1253 Selva Marina Cir GSRS20-0012 Fireplace MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
JS ' 31
PERMIT GSRS20-0012
ISSUED: 3/12/2020
..\,;,,, CITY OF ATLANTIC BEACH EXPIRES: 9/8/2020
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: E VALUE OF WORK:
1253 SELVA MARINA CIRCLE MECHANICAL RESIDENTIAL GAS GAS PIPING - FIREPLACE $7508.00
TYPE OF REAL ESTATEBUILDING USE
ZONING: I SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
COMPANY: ADDRESS: CITY: STATE: ZIP:
SETZERS& COMPANY 7660 PHILLIPS HWY JACKSONVILLE FL 32241
OWNER: ADDRESS: CITY: STATE: ZIP:
DORMESHIAN ANDREW
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
a r
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
MECHANICAL BASE FEE 455-0000-322-1000 0 $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 0 $2.00
TOTAL:$89.00
Issued Date:3/12/2020 1 of 2
MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
PERMIT GSRS20-0012
ISSUED: 3/12/2020
i,; CITY OF ATLANTIC BEACH EXPIRES: 9/8/2020
Issued Date:3/12/2020 2 of 2
' Mechanical Permit Application **ALL INFORMATION
} ��-epp HIGHLIGHTED IN
T,� r( City of Atlantic Beach Building Department GRAY IS REQUIRED.
\ 800 Seminole Rd, Atlantic Beach, FL 32233SRS'zo - col
r,"'~� Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: 1253 SELVA MARINA CIR PROJECT VALUE$7508.00
❑NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
0 Air Handling Equipment Only El Condenser Only CI 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)
0 Air Handling Equipment Only 0 Condenser Only El 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)
AFIRE PLACES fl MISCELLANEOUS:
Prefabricated Fireplace(Qty) 1 Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
nALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
U Vented Wall Furnaces Refrigerator Condenser BTUs
#Water Heaters Solar Collection Systems
Tanks (gallons)
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: BROWDY& BROWDY Phone Number: 9045094483
Mechanical Company: SETZERS Office Phone: 9047314100 Fax9047308935
Co.Address: 7660 PHILIPS HWY City: JACKSONVILLE State: FL Zip: 32256
License Holder: BERRY ROBERTS tate Certification/Registration# 30560
Notarized Signature of License Holder --Ye-
The
—The foregoing instrume t was acknowledged before me this 1 J day of mu rc L ,20 auin th State of Florida,
County of J U.ii
Signature of Notary Public ,t Ltill-,.li J a-�-eiAe
or- MELINDAL.GALLUP �j personally Known OR [ 1 Produced Identification
., '. MY COMMISSION$1 Gra 281855 /` '�
EXPIRES:1►prtl16,20Q5 Type of Identification:
..*.i.,..:1.41; }} Updated 10/9/18
'�.fOF FYI.• Bonded _ .._.. 1