1645 Maritime Oak Dr GSRS19-0096 Piping to Generator rS'J%,. MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
PERMIT GSRS19-0096
7.5 ISSUED: 11/12/2019
�a ,/ CITY OF ATLANTIC BEACH EXPIRES: 5/10/2020
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:
1645 MARITIME OAK DR MECHANICAL RESIDENTIAL GAS GAS PIPING TO GENERATOR $898.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169505 1995 ATLANTIC BEACH
COUNTRY CLUB UNIT 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
BILL FENWICK PLUMBING 11623 E COLUMBIA PARK DR JACKSONVILLE FL 32258
OWNER: ADDRESS: CITY: STATE: ZIP:
CHUNKO ANDREW T 1645 MARITIME OAK DR ATLANTIC BEACH FL 32233-5531
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
TOTAL: $69.00
Issued Date: 11/12/2019 1 of 2
ik MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
i *-441;:
' GSRS: 119-0096
,411111r
,, ij ISSUED1/12/2019
-. n PERMIT
CITY OF ATLANTIC BEACH EXPIRES: 5/10/2020
Issued Date: 11/12/2019 2 of 2
Mechanical Permit Application "ALL INFORMATION
,��Y��^ HIGHLIGHTED IN
1/4'
. " City of Atlantic Beach Building Department GRAY IS REQUIRED.
A. .
'� 800 Seminole Rd, Atlantic Beach, FL 32233 GSf J ( ,_ .i _ Ca
''"'i`- Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: l
JOB ADDRESS: 1645 Maritime Oak Drive, Atlantic Beach, FL 32233 PROJECT VALUE $898.00
0 NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI ll(REQUIRED)
0 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
nREPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI t1(REQUIRED)
❑Air Handling Equipment Only ❑ Condenser Only 0 Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating(REQUIRED)
Duct Systems: Total CFM
FIRE PREVENTION
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)
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 PLACES 7MISCELLANEOUS:
Prefabricated Fireplace (Qty) Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
✓TALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets 1 Pumps
#Vented Wall Furnaces Refrigerator Condenser BTUs
#Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
OTHER: Ran gas line to generator
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
local law regulation construction or the performance of construction.
Owner Name:Andy Chunko Phone Number: (904)437-7633
/3,0
Mechanical Company: Fenwick Piumbing Office Phore (904)724-7022 Fax'904)724-tifl69
Co. Address: 11623 Columbia Park DR E City: Jacksonville State. FL Zip: 32258
License Holder: Bill Fenwick JR State Certific.tion/Registration# Cf C040039
Notarized Signature of License Holder liI�C,/r -
The foregoi g instrument was acknowledged before me Is .- '� uayof I, , ; i` 201 I in the State of Florida,
Countyof i �'.;VsQ:
Signature of Notary Public (10-,Q)(90( 0 l�� � �1�'—
;R:t. ALEXANDRIA ACOSTA
MY COMMISSION a GG0A0381 [Personally Known OR [ ) Produced Identification4-- d ,,.`- EXPIRES April 04,2021 Type of Identification:
Updated 10/9/18
s
rCash Register Receipt Receipt Number
City of Atlantic Beach R11039
DESCRIPTION I ACCOUNT I QTY I PAID
PermitTRAK $69.00
GSRS19-0096 Address: 1645 MARITIME OAK DR APN: 169505 1995 $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: R11039 $69.00
CITY OF ATLANTIC BEACH
800 SENINOLE RD
ATLANTIC B:4C,FL 32233
11;'12,2019 13:35:54
CREDIT CARD
VISI,SALE
Card; XXXXXXXXXXXX2658
SEQ;: 9
Bath;: 973
INVOICE 9
Approval Code: 087464
Entry Method: Manual
Mode: Online
Tax Amount: $0.00
Cust Code:
Card Code: M
SALE AMOUNT 569,00
CUSTOMER COPY
Date Paid: Tuesday, November 12, 2019
Paid By: BILL FENWICK PLUMBING
Cashier: CB
Pay Method: CREDIT CARD 9
Io
Printed:Tuesday, November 12,2019 1:36 PM 1 of 1 n