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1876 Beach Ave GSRS19-0056 Piping MECHANICAL RESIDENTIAL GAS PERMIT NUMBER PERMIT GSRS19-0056 ISSUED: 7/15/2019 CITY OF ATLANTIC BEACH EXPIRES: 1/11/2020 -5814 BY 4 PM FOR NEXT DAY INSPECTION. MUST CALL INSPECTION PHONE LINE (904) 247 ALL • •K MUST CONFORM TO THE CURRENTr • OF • • r ► BUILDING CODE, AND CITY OF ► NTIC 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: 1876 BEACH AVE MECHANICAL RESIDENTIAL GAS GAS PIPING - 6 OUTLETS $3000.00 AND 500,000 BTU'S LP GAS TYPE OF BUILDING i • GROUP: 1695420608 BEACHSIDE COMPANY: ADDRESS: ' PERFORMANCE GAS 14705 EDWARDS CREEK RD JACKSONVILLE FL 32226 SYSTEMS LLC • ADDRESS: MARTINEZ ANDREW 1876 BEACH AVE ATLANTIC BEACH FL 3223 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 . • 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 4S5-0000-322-1000 6 $14.00 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 $2.00 TANKS GAS OR LIQUEFIED PETROLEUM 455-0000-322-1000 1 $20.00 Issued Date:7/15/2019 1 of 2 MECHANICAL RESIDENTIAL GAS PERMIT NUMBER PERMIT GSRS19-0056 ISSUED: 7/15/2019 ��; �; CITY OF ATLANTIC BEACH EXPIRES: 1/11/2020 TOTAL: $93.00 Issued Date:7/15/2019 2 of 2 "ALL INFORMATION Mechanical Permit Application HIGHLIGHTEDIIV City Of Atlantic Beach Building Department GRAY IS REQUIRED. r) 800 Seminole Rd, Atlantic Beach, FL 32233 G _ous Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: RES19-01 4 JOB ADDRESS:1876 Beach Ave Beachside lot 34 BIk 1 PROJECT VALUE.$ 3000.00 4 ❑NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) ©Air Handling Equipment Only U 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 I ❑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 i { ❑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-ji FIRE PLACES ❑MISCELLANEOUS: Prefabricated Fireplace (Qty) Automobile Lifts i Gas Piping Outlets Boilers BTUs j Elevators/Escalators [ZIALL OTHER GAS PIPING Heat Exchanger Quantity of Outlets 8 Pumps #Vented Wall Furnaces Refrigerator Condenser BTUs #Water Heaters Solar Collection Systems Tanks (gallons) Wells F-JOTHER: 500,000 BTU's LP Gas Permit becomes void if work does not commence within a six month period or work Is suspended or abandoned for six months. I hereby I 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• Farid and.Lilane Hakim ti= = ' t= i Phone Number:; I Performance Gas Systems,LLG. J 1 Office Phone:'904-509 5099 ;FaX Mechanical Company: Co.Address:;14705 Edwards Creek Rd ? City: Jacksonville State:�F�_y Zip32226 License Holder Jeff Harris State Certification/Registration#'15834 fiw Notarized Signature of License Holder' The foregoinginstrument was acfore me this day of U 20LI, in the State of Florida, County of_ l<abeVed ullfy�`_ Signature of Notary Public +err [-f Personally Known OR[ ] Produced Identification ,p " ryPa>7t+�st�motkraldi� • { • . Rhonda��leke Type of Identification: ' �v.eommttpbnGi3;!5E771 qC�prrea 4sl26rzA?2 18