568 Timber Bridge Ln GSRS19-0049 gas permit MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
GSRS19-0049
PERMIT
`.' ISSUED: 5/24/2019
CITY OF ATLANTIC BEACH EXPIRES: 11/20/2019
MUST CALL 1 . • ' DAY INSPECT ON.
ALL • INSPECTION CONFORM TO THE CURRENT 6TH EDITION1 OF • ' 1 • BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF 1
F
CE: In addition to the requirements of this permit,there may be additional restrictions applicable to this propertymay be found in the public records of this county,and there may be additional permits required from otherrnmental entities such as water On
districts,state agencies,or federal agencies.
1 • 1 1
568TIMBER BRIDGELN MECHANICAL RESIDENTIAL GAS install gas-piping outlet $750.00
TYPE OF ' : .
CONSTRUCTION:
• ATLANTIC BEACH
169505 2135 COUNTRY CLUB UNIT 02
• . 1 •
RAMSAY GAS SOLUTIONS 1426 NE 51ST LOOP OCALA FL 34479
LLC
OWNER: ADDRESS:
Lucy Bissell 568 Timber Bridge Ln 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.
LIST OF CONDITIONS
Roll off container company must be on City approved list. Container cannot be placed on City right-of-way.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ass-oo05azzl50o 1 $15.00
GAS PIPING OUTLETS $55.00
MECHANICAL BASE FEE 455-0000-322-1000 0
455 $200
-OOM208-0700 0
STATE DBPR SUflCHAflGE $200
STATE OCA SURCHARGE 455-0000-208-0600 0
TOTAL:$69.00
Issued Date:5/24/2019 1 of 2
Mechanical Permit Application �AUINF HTEDI ON
r1 pp HIGHLIGHTED N
City of Atlantic Beach Building Department GRAY Is REQUIRED.
800 Seminole Rd,Atlantic Beach, FL 32233 „t „ __ �
~ " r Phone: (904) 247-5826 Email: Building-Dept@coatims PERMrrN: _
JOB ADDRESS: MR Timber Ridge Lane,Atlantic Beach.FL 32233. PROJEcr VALUE$$ 9500
❑NEW AIR CONDITIONING&HEATING SYSTEM INSTALLATION ARI N(REQUIRED)
❑Air Handling Equipment Only Ci Condenser Only ❑Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTUs per Unit Seer Rating(REQUIRED)
Duct Systems: Total CFM
❑REPLACEMENT AIR CONDITIONING&HEATING SYSTEM INSTALLATION ARI p(REQUIRED)
[]Air Handling Equipment Only E3 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
F1 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
Elevators/Escalators
MALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets _ I Pumps
#Vented Wall Furnaces Refrigerator Condenser BTUs
#Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
OTHER:
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: Benjamin R Ramsay _Phone Number: 362-804b246
Mechanical Company: Ramsay Gee Salutiom LLC . Office Phone: 352-89&1498 Fa%
Co.Address: 14M NE 61st Loop City: ocuis State: FL Zip: 34479
License Holder: Benjamin R.Ramsay State Certification/Registration# 35910
Notarized Signature of License Holder
The foregoingg i�nstrument was acknowledged before me _day o� 1 the State of Florida,
Countyof IVlariiam
Signatu of Notary Public �,.
0i.,%.,.1CATHYA.PENN [ ereonally Known OR[ I Produced Identification
sCmTmssbn{GG9a4455 Type of ldentiflcation:
p^Eapirea May t8,2927 uadmed10/9/18
�_ . `maeemarwyrahlmur+neoo-sesl9n
3� �
Receipt • • '
n
r City of Atlantic Beach a 2
.ria
DESCRIPTION ACCOUNTCITY PAID
PermitTRAK $69.00
GSRS19-0049 Address: 568 TIMBER BRIDGE LN APN: 169505 2135 $69.00
MECHANICAL $65.00
MECHANICALBASE FEE 1 455-0000-322-1000 1 0 $55.00
GAS PIPING OUTLETS 455-0000-322-IWD I 1 $10.00
STATESURCHARGES $4.01)
STATE DBPR SURCHARGE455-0000-20&0]00 0 $2.00
STATE DCA SURCHARGE 455-000020&0600 0 52.00
TOTAL • 11
Date Paid: Friday, May 24,2019
Paid By: RAMSAY GAS SOLUTIONS LLC
Cashier: Ci
Pay Method: CREDIT CARD 003966
Printed:Friday,May 24,2019 11:46 AM 1 of 1