2210 W Oceanwalk Dr GSRS19-0090 Piping MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
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PERMIT GSRS19-0090
ISSUED: 10/25/2019
i►,,, kn CITY OF ATLANTIC BEACH EXPIRES: 4/22/2020
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:
2210 W OCEANWALK DR MECHANICAL RESIDENTIAL GAS GAS PIPING AND 2 OUTLETS $660.00
(GRILL& FIREPIT)
TYPE OF REAL ESTATE BUILDING USE
ZONING: SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169463 0530 OCEANWALK UNIT 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
PROGASCO, CORP. 7709 ALTON AVE JACKSONVILLE FL 32211
OWNER: ADDRESS: CITY: STATE: ZIP:
BECKENBACH MARK E 2210 OCEANWALK DR W ATLANTIC BEACH FL 32233-4575
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 1 510.00
MECHANICAL BASE FEE 455-0000-322-1000 U $55.00
PREFABRICATED FIREPLACES 455-0000-322-1000 1 $30.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 U $2.00
TOTAL: $99.00
Issued Date: 10/25/2019 1 of 2
J� '4' MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
PERMIT GSRS19-0090
'' s ISSUED: 10/25/2019
I ,. CITY OF ATLANTIC BEACH EXPIRES: 4/22/2020
Issued Date: 10/25/2019 2 of 2
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904)247-5845 RS(q _ C090
JOB ADDRESS:- ,D OCP(�hi,�/G/A ,1�/✓; /�-}/OII* ,Aouc/ilRl 32133PERMIT# I
PR JECT VALUE $ WI U• 00 ARI# REQUIRED
1
Air andling Equipment Only Air Handling Unit & Condenser Condenser Only
—
NEW - R CONDITIONING & HEATING SYSTEM INSTALLATION
Air onditioning: Unit Quantity Tons Per Unit
Heat Unit Quantity BTU's Per Unit Seer Rating
Duct Systems: Total CFM REQUIRED
REPL CEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air onditioning: Unit Quantity Tons Per Unit
Heat Unit Quantity BTU's Per Unit Seer Rating_
Duct Systems: Total CFM REQUIRED
FIRE P E VENTION
Fire prinkler 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 PACES MISCELLANEOUS:
Pref bricated Fireplace Qty Automobile Lifts
Gas iping Outlets Boilers BTU's -
Elevators/Escalators
ALL O HER GAS PIPING Heat Exchanger
Qua tity of Outlets Pumps
V ted Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
W r' /l &gi
OTHER: Run -eJ /erg ur ks line --P ll1-4,,,,,y.• -
,I
",--nit bccojnes toid 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
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 i
net. The pelinit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name .MG/K QJAckI t Bec4nb€ch Phone umbpri0/�514,-5353
4
N lechanical Company 4}'r) 4-000, 610/7 Office Phone 7a/-5-93) Fax 4 -S-737
Co. Address: '7'709 /7/ I1 Avenue City (JGe/G.. /1 vi1/F State tt Zip 3221/ _
License Holder(Print): t i✓l.n tel(GIan0 State Certification/Registration# qc 74
.x•otarized Signature of License Holder 0 t-t - /
.)'&D Gas, Inc Before me this day of VC-�z��Gr' 20 / -
1
/444.4.4... 144t
1709 Alton A, : Notary attAi�f N e ary Public
itlialAVA-4.i.
.1acksonville, FL j• �"it Renes "
9 4« 725-91 ' odi EE,�ka t �1 t
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i Cash Register Receipt Receipt Number
tar
City of Atlantic Beach R10856
DESCRIPTION ACCOUNT I QTY I PAID
PermitTRAK $99.00
GSRS19-0090 Address: 2210 W OCEAN WALK DR APN: 169463 0530 $99.00
MECHANICAL $95.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
GAS PIPING OUTLETS 455-0000-322-1000 1 $10.00
PREFABRICATED FIREPLACES 455-0000-322-1000 1 $30.00
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: R10856 $99.00
Date Paid: Friday, October 25, 2019
Paid By: PROGASCO, CORP.
Cashier: CB
Pay Method: CREDIT CARD 10
Printed: Friday,October 25, 2019 3:34 PM 1 of 1