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1768 Beach Ave GSRS21-0003 Range, Grill, Fireplace 0.._";----'1. ,'f, \ MECHANICAL RESIDENTIAL GAS PERMIT NUMBER .� a, `' GSRS21-0003 qtr, ' PERMIT "� ISSUED: 1/8/2021 .��;;„ v CITY OF ATLANTIC BEACH EXPIRES: 7/7/2021 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. 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: 1768 BEACH AVE MECHANICAL RESIDENTIAL GAS GAS PIPING RANGE. GRILL $1500.00 & FIREPLACE TYPE OF REAL ESTATE i ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 169602 0000 OCEAN GROVE UNIT 02 COMPANY: I ADDRESS: CITY: STATE: ZIP: TUBE WORKS 9652 CHUTNEY CT JACKSONVILLE FL 32205 OWNER: ADDRESS: t CITY: • STATE: ZIP: OLEARY DEREK 1758 BEACH AVE ATLANTIC BEACH FL 32233 WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT II\ 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 3 $10.00 1 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: 1/8/2021 1 of 2 rt' ‘ilrlr' MECHANICAL RESIDENTIAL GAS PERMIT NUMBER � �4�� ._. PERMIT GsRs21-0003 �t �" ISSUED: 1/8/2021 ,;; ,� CITY OF ATLANTIC BEACH EXPIRES: 7/7/2021 Issued Date: 1/8/2021 2 of 2 , �,-0-4�,, �� Mechanical Permit Application **ALL INFORMATION HIGHLIGHTED IN f i City of Atlantic Beach Building Department GRAY IS REQUIRED. air 800 Seminole Rd, Atlantic Beach, FL 32233 S l - UOE `" Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: JOB ADDRESS: / /64- ISEO%CK AI/ PROJECT VALUE $ ,SOD, 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 PI 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 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 I Boilers BTUs Elevators/Escalators ❑ALL OTHER GAS PIPING Heat Exchanger Quantity of Outlets 3— Pumps #Vented Wall Furnaces Refrigerator Condenser BTUs #Water Heaters Solar Collection Systems Tanks (gallons)Wells / I I OTHER: 1 c.lS 0(4_ le, (=, ►-e (C� C e Artc Q 1`f ( 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: /` ,� '� JJ //// Phone Number: `U Mechanical Company: /(./b-C u/1 /4: �//� Office Phone: yDY 83� ') Fax ?f/ 5( / Co. Address: PO gels J 742 City: J -% State4 Zip 4– License Holder: �–Gt - ' (--/O "'. State Cert'fication/Registration# 0 0/ I Notarized Signature of License Holder The foregoity�nt v{as acknowledged before me this7 d., • 'i 2` in the State of Florida, County of o— - Signature of Notary Public — •� r .6„,.. [ ] Personally Known OR [ ] P,r�duceld Identification ,s k. TONI GINDLESPERGER Type of Identification: ? , MY COMMISSION#GG 353178 °°�. 1 EXPIRES:October 6,2023 Updated 10/9/18 l ''rFo °P'` Bonded Thru Notary Public Undervaiters t"