1253 Selva Marina Cir GSRS20-0020OWNER:ADDRESS:CITY:STATE:ZIP:
COMPANY:ADDRESS:CITY:STATE:ZIP:
SAWYER GAS OF THE
BEACHES 98 PENMAN RD JACKSONVILLE
BEACH FL 32250
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1253 SELVA MARINA DR MECHANICAL RESIDENTIAL GAS
GAS - 3 WATER HEATERS,
FIREPLACE, GRILL & 1000
GAL TANK
$8500.00
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
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
TANKS GAS OR LIQUEFIED PETROLEUM 455-0000-322-1000 1 $20.00
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
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.
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.
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.
1 of 2Issued Date:
PERMIT NUMBER
GSRS20-0020
ISSUED:
EXPIRES:
MECHANICAL RESIDENTIAL GAS
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
VENTED WALL FURNACE WATER HEATER UNIT 455-0000-322-1000 3 $15.00
TOTAL: $134.00
2 of 2Issued Date:
PERMIT NUMBER
GSRS20-0020
ISSUED:
EXPIRES:
MECHANICAL RESIDENTIAL GAS
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $381.00
GSRS20-0020 Address: 1253 SELVA MARINA DR APN: $134.00
MECHANICAL $130.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
TANKS GAS OR LIQUEFIED PETROLEUM 455-0000-322-1000 1 $20.00
GAS PIPING OUTLETS 455-0000-322-1000 1 $10.00
PREFABRICATED FIREPLACES 455-0000-322-1000 1 $30.00
VENTED WALL FURNACE WATER HEATER
UNIT 455-0000-322-1000 3 $15.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
GSRS20-0021 Address: 306 4TH ST APN: 169807 0000 $89.00
MECHANICAL $85.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
TANKS GAS OR LIQUEFIED PETROLEUM 455-0000-322-1000 1 $20.00
VENTED WALL FURNACE WATER HEATER
UNIT 455-0000-322-1000 2 $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
GSRS20-0028 Address: 1815 HICKORY LN APN: 172020 1442 $89.00
MECHANICAL $85.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
GAS PIPING OUTLETS 455-0000-322-1000 1 $10.00
TANKS GAS OR LIQUEFIED PETROLEUM 455-0000-322-1000 120 $20.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
GSRS20-0029 Address: 2221 ALICIA LN APN: 169519 0770 $69.00
MECHANICAL $65.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
GAS PIPING OUTLETS 455-0000-322-1000 3 $10.00
Printed: Friday, June 12, 2020 4:28 PM
Date Paid: Friday, June 12, 2020
Paid By: SAWYER GAS OF THE BEACHES
Pay Method: CHECK 129
1 of 2
Cashier: CT
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R12106
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $381.00
GSRS20-0029 Address: 2221 ALICIA LN APN: 169519 0770 $69.00
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: R12106 $381.00
Printed: Friday, June 12, 2020 4:28 PM
Date Paid: Friday, June 12, 2020
Paid By: SAWYER GAS OF THE BEACHES
Pay Method: CHECK 129
2 of 2
Cashier: CT
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R12106