMITN_
PROJECT VALUE$_kU_,fA�00 � AR14 REQUIRED
—Air Handling Equipment OnlY _.AirHandliug Unit & Condenser _ CondenserOnly
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: UWtQuandt3r— TonsPerUnit
Heat: Unit Quantity BTU's Per Unit Seer 11atin
RE�UIRED�
Duct S�stems: Total CFM
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning- Unit Quantity— Tons Per Unit —
Heat; Unit Quantity BTU's Per Unit— . Seer Rating REQUIPED
Duct Systems: Total CFM
FIRE PREVENTION
Fire Sprinkler System Quantit� IR in 3 sets of plans)
Fire Standpipo . tity (R:qtsirre's 3 sets of plans)
1,:nderground Fue main ralul (Requires 3 sets of plans).
Fire Hose Cabinets Quantity uIres 3 sets of plans)
Commercial Hoods Quantity r1luires 3 sets of plans)
Fire Suppression Systems Quantity (Requires 3 sets of plans)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qi;y_ Automobile Lifts
Gas Piping Outlets Boilers - BTU's
Elevators7ffscalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
vented Wall Furnaces Refiis;erator Condenser BTU's—
Water Holders I— Solar Collection Systems
Tanks(gallons)
Wells
Agy
OTHER:
MEMO MEMO
does not commerce within a six month period orworic is mpmded or abendoned for six months.I herssb3 calify that I We r�l
!,iisupplictaim and know the esne w benesr,d comm. All pm�isjowoflaws no ordinsrcasso,emini this work will becompliedwith whsth.rjpwifl�
,,a. I he permit does not&IVC mhOrR%-W V10tae the WISIOng OfMy other unsor local law regutuion cons�ctjcn or the pedbanence orcomnr=60n.
c,ropmN Ouners Name .80jhrly Phone Number* 9*1-0V
:%1cchallical cornpaxi qt& —office Phone
'yjA aw _7Z� 54S (
Cc,. Address; '27099 *'Onye City ( Ar&f&9,2�1, State_6 Zip .522)1
12 Suste Cortiflation/Risgistnuion 0
License Holder(Prjnt): j,1Le,(d _1,_92Y__
fLice%.Holder
.N orar!zed Signature a I - - I
r, 20
Beforts !eth,, '�'t� dy of
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eve herneR.on.- .6"'X ,"';
.,gommss� 0= � Signature ofNotary Pub
Cash Register Receipt Receipt Numbe
City of Atlantic Beach R8884
DESCRIPTION ACCOUNT CITY PAID
PermitTRAK $86.00
GSRS19-0040 Address: 2434 SEMINOLE RD APN: 168354 0150 $86.00
MECHANICAL $82.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
GAS PIPING OUTLETS 455-0000-322-1000 5 $12.00
VENTEDWALL FURNACE WATER HEATER 455-0000-322-1000 3 $15,00
UNIT
STATE SURCHARGES $4.00
STATE DBRR SURCHARGE 455-0000-208700 0 $200
STATE DCA SURCHARGE 455-0000-208-
TOTAL FEES PAID BY RECEIPT: R8884 $86.00
Date Paid: Monday,April 29, 2019
Paid By: PROGASCO,CORP.
Cashier: CT
Pay Method: CREDIT CARD 01235D
Printed:Monday,April 29,2019 4:02 PM 1 Of 1