1711 Beach Ave ACRS19-0384 Gas Piping MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
PERMIT ACRS19-0384
ISSUED: 11/22/2019
CITY OF ATLANTIC BEACH EXPIRES: 5/20/2020
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:
GAS PIPING - 2 WATER
1711 BEACH AVE MECHANICAL RESIDENTIAL GAS HEATERS, 2 FIREPLACES & 3 $9426.00
OUTLETS
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169661 0000 NORTH ATLANTIC BCH
UNIT 1
COMPANY: ADDRESS: CITY: STATE: ZIP:
PROGASCO, CORP. 7709 ALTON AVE JACKSONVILLE FL 32211
OWNER: ADDRESS: CITY: STATE: ZIP:
PECORARO RUSSELL 1211 SALT MARSH LN FLEMING ISLAND FL 32003
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 3 $10.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
PREFABRICATED FIREPLACES 455-0000-322-1000 2 $60.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.03
Issued Date: 11/22/2019 1 of 2
tik1+4MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
. . �Ikr 141'4fr'„
PERMIT ACRS19-0384
4,, ISSUED: 11/22/2019
CITY OF ATLANTIC BEACH EXPIRES: 5/20/2020
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
VENTED WALL FURNACE WATER HEATER UNIT 455-0000-322-1000 2 $10.00
TOTAL:$139.03
Issued Date: 11/22/2019 2 of 2
Mechanical Permit Application **ALL INFORMATION
F:arif pp
HIGHLIGHTED IN
' "' City of Atlantic Beach Building Department GRAY IS REQUIRED.
� •
,, 800 Seminole Rd, Atlantic Beach, FL 32233 (� ',-- s "�9 _ 0 L--
"' Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: 17 I I Be4c,L, 11+re. 3g.�33 PROJECT VALUE $ ci ' . - 9
®NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI/I(REQUIRED)
0 Air Handling Equipment Only ID Condenser Only El 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 it(REQUIRED)
❑ Air Handling Equipment Only 0 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 (MISCELLANEOUS:
Prefabricated Fireplace (Qty) Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
nALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
tt Vented Wall Furnaces Refrigerator Condenser BTUs
It Watetj Heaters Solar Collection Systems
Tanks (gallons)
•I��.ei .,r Wells _-7 d')
E1 •TH ER: . a3 I 1%," ,2'tnla-1'-c/ -v c.2ce.i a —-F;r c (cc.c 1 ren es C ,r;(1 g,.,�,,..-i-v,� — of
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: (etri de/ CO,". -}'+rcJ C:41 ALA Phone Number: ci( --,T-0---fro
Mechanical Company: N*()�!�S rn Ca if Office Phone: M,71-54131 Fax
Co. Address: "?-709 A l-}nY, Acre City: - :a r 5o.-,u:1 ie State: R Zip:
License Holder: " j' L4 1—`-) c; u„i State Certification/Registration U `]a--74/
Notarized Signature of License Holder 6e- . `
d
The foregoing, ,�ndinstrument was acknowledged be ore me this ay of AAA(11l/2t', 20it/ in the State of Florida,
County of LLi_I,21 - _ // 4y
Signature of Notary Public, J-G(4u u-otikt l-c- / z1I��u'`
y� Nolary Public State of Florida
Stephanie Renee McGuire [c]'f'ersonally Known OR [ ] Produced Identification
3PMy Commission GG 123258
Type of Identification:
^� qac Expires 08/01/2021 yp
Updated 10/9/18
,s 54 Cash Register Receipt Receipt Number
0;a» City of Atlantic Beach R11135
\
Al
DESCRIPTION ACCOUNT I QTY PAID
PermitTRAK $139.03
ACRS19-0384 Address: 1711 BEACH AVE APN: 169661 0000 $139.03
MECHANICAL $135.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
GAS PIPING OUTLETS 455-0000-322-1000 3 $10.00
PREFABRICATED FIREPLACES 455-0000-322-1000 2 $60.00
VENTED WALL FURNACE WATER HEATER
455-0000-322-1000 2 $10.00
UNIT
STATE SURCHARGES $4.03
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.03
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R11135 $139.03
Date Paid: Friday, November 22, 2019
Paid By: PROGASCO, CORP.
Cashier: CT
Pay Method: CREDIT CARD 04202D
44,
Printed: Friday, November 22,2019 3:58 PM 1 of 1 I