2329 Barefoot Tr GSRS19-0100 i1•Ad ` MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
, � GSRS19-0100
. - - PERMIT
iv ISSUED: 12/5/2019
.on ,� CITY OF ATLANTIC BEACH EXPIRES: 6/2/2020
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:
2329 BAREFOOT TRACE MECHANICAL RESIDENTIAL GAS GAS PIPING 2 24 GAL $900.00
TANKS, ONE OUTLET
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169463 0618 OCEANWALK UNIT 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
FLORIDA PROPANE Griffis 461 TRESCA RD JACKSONVILLE FL 32225
Gas
OWNER: ADDRESS: CITY: STATE: ZIP:
HOSTO MICHAEL D 2329 BAREFOOT TRCE 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 $2.00
TANKS GAS OR LIQUEFIED PETROLEUM 455-0000-322-1000 48 $20.00
Issued Date: 12/5/2019 1 of 2
.,,vi---r MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
:;4;s GSRS19-0100
PERMIT ISSUED: 12/5/2019
�,: CITY OF ATLANTIC BEACH EXPIRES: 6/2/2020
TOTAL:$89.00
Issued Date: 12/5/2019 2 of 2
**ALL INFORMATION
rt�fL'% Mechanical Permit Application HIGHLIGHTED IN
�\ City of Atlantic Beach Building Department GRAY IS REQUIRED.
s M r,
u7 800 Seminole Rd, Atlantic Beach, FL 32233 S(<S(9I --S( 0 D
.',;'' Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: 3�c-\ ( r�;=ooh- `rice, PROJECT VALUE $ I (,v .
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
❑ Air Handling Equipment Only ❑ Condenser Only ❑ Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTUs per Unit Seer Rating (REQUIRED)
Duct Systems: Total CFM
P REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
❑ Air Handling Equipment Only ❑ Condenser Only ❑ 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
I 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
1ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets _____ Pumps
#Vented Wall Furnaces Refrigerator Condenser BTUs
#Water Heaters Solar Collection Systems
Tanks (gallons) a. A-asl- GkkJec5
Wells
[ OTHER:
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: (\1\t -tA c Phone Number: 161 111 ti 000
X3'3
Mechanical Company: 4-\k <1-.1,n-e- 'errACIS Office Phone: VU-17 Fax oy.7a\a1-k3
Co. Address: -lbvre%.4�. City: -cK ,v,\V State: ��' Zip: 3ZZ _'
� r, t-C_
License Holder: r7 1c St to Certification/Registration# '3( 2 vC)
Notarized Signature of License Holder
2O
The foregoiIg i 'stru ent as acknowledged ie!ire me t9 s, �`�J
rof � 1� in the State of Florida,
County of _=-- �_ Anis
, Signature of Notary Publi
TONI GINDLESPER 3E5f3t
:; MYCOIIISSION# 178 rsonally Known OR [ ] Produced Identification
' EXPIRES:October 6,2023
_., i'; Undecwxers Type of Identification:
I "'aodi�4• ga ThruN____ _ _ Updated 10/9/18