1596 Maritime Oak Cir GSRS19-0074 Install Piping MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
GSRS19-0074
PERMIT
ISSUED: 8/30/2019
CITY OF ATLANTIC BEACH /26/2020ExPIREs: 2
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 • '
CODE, OF ATLANTIC BEACH CODEOF ORDINANCES .
ALL CONDITIONS OF APPLY, . 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.
• : � � • OF • •
1596 MARITIME OAK DR MECHANICAL RESIDENTIAL GAS install 7 gas-piping outlets $2000.00
TYPE OF
ZONING: :D •
• • GROUP:
169505 1975 ATLANTIC BEACH
COUNTRY CLUB UNIT 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
TUBE WORKS 9652 CHUTNEY CT JACKSONVILLE FL 32205
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ADDRESS: CITY: STATE: IIIIIIIIIIIIIIIlr4 10111111111111111111
ZALUPSKI CHRISTOPHER E 275 1ST ST S JACKSONVILLE FL 32250-6747
BEACH
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 455-0000-322-1000 7 $16.00
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
TOTAL:$75.00
Issued Date:8/30/2019 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
'//''
.TOB ADDRESS: `��� Q2i �7;"'le- 0#/,— PERMIT#
PROJECT VALUE f-2, �G ' b¢� 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 Lifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalators
ALL OTHER GAS PIPINGy, Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
# Water Heaters Solar Collection Systems
Tanks (gallons)
OO Wells
OTHER• 6,45 &,t /camt%<140f/dOC
ccs
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.1 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 provi ons of any other state or local law regulation construction or the performance of construction.
•
Property Owners Name �� �Gc/� / Phone Number
Mechanical Company /UOG ��o/t�S �i'!�• Office Phone-- I 2) Fax S31y1f
p �- .3�?.Zer_
Co. Address: / • 0. K OK City A State Zip ?//z
License Holder(Print): ec"e7et- - `�� Sta Certification/Registration#
N ;4444im-km R6 i Ider
ta�:oi�yc
JENNIFER JOHNSTON
MY COMMISSION#GG 042984 Before me this 30 day of tA LA 20� _
,e EXPIRES:October 2T,2020
•��FOP,1 Op' Bonded Ttw Notary Public UMWW'ters Signature of Notary Public