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1969 Brista De Mar Cir GSRS19-0071 Piping MECHANICAL RESIDENTIAL GAS PERMIT NUMBER GSRS19-0071 _. Ws PERMIT - ISSUED: 8/26/2019 CITY OF ATLANTIC BEACH EXPIRES: 2/22/2020 MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION. ALL • 'K MUST CONFORM TO THE CURRENT 6TH EDITION1 OF • D+ 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: 1969 BRISTA DE MAR CIR MECHANICAL RESIDENTIAL GAS GAS PIPING - 2 OUTLETS $1200.00 AND 120 GAL TANK TYPE OF ZONING: :D • • • GROUP: 169506 1670 SELVA NORTE UNIT 02 COMPANY: ADDRESS: SAWYER GAS OF THE 98 PENMAN RD JACKSONVILLE FL 32250 BEACHES BEACH OWNER: ADDRESS: KANE PHILIP B 1969 BRISTA DE MAR CIR ATLANTIC BEACH FL 32233-4525 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 2 $10.00 MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00 STATE DBPR SURCHARGE 4S5-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 4SS-0000-208-0600 0 $2.00 TANKS GAS OR LIQUEFIED PETROLEUM 455-0000-322-1000 720 $20.00 Issued Date: 8/26/2019 1 of 2 MECHANICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904) 247-5826 Fax(904) 247-5845 L� S�S`cj — 0 07 TOB ADDRESS: ' �I � G be, ACA PERMIT# PROJECT VALUE $ 1W0,00 ARI# REQUIRED Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity Tons Per Unit Heat: Unit Quantity BTU's Per Unit Seer Rating Duct Systems: Total CFM REQUIRED REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity Tons Per Unit Heat: Unit Quantity BTU's Per Unit Seer Rating Duct Systems: Total CFM REQUIRED 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) FIRE PLACES MISCELLANEOUS: Prefabricated Fireplace Qty Automobile Lifts Gas Piping Outlets Boilers BTU's Elevators/Escalators ALL OTHER GAS PIPING Heat Exchanger Quantity of Outlets Z Pumps #Vented Wall Furnaces Refrigerator Condenser BTU's # Water Heaters Solar Collection Systems Tanks (gallons) 20 x l(c)n Wells OTHER: ?ermit 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 his 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 iot. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. Property Owners Name VI 0 `�`E� y_, i/�mcPhone Number(b+5-11 -1 ZJ Mechanical Company ` (ltk`ou- C oc , 6 The_!!PctchcS Office PhoneV110�OFax_l 30 C a`N�Nuut�� FL Zi 3 Z Z 5 O P%e-no-W 6 City,) W1 LM ) State p LA 1 Z' ��� {Pi3git): "b State Certification/Registration#4 ©S�`t *yvtariz&4signat;Y*j f License Holder 00003" q, ��, r` Before me this �`.�Jrd da of U�Si 20 I —Signature of Notary Public k �.-1