1765 Maritime Oak Dr GSRS20-0076 MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
GSR520-0076
PERMIT ISSUED: 10/23/2020
CITY OF ATLANTIC BEACH
EXPIRES: 4/21/2021
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.
JOTICE: In addition to the requirements of this permit,there may be additional restrictions applicable to this property
hat may be found in the public records of this county, and there may be additional permits required from other
:overnmental entities such as water management districts, state agencies, or federal agencies.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
1765 MARITIME OAK DR MECHANICAL RESIDENTIAL GAS install gas-piping outlet $800.00
TYPE OF REAL ESTATEZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169505 1810 ATLANTIC BEACH
COUNTRY CLUB UNIT 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
Hall's Gas Services, Inc. 3047 St Johns Bluff Rd S #8 Jacksonville FL 32246
OWNER: ADDRESS: CITY: STATE: ZIP:
STIMLER JONATHAN 1765 MARITIME OAK DR ATLANTIC BEACH FL 32233
ANDREW
YARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT If'
'OUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT
OUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU
NTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
ECORDING YOUR NOTICE OF COMMENCEMENT.
LIST OF CONDITIONS
toll 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
TOTAL:$69.00
Issued Date: 10/23/2020 1 of 2
I?'t\lrf' MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
_„.,. ;', PERMIT GSRS20-0076
ISSUED: 10/23/2020
CITY OF ATLANTIC BEACH
' Jr'', -)`' EXPIRES: 4/21/2021
Issued Date:10/23/2020 2 of 2
Mechanical Permit Application **ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
1:;)g -5, 800 Seminole Rd, Atlantic Beach, FL 32233
`-`'`'' Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: 015 f-'530 C4-).
JOB ADDRESS: 1765 Maritime Oak Drive PROJECT VALUE $800.00
❑NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
❑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
(REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
El 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 7 MISCELLANEOUS:
Prefabricated Fireplace (Qty) Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
❑✓ ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets 1 Pumps
If Vented Wall Furnaces Refrigerator Condenser BTUs
# Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
[jOTHER: Gas Line to Firepit
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:Jason E Hall Phone Number: (904)762-7016
Mechanical Company: Hall's Gas Services,inc Office Phone: (904)762-7016 Fax
Co. Address: 3047 St.Johns Bluff rd S#3 City: JAX State: FL Zip: 32246
License Holder: Jason E Hall State Certification/Registration # LI 32781
<-. ),Notarized Signature of License Holder
The foregoing instrument was ackn,<ed before me this *'3 day of OCCaillL( , 20aV, in the State of Florida,
County of PLANK (
Signature of Notary Public ,; tai. _4000P
•rN;??,; JENNIFER JOHNSTON V
'
.?=Q..� . : MY COMMISSION#GG 042984
p
-_'-1tltl1� EXPIRES. I ] Personally Known OR [ roduced Identification
: L.. J
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'00' Bonded Thru Notary Public Underwriters , Type of Identification: FC. dr.( i' .S k. Ct/tse__
• Updated 10/9/18