312 2nd St GSRS19-0060 fireplace permit MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
GSRS19-0060
PERMIT
ISSUED: 7/17/2019
p"t19' CITY OF ATLANTIC BEACH EXPIRES: 1/13/2020
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL • 'K MUST CONFORM TO THE CURRENT 6TH EDITION1 OF • '
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: PERMITTYPE: DESCRIPTION: VALUE OF WORK-
312 2ND ST MECHANICAL RESIDENTIAL GAS GAS PIPING - FIREPLACE $3600.00
TYPE OF •
ZONING: :D •
• • GROUP:
169760 0010 ATLANTIC BEACH
• ' ADDRESS:
SETZERS & COMPANY 7660 PHILLIPS HWY JACKSONVILLE FL 32241
• ADDRESS:
BAILEY ELIZAETH 312 2ND ST ATLANTIC BEACH FL 32233
SEABROOK
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 • . •
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
MECHANICAL BASE FEE 455-0000-322-1000 0 $SS.00
PREFABRICATED FIREPLACES 455-0000-322-1000 1 $30.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 45S-0000-208-0600 j 0 $2.00
TOTAL:$89.00
Issued Date: 7/17/2019 1 of 2
MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
PERMIT GSRS19-0060
ISSUED: 7/17/2019
CITY OF ATLANTIC BEACH EXPIRES: 1/13/2020
Issued Date: 7/17/2019 2 of 2
G�
MECHANICAL PERMIT APPLICATION D I
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax(904)247-5845 R -0014-D
JOB ADDRESS: 2/0� d 1:�l . PERMrr#
PROJECT VALUE$ J�(t 00 — ARI# REQUIRED
Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating
Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating
Duct Systems: Total CFM REQUIRED
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 BTU's
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
OTHER: D �,O �
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.
Property Owners Name cl-�^ �i za-� Cie Uti Phone Number?5y-Sys' 3 MC
Mechanical Company &h-44/3 Office Phone Z3/ q(41) Fax 73� --V0 1
Co. Address:-]] (0 0 �h ns �`ham/ City � State::�Zip&22J7-
License Holder(Print): yl-�j State Certification/Registration# gt3�&U
Notarized Signature of License Holder
MELINDAL.GALLUP Before me this day of y1a 20
MY COMMISSION M GG 284553
EXPIRES:April 16.2023 Signature of Notary Public
••4f OF R�
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