538 ATLANTIC BEACH CT - GAS PIPING r��\r
,f-------' �5 f CITY OF ATLANTIC BEACH
c) 800 SEMINOLE ROAD
\ ;" ATLANTIC BEACH, FL 32233
. INSPECTION PHONE LINE 247-5814
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MECHANICAL GAS PIPE PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID:
16-MCHG-1018
Job Type: MECHANICAL GAS PIPING
Description: GAS PIPING - 2 WATER HEATERS. DRYER AND SUMMER
KITCHEN
Estimated Value: $1,700.00
Issue Date: 6/10/2016
Expiration Date: 12/7/2016
PROPERTY ADDRESS:
Address: 538 ATLANTIC BEACH CT
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: AEI INTERNATIONAL CORP.
Address: 7709 ALTON AVE QA LEWIS SPRADLIN
Phone: - -
FEES:
IGas Pipe Outlets $10.00
Gas Piping Vented Units $10.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $79.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
,1r
k ATLANTIC BEACH
4.-
�- �• h, s> PERMIT RECEIPT
K
PERMIT DESCRIPTION: GAS PIPING - 2 WATER HEATERS, DRYER AND SUMMER KITCHEN
PERMIT NUMBER: 16-MCHG-1018
ADDRESS: 538 ATLANTIC BEACH CT PAID
OWNER: uN 10 216
.�LA��IC BEA
DATE ISSUED: COSY OF P ,-(
1
FEES DUE:
Gas Pipe Outlets $10.00
Gas Piping Vented Units $10.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00 CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,FL 32233 _
Trade Permit Base Fee $55.00 06 10.2016 12.52:09
CREDIT CARD
VISA SALE
CARD J, XXXXXXXXXXXX2786
Totals: $79.00 INVOICE
0002
SEQ#: 0002
Batch#: 0003344 _
Approval Code: 010046
Entry Method: Manual
Mode: Online
Tax Amount, $0.00
Card Code: M
SALE AMOUNT $251.00
CUSTOMER COPY
MECHANICAL YERMIT APPLICA'I'IU N •
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233 • -
Ph(904)247-5826 Fax (904)247-5845 I Co —f 1i1,C..i E, - I C) 18
JOB ADDRESS: 53?) 4 f 10 Mil C 19 ct.C, h G`- PERMIT# 1(. - S"F*a, 53
PROJECT VALUE $ 17O. D 0 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 lams
Fire Sprinkler System Quantity - (Requires 3 sets of p )
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 •Z Solar Collection Systems
Tanks (gallons)
Wells
j 2 a,-e.r er. a r - r an& SU.n-� .r.. n
OTHER: �.S •, Qri II
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.1 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_____`e n'n 1-01/41ktrn Phone Number
Mechanical Company fir,i iw 't_. C4 _)g-Al., P+ G S v-4pL ..Office Phone-/g4-911 i Fax 7_,)1 -'2)-65(..)
`?I OCI. (�\A-nrx �'-(1 City Y'f' . t n A1C' Statesr! Zip,.'
Co. Address: r-
;1 \ '' State Certification/Registration# 99
License Holder(Print): 7.17--y..\��fol.i n o� '
Notarized Signature of License Holden r', .''`'
Before me this _`
r __ day of L/ • 20 /eO G
T ; EXIrOI/2OI7
Signature of Notary Public ‘ ' /f,
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