532 ATLANTIC BEACH CT - GAS PIPING (2) , 'r Jam'
CITY OF ATLANTIC BEACH
- f 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
MECHANICAL GAS PIPE PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 17-MCHG-3112
Job Type: MECHANICAL GAS PIPING
Description: GAS PIPING - CONNECT 2 WATER HEATERS,
COOKTOP AND FIREPLACE
Estimated Value:
Issue Date: 1/26/2017
Expiration Date: 7/25/2017
PROPERTY ADDRESS:
Address: 532 ATLANTIC BEACH CT
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: AEI INTERNATIONAL CORP.
Lewis D. Spradlin,Jr., 19471
Address: 7709 ALTON AVE QA LEWIS SPRADLIN
Phone: 904-724-9771
FEES:
Gas 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: $79.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
02/04/2011 21:46 9047213350 AEIGAS PAGE 01/01
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904)247-5845 1 - !' CH 3 (
ioB ADDRESS: S43Z1G
ITTt C, +izac F1 C-f- PERMIT#_ _.
PROJECT VALUE$ ARI# _ . REQUIRED
Air Handling Equipment Only Air Handling *Unit & Condenser Condenser Ont
4EW 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
TEPLACEMENT 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
[RE 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)TIRE PLACES MISCELLANEOUS:Prefabricated Fireplace Qty Automobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalators
\LL OTHER GAS PIPING Heat Exchanger
I Quantity of Outlets Pumps
Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks(gallons)
IWells
)MER: finis n wort~ to C X- vw heatex ,- l]-eSC w '`
NAIL' Gk.• • ,! ♦ . a [ • ' . .:.
:mit becomes void if work docs not commence within a six month period or work is suspended or abandoned for six months.I hereby certify that I have
its application and know the same to be true and correct All provisions of laws and ordinances governing this work will be complied with whether specifi
ot. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction,
'roperty Owners Name ken Sciflov _ , . Phone Number CA 49—8 66ii
Aechanical Company Aft Mil- c099 000., rifk c,,S Se. V'tc ffice Phone 7244-1111 Fax "72.l -33.E
'o. Address: —1-70qAHan...I1v;e ^ City , t1i lie State Fl- f
Zip 3. ,
,icense Holder(Print): 861 incOL, &ra.c11 i f State Certification/Registration# g9 li_
4 Vj trit2 ed Si �16f� se older -44 t'vti ---
c f;',„ ..T\4,...V% Na ary Public• ate of Florida ti c:-,L41\.
L
:r'« v� My Comm.Expires Jul 13,2018 ` Before me this :-,4,p day of, \(\UG.x'U 20 .
• .,, tea;` Commission#FF 141288 a �-�
4,+°�`k Bonded Through%Mor�af Notary Assn. C� .--1.0.01.4-,,,-k_ 4---�.
„.. . ., Signature of Notary Public
CITY OF ATLANTIC BEACH CITY OF ATLANTIC BEACH
ATLANTICTLE BEACH,ROAD 8O0 ATLIBD
PHONE (904) 247 5825 FL 32233 ATLANTIC SEMINOLE
INEL 32233
Ol 26 2011 14:45:38
Cashieret Date:aat1/26/2017b2:4 CREDIT CARD
Receipt Numbed/0S/702293 4$'05 PM
VISA SALE
J2bWATER1HEATERS,1COOKTOP AND FIREPLACE GIT Card; XXXXXXXXXX%X2186
- Gas Piping Outlets $10.00 SEQ;: 2
Batch: 2'2
J2bWATERIHEATEERRS, COOKTOPSAND FIREPLACCENG3T 2
- Gas Piping Vented Units $10.00 INVOICE ICEOde: 026112
Entry Method: 26115
Job ID: 17-MCHC-3112 - GAS PIPING - CONNECT
2 WATER HEATERS, COOKTOP AND FIREPLACE MDB Node: Online
PR - State Mech DBPR Surcharge Manual
Tax Amount: $0.00
Job ID: 17-MCHG-3112 - GAS PIPING - CONNECT
Card Code: M
2-State MechRDCA SurchargeOD F$2 00 CE MDC
Job
WATER IHEATERS 1COOKTOP AND F REPLACENTPT
SALE AMOUNT $19.00
- Trade Permit Base Fee $55.00
Amount Due: $79.00
Tender Information: Cash $79.00
CUSTOMER COPY
Tender Type: CC
Tender Amount: $79.00
Change Due: $0.00