1725 Beach Ave GSRS21-0041 Fireplace, Water Heater s'�L';;�,., MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
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PERMIT GSRS21-0041
`� ISSUED: 4/22/2021
\ ,t� CITY OF ATLANTIC BEACH EXPIRES: 10/19/2021
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:
Fireplace, 3 Outlets, 1 Water
1725 BEACH AVE MECHANICAL RESIDENTIAL GAS Heater: NEW SINGLE FAMILY $2000.00
HOME
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169665 0000 NORTH ATLANTIC BCH
UNIT 1
COMPANY: ADDRESS: CITY: STATE: ZIP:
FLORIDA PROPANE-Griffis
461 TRESCA RD JACKSONVILLE FL 32225
Gas
OWNER: ADDRESS: CITY: STATE: ZIP:
FRISCH MARK A 1725 BEACH AVE ATLANTIC BEACH FL 32233-5838
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT If\
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:. .
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
GAS PIPING OUTLETS 455-0000-322-1000 4 $10.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
PREFABRICATED FIREPLACES 455-0000-322-1000 1 $30.00
Issued Date:4/22/2021 1 of 2
;itt MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
i4,eti PERMIT GSRS21-0041
re f ISSUED: 4/22/2021
��µs ,� V CITY OF ATLANTIC BEACH EXPIRES: 10/19/2021
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
VENTED WALL FURNACE WATER HEATER UNIT 455-0000-322-1000 1 $5.00
TOTAL:$104.00
Issued Date:4/22/2021 2 of 2
Mechanical Permit Application **ALL INFORMATION
�� HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: �. S�o - S
JOB ADDRESS: 17.2 S 6eCt6h 4-V 4-R. L �.. PROJECT VALUE $ 400C%
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
❑ Air Handling Equipment Only ❑ Condenser Only Li 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)
❑ Air Handling Equipment Only Li 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 �— Boilers BTUs
Elevators/Escalators
DICALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces 0 Refrigerator Condenser BTUs
#Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
10TH ER:
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: �olf4, 6 " '-h Phone Number: (909 )l'j - 1
Mechanical Company: F/ar4A. Proli4rt4 C-,& Office Phone: 9Of 70111-4)3(4 3 Fax l
Co. Address: 6/4) Tr'S<& /2..44 City: (JR _t.66y1I/t I k. State: FL Zip: '34.--1<.) J
License Holder: /S I C`ILE (i1 rS Stat�ification/Registration# ice- C1 1 7 6 7,7
Notarized Signature of License Holder / -../Pre-110111.11.— h
The foregoing instrument was acknowled:. ••efor is ).-2 day of APP[ L , 20 2) , in the State of Florida,
County of PO VOLt
Signature of Notary Public
CHRISTIAN GILES
:�?•"'`•�-: [ ] Personally Known OR Prod ced Iden(�ification
Lk :,: MY COMMISSION#HH 117153 1 S S f O RT
r^'r Type of Identification:
='� P EXPIRES:April 13,2025 `,
•.,DF F�,•
BUpdated 10/9/18
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