1618 Atlantic Beach Dr GSRS19-0086 Generator Gas Line 0—AN' e MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
r GSRS19-0086
a PERMIT ffir ISSUED: 10/21/2019
CITY OF ATLANTIC BEACH EXPIRES: 4/18/2020
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 external gas line for
1618 ATLANTIC BEACH DR MECHANICAL RESIDENTIAL GAS $700.00
generator
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169505 1125 ATLANTIC BEACH
COUNTRY CLUB UNIT 01
COMPANY: ADDRESS: CITY: STATE: ZIP:
PROGASCO, CORP. 7709 ALTON AVE JACKSONVILLE FL 32211
OWNER: ADDRESS: CITY: STATE: ZIP:
LANIER MICHAEL W& 1618 ATLANTIC BEACH JACKSONVILLE FL 32223
LINDA
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.
FEES •
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
Issued Date: 10/21/2019 1 of 2
MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
"-' GSRS19-0086
,(*Av.
� PERMIT ISSUED: 10/21/2019
j 0. CITY OF ATLANTIC BEACH EXPIRES:4/18/2020
TOTAL: $69.00
Issued Date: 10/21/2019 2 of 2
ei *44' Cash Register Receipt Receipt Number
City of Atlantic Beach R10796
J0
DESCRIPTION I ACCOUNT QTY I PAID
PermitTRAK $69.00
GSRS19-0086 Address: 1618 ATLANTIC BEACH DR APN: 169505 1125 $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
TOTAL FEES PAID BY RECEIPT: R10796 $69.00
Date Paid: Monday, October 21, 2019
Paid By: PROGASCO, CORP.
Cashier: CB
Pay Method: CREDIT CARD 8
Printed: Monday,October 21,2019 3:11 PM 1 of 1
UW(iT
**ALL INFORMATION
, !=, ,-;- Mechanical Permit Application HIGHLIGHTED IN
j,lr
'' ) City of Atlantic Beach Building Department GRAY IS REQUIRED.
✓,- ' 800 Seminole Rd, Atlantic Beach, FL 32233 /1 Se----SM
� c G _
Phone: (904) 247-5826 Email: Building-Dept(�coab.us PERMIT#:��JF--S I - uLI b�
JOB ADDRESS: 1 1 y ICt,v\-i- ecci, "Dr PROJECT VALUE $ 7QO. O
❑NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
El Air Handling Equipment Only 0 Condenser Only 0 Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTUs per Unit Seer Rating (REQUIRED) ,
Duct Systems: Total CFM
❑REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) 4
0 Air Handling Equipment Only ❑ Condenser Only 0 Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit r
Heat: Unit Quantity BTU's Per Unit Seer Rating (REQUIRED)
Duct Systems: Total CFM
FIRE PREVENTION I
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) i
Fire Hose Cabinets Quantity (Requires 3 sets of plans)
Commercial Hoods Quantity (Requires 3 sets of plans) a
Fire Suppression Systems Quantity (Requires 3 sets of plans) 1
FIRE PLACES (MISCELLANEOUS: I
Prefabricated Fireplace (Qty) Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators y
[TALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTUs 1
14 Water Heaters Solar Collection Systems ,
Tanks (gallons)
Wells
WITHER: }-eft/ct.l , a \ c t T i e F7c.,'f-or7 1
Permit 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 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 provisions of any other state or i
local law regulation construction or the performance of construction. ,
1
Owner Name: m,C v-,,,,1 Lct tn-.el Phone Number: cioq.-33Y-19'95 l
Mechanical Company: Q('o-\Jacc 0 Office Phone: 3014--7Q)a)—5931 Fax 7a j —5737
Co. Address: —2"70 ci A( - -- A," City: 5 r r,...t./;1 Ie State: R.— Zip: `/
License Holder: '(Y\P`L/i in Lu c..t m.n cD / State Certification/Registration# 9a7tf
/
Notarized Signature of License Holder / `'" ` I
The foregoing instrument was acknowledged be ore me this a 1 day of Oe-fv eer, 20fq, in the State of F rida,
County of _Du v al - f
Signature of Notary Public4- /« In
( 1
401.141„ Notary Public stats o1 FWnaa personal) Known OR Produced Identification
4
StepReme Renee McGuire
fi Y
my Commission GG 12325e Type of Identification:
Esp.08/01/2021
q Updated 10/9/18
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