1865 Atlantic Beach Dr GSRS19-0080 Generator MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
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'� PERMIT GSRS19-0080
ISSUED: 10/10/2019
CITY OF ATLANTIC BEACH EXPIRES: 4/7/2020
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:
install exterior gas line for
1865 ATLANTIC BEACH DR MECHANICAL RESIDENTIAL GAS $700.00
generator
TYPE OF REAL ESTATE i ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169505 1555 ATLANTIC BEACH
COUNTRY CLUB UNIT 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
PROGASCO, CORP. 7709 ALTON AVE JACKSONVILLE FL 32211
OWNER: ADDRESS: CITY: STATE: ZIP:
POTTER NEIL AND YVETTE 1865 ATLANTIC BEACHDR ATLANTIC BEACH FL 322.33
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.
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 1 $10.00
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:$69.00
Issued Dater 10/10/2019 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 CI S11._ S tc1 -co
JOB ADDRESS:* /g(496- /4'n h 13{ari lir. nHanfit Ralph ,T. 3 PERMIT#
/
PROJECT VALUE $ j '7/2O .00 ARI# REQUIRED
.air andling Equipment Only Air Handling Unit & Condenser Condenser Only
NEW . IR CONDITIONING & HEATING SYSTEM INSTALLATION
Air onditioning: Unit Quantity Tons Per Unit
Hea : Unit Quantity BTU's Per Unit Seer Rating
Duc Systems: Total CFM REQUIRED
REPL LCEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating -
DucSystems: Total CFM REOUIRED
FIRE REVENTION
Fire Sprinkler System Quantity (Requires 3 sets of plans)
Fire Standpipe Quantity (Requires 3 sets of plans)
Lind rground Fire Main Value (Requires 3 sets of plans)
Fire Hose Cabinets Quantity (Requires 3 sets of plans)
Con mercial Hoods Quantity (Requires 3 sets of plans)
Fire Suppression Systems Quantity (Requires 3 sets of plans)
FIRE LACES MISCELLANEOUS:
Pre bricated Fireplace Qty Automobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalators
ALL THER GAS PIPING Heat Exchanger
Qu ntity of Outlets Pumps
V nted Wall Furnaces Refrigerator Condenser BTU's
\\dater Heaters Solar Collection Systems
Tanks (gallons)
r�
Wells
OTHER: Geirn ,e,}/,k'viL✓ /PS 1//2e —kr" rit - -
!'emit bccbmcs 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
;is 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:
not. The permit does not give authority to violate thetprovisions of any other state or local law regulation construction or the performagccee o tconstruction.
Propert� Owners Name A. Neil i I i€1 Pv r Phone l unller (�,S Jvan `3157
Iechanical Company�C l?�GSiD, a/t7
Office Phone�/ 5/3/ Fax 12i— Jc731
Co. Address: /no 9 Alien /terve City Jae esdrl✓///e State R Zip 322/1_
Licens I Holder(Print): Ale ion Luc,ore State Certification/Registration# 9627V . '
Votarizeld Signature of License Holder 4
•
8 Before me this /0`6 day of OC-ivb/se 20 /9
N,,ap, Renee McGuire Signature of Notary Public State of Florida : lJ44!�
wly orta�Ision(30 123458
Esptss 08101/2021