1654 Atlantic Beach Dr GSRS19-0078 Generator %�11.)V. MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
,..;\ GSRS19-0078
- PERMIT ISSUED: 10/10/2019
''72:73.1119''_./ 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
1654 ATLANTIC BEACH DR MECHANICAL RESIDENTIAL GAS $700.00
generator
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169505 2050 ATLANTIC BEACH
COUNTRY CLUB UNIT 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
PROGASCO, CORP. 7709 ALTON AVE JACKSONVILLE FL 32211
OWNER: ADDRESS: CITY: STATE: ZIP:
PARKER WARREN ROSS 1654 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 $200
TOTAL: $69.00
Issued Date: 10/10/2019 1 of 2
MECHANICAL PERIMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845 A s 9,s let` 00-1-F
.,OB ADDRESS:4- /V51 / nIic .f etch Ar ' 11-4-Ir,,fit Reach{ RL PERMIT##
. z33
PROJECT VALUE S je -P106 . (X� ARI# REQUIRED
Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only
E:W AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating
Di.:4: Systems: Total CFM _ REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
:: C,.';:ditioning: Unit Quantity Tons Per Unit
-feat: Unit Quantity BTU's Per Unit Seer Rating
Duct Systems: Total CFM REQUIRED
FIRE PREVENTION
r_i e
Sprinkler System Quantity (Requires 3 sets of plans)
:re 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)
"ottmercial Hoods Quantity (Requires 3 sets of plans)
FireSuppression Systems Quantity (Requires 3 sets of plans)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts
Gas'Piping Outlets Boilers BTU's
Elevators:E scalators
.ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
= rented Wall Furnaces Refrigerator Condenser BTU's
= Water Heaters Solar-Collection Systems
Tanks(gallons)
Wells
0.11-1 ER: Eu h -,.l le ri are' ()LS /,, y 9 ruoi-4 ice' — — — —
:co:-yes%oid if work does not commence within a six month period or‘Nork is suspended or abandoned for six months.I hereby certify that I a,e
^:.;,,:. cation and know the same to be true and correct. All provisions of laws and ordinances_o‘emine this work kill be complied with 1lhether s
re •a-mit does not give authority to%iolate the provisions of any other state or local law regulation construction or the performance of constructor
�:;:-t:. Owners Name AL L,s4 i i/K.er Phone \umb r C f 72
(ya/) cc.
7_,;z ! cai Company ' .S ) .t' Office Phone gib?/ S9/3/Fax 7a/ -$ 7I7
.,_; . .\ddress: /7vq Mini / ►'-er)II ' City\ke k f'i11P State /2 Zip ??Z//__
L/• Q _ State Certification/Registration 9.2 Z_,/_ ___-__
�_i:,:nse Holder(Print): __M�1 WO l,(�. X
.`•otnri-cid Signature of LicenNe Holder e.--
Before
.- h-
,,r, PuWrc State of FlonOa Before me this_ tC/ day of ckhe• �0/9 /
Notary n v. 1/WY�
? Ste hanie Renee McGwre //JW'
I
� My Commrss�on GG 123258 Signature of Notary Public
Na wd Expuea 08/018021
S IL/I el/V:0,
Cash Register Receipt Receipt Number
)� r
City of Atlantic Beach R10714
fi soir
orii9,'
DESCRIPTION I ACCOUNT I QTY PAID
PermitTRAK $347.00
GSRS19-0077 Address: 320 10TH ST APN: 170032 0000 $71.00
MECHANICAL $67.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
GAS PIPING OUTLETS 455-0000-322-1000 5 $12.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
GSRS19-0078 Address: 1654 ATLANTIC BEACH DR APN: 169505 2050 $69.00
MECHANICAL $65.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
GAS PIPING OUTLETS 455-0000-322-1000 1 $10.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
GSRS19-0079 Address: 1859 ATLANTIC BEACH DR APN: 169505 1550 $69.00
MECHANICAL $65.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
GAS PIPING OUTLETS 455-0000-322-1000 1 $10.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
GSRS19-0080 Address: 1865 ATLANTIC BEACH DR APN: 169505 1555 $69.00
MECHANICAL $65.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
GAS PIPING OUTLETS I 455-0000-322-1000 1 $10.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
GSRS19-0081 Address: 1871 ATLANTIC BEACH DR APN: 169505 1560 $69.00
MECHANICAL $65.00
MECHANICAL BASE FEE 455-0000-322-1000 I 0 $55.00
Date Paid: Thursday, October 10, 2019
Paid By: PROGASCO, CORP.
Cashier: CT
Pay Method: CREDIT CARD 01145D
Printed:Thursday,October 10,2019 2:19 PM 1 of 2
eril%0 ,� Cash Register Receipt Receipt Number
`t: ' City of Atlantic Beach R10714
DESCRIPTION ACCOUNT QTY I PAID
PermitTRAK $347.00
GSRS19-0081 Address: 1871 ATLANTIC BEACH DR APN: 169505 1560 $69.00
MECHANICAL $65.00
GAS PIPING OUTLETS 455-0000-322-1000 1 $1C 00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R10714 $347.00
Date Paid: Thursday, October 10, 2019
Paid By: PROGASCO, CORP.
Cashier: CT
Pay Method: CREDIT CARD 01145D
Printed:Thursday,October 10,2019 2:19 PM 2 of 2