1637 Atlantic Beach Dr GSRS19-0048 gas permit MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
Aok- GSRS19-0048
PERMIT ISSUED: 5/23/2019
CITY OF ATLANTIC BEACH EXPIRES: 11/19/2019
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.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
1637 ATLANTIC BEACH DR MECHANICAL RESIDENTIAL GAS install gas-piping to $820.67
generator
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1695051090 ATLANTIC BEACH
COUNTRY CLUB UNIT 01
COMPANY: ADDRESS: CITY: STATE: ZIP:
PROGASCO, CORP. 7709 ALTON AVE JACKSONVILLE FL 32211
OWNER: ADDRESS: CITY: STATE: ZIP:
CLAUDIA B L ENGLE
QUALIFIED PERSONAL C/O CLAUDIA B L ENGLE ATLANTIC BEACH FL 32233-
RESIDENCE TRUST
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.
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DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
GAS PI PING OUTLETS 455-0000-322-1000 1 $10.00
MECHANICAL BASE FEE 455-0000-322-1000 j $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
Issued Date:5/23/2019 1 of 2
MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
GSRS19-0048
PERMIT
ISSUED: 5/23/2019
CITY OF ATLANTIC BEACH EXPIRES: 11/19/2019
STATE DCA SURCHARGE 455-0000-208-0600 0 52.00
TOTAL:$69.00
Issued Date: 5/23/2019 2 of 2
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlautic: Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845 (q-ooLq
"OBAI)DRESS:* 1007 . PIMNUT #
ach ik AH&�e- �&RAaa
PROJECTVALUES ;k q,,;?0 ,6o7 ARI# REQUIRED
Air Handling Equipment Only _Air Handling Unit & Condenser Condenser Onl-k
�NENV AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Unit Quantiry Tons Per Unit
r Conditioning:
19eat: UnItQuannty_ BTU`sPerUr�t Seer Rating
7.)Uct systems: Total CFM REQUIRED
REPLACEIVIENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
-kir Conditioning; Unit Quantit-N. it
- I I Tow Per Uri*
Heat. Unit Quantity BTUs Per Unit Seer Ratin
!)Uct Systems: Total CFM REQUIRED
FIRE PREVENTION
Fire Sprinicler System Quantity (Requires 3 sets of plans)
lire Standpipe Quantity (Requires 3 sets of plans)
Underground Fire Main Value (Requires 3 sets of plans)
rire Hose Cabiriets Quantity (Requires 3 sets of plans)
�.om mercial Hoods Quantity (Requires 3 sets of plans)
Fire Suppression Systems Quantity (Requires 3 sets of plans)
FIRL PLACES -MiISCELLANEOUS:
Prefabricated Fireplace Qtv Automobile Lifts
Gas Pipincr Outlets Boilers IM's
Eevators,'Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
Vented Wall Furnaces Refrigerator Condenser BTU'S
�\-'ater Heaters Solar Collection Systpnis
Tanks (gallons)
Wells
OTHER: Pun eXkrdir ,fifi-� /Me -i�- qe P,7.e m
Pormit bccomes void if Nvork does not commence within a six month period or work is suspended or abandoned for.qix months. I hereb%�certif,% that i hve
' k w the same to be true and correct. All provistons of laws and ordinances governing this work vill be complied-ith%%hather spccific�
.�i;S upp:=LtOn ana 'no
M�t- ;,. -regulation c:onstruct
1,nc pcirmit doe$nOl&iVe authorir\,io violate the provisions of an)�othcr statc or local lv� ion or the performance of consruclion.
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Pv� C164w&& 1-mak Phone Num
)pertv Owners Name ;�- - llefoqT - "alvi
1CLIld1liCal C0171-1pany -RV11wrev riwa Office Fhonc -V/ SWI Fax--P�/- Z�2
. -J--
)4116 Aleve cityjkeesopk"14 — state ;,z zip,�
Q. Address;
License Holder(Print): IM-elo�l 4t4c 4�e,,MO State Ceztification/Registration
Vorw,ized Signature of License Holder
Before me this 31 d a, Of "a-v 20.
r
Notm PvW,State of Fiorida
ION stegicknis Renee mcciuirme Signature of Notary Public
my ommtl3jon Go 123250
Cash Register Receipt Receipt Number
City of Atlantic Beach R9139
DESCRIPTION ACCOUNT CITY PAID
PernnitTRAK $69.00
GSRS19-0048 Address: 1637 ATLANTIC BEACH DR APN: 169505 1090 $69.00
MECHANICAL
$65.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
GAS PIPING OUTLETS 455-0000-322-1000 1 $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 FEES PAID BY RECEIPT: R9139 $69.00
Date Paid: Thursday, May 23, 2019
Paid By: PROGASCO, CORP.
Cashier: CB
Pay Method: CREDIT CARD 7
Printed:Thursday, May B, 2019 3:51 PM 1 of 1 or