Permit Gas 299 A Atlantic 2011 1s CITY OF ATLANTIC BEACH
� ` 0 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
ds, r . INSPECTION PHONE LINE 247 -5814
Application Number 11- 00002608 Date 9/12/11
Property Address 299 ATLANTIC BLVD A
Application type description MECHANICAL GAS PIPING
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
INSTALL 4 GAS OUTLETS FOR KITCHEN EQUIPMENT
Owner Contractor
SOUTHCOAST CAPITAL PTNRSHP LTD AEI INTERNATIONAL CORP
1600 INDEPENDENT SQUARE 7709 ALTON AVE
JACKSONVILLE FL 322025018 JACKSONVILLE FL 32211
(904) 724 -9771
Permit MECHANICAL GAS PIPE PERMIT
Additional desc . 4 NEW GAS OUTLETS
Permit Fee . . . 65.00 Plan Check Fee .00
Issue Date . Valuation . . 0
Expiration Date . . 3/10/12
Other Fees STATE MECH DCA SURCHARGE 2.00
STATE MECH DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 65.00 65.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 69.00 69.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247 -5826 Fax (904) 247 -5845
JOB ADDRESS: r. 7 °C 9 ktcoort■I e 1 kl VS A PERMIT
PROJECT VALUE $ 1 % 0O ARI #
REQUIRED
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 PIPIlIG Heat Exchanger
Quantity of Outlets Pumps
# Vented Wall Furnaces Refrigerator Condenser BTU's
# Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
OTHER:
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 M S ket NO( Phone Number
Mechanical Company a E .E 6 A - 4 U ; C t S Office Phone 72 ) ) I Fax 2 ( 3;5 '
Co. Address: hcR O'R fk CitfJkCk -scAv, State &Zip 322 ((
License Holder (Print): t at-7 .‹,o(--., \ ,
State Certification/Registration # 99<i--
Notarized Signature of License Holder /, • w- --,
'
Sworn and subscribed before e this / day of _ / 20/7
DEHO g FIAHAMANDAWHITE Z' 3'
• =' „ ' �,. MY CAMMISSION # EE 057349 S1 nature of Notary Public / ��
* i _
�` cM ' " EXPIRES: May 21, 2015 Bonded Thru Notary Public Underwrders
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