1871 Atlantic Beach Dr GSRS19-0081 Generator r;' '% MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
' ,�.iGSRS19-0081
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I PERMIT ISSUED: 10/10/2019
,,:, . CITY OF ATLANTIC BEACH EXPIRES: 4/7/2020
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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:
run exterior gas line for
1871 ATLANTIC BEACH DR MECHANICAL RESIDENTIAL GAS $700.00
generator
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169505 1560 ATLANTIC BEACH
COUNTRY CLUB UNIT 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
PROGASCO, CORP. 7709 ALTON AVE JACKSONVILLE FL 32211
OWNER: I ADDRESS: CITY: STATE: ZIP:
TUBBS ROBERT J 1871 ATLANTIC BEACH DR 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.
,
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 Date: 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 C, S QS t CI --a�P-j
JOB ADD SS:. 181/ M-II,i Ralh or 11+16n he /3PGcti,R PERMIT# �0 /
PR JECT VALUE $ JE 70 '00 ARI# REQUIRED
Air andling Equipment Only Air Handling Unit & Condenser Condenser Only
—
NEW A R CONDITIONING & HEATING SYSTEM INSTALLATION
Air C nditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating
Duct 'stems: Total CFM REQUIRED
REPLA , EMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat:j Unit Quantity BTU's Per Unit Seer Rating
Duct 'stems: Total CFM REQUIRED
FIRE P EVENTION
Fire prinkler System Quantity (Requires 3 sets of plans)
Fire tandpipe Quantity (Requires 3 sets of plans)
Unde ground Fire Main Value (Requires 3 sets of plans)
Fire ose 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
GasP iping Outlets Boilers BTU's
Elevators/Escalators
ALL 0 HER GAS PIPING Heat Exchanger
Qua City of Outlets Pumps
Ve ted Wall Furnaces Refrigerator Condenser BTU's
W ter Heaters Solar Collection Systems
Tanks(gallons)
Wells
OTHE : 140 %elie✓rur AS lute'
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Permit bcco es 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 hate read
..;iupp!ica ion and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether spccitied i
net. The oc it does not give authority to violate the provisions of any other state or local law regulation construction or the performance �construction.
Property Owners Name A. 6.4)111' Tuffs Phone Number X Stic-833 /
D // 104 (414/)
N lechanif al Company`"�(Z2SQ'), LIJrp Office Phone'2?/X4f?) Fax Tai-g7,17
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I C,l'+ ISdnvJ/ll State - Zip,3ZZ/I
Co. _-address: ��D9 /WO) ��/)uQ City C
License lHolder(Print): Ate e ill i4 Lel ti 4i State Certification/Registration# (Pr/
Notarized Signature of License Holder 0
Before me this /b `day of QG'{71 bie 20 q
Of Notary Public State of Florida / / W'((AO�phani Renee t*Gui1e Signature of Notary Public .e!l _%_
4 • s Convnisaion GG 121258
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