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526 Atlantic Beach Ct GSRS19-0004 gas permit 1p MECHANICAL RESIDENTIAL GAS PERMIT NUMBER PERMIT GSRS19-0004 ISSUED: 1/16/2019 CITY OF ATLANTIC BEACH EXPIRES: 7/15/2019 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: DESCRIIFTIOk.'� VALUE OF WORK: 526 ATLANTIC BEACH CT MECHANICAL RESIDENTIAL GAS install 4 gas-piping outlets $3100.00 2 water heaters TYPE OF REALESTATE BUILDING USE CONSTRUCTION: NUMBER: ZONING: GROUP: SUBDIVISION: 1695051410 ATLANTIC BEACH COUNTRY CLUB UNIT 02 COMPANY: ADDRESS: CITY: STATE: ZIP: AEI INTERNATIONAL CORP. 7709 ALTON AVE JACKSONVILLE FL 32211 OWNER: ADDRESS: CITY: STATE: ZI P: RUMMANS ALBERT E JR 14 TURTLE RIDGE CT RIDGEFIELD CT 06877 WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN 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 4SS-0000-322-1000 4 $10.00 MECHANICAL BASE FEE 45S-0000-322-1000 0 $55.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 4SS-0000-208-0600 0 $2.00 VENTED WALL FURNACE WATER HEATER UNIT 4SS-0000-322-1000 2 sio.on Issued Date: 1/16/2019 1 of 2 MECHANICAL RESIDENTIAL GAS PERMIT NUMBER PERMIT GSRS19-0004 ISSUED: 1/16/2019 CITY OF ATLANTIC BEACH EXPIRES: 7/15/2019 TOTAL:$79.00 Issued Date: 1/16/2019 2 of 2 ti-Y)di J, **ALL INFORMATION Mechanical Permit Application HIGHLIGHTED IN GRAY IS REQUIRED City of Atlantic Beach Building Department Is V 1:�t Ci 00 Oki 800 Seminole Rd, Atlantic Beach, FL 32233 oil a 9 Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: RES1 8-0287 JOB ADDRESS: 526 Atlanitc Beach Ct PROJECT VALUE $ --�1010 - C)0 F�NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) El Air Handling Equipment Only 0 Condenser Only [3 Air Handling Unit& Condenser Air Conditioning: Unit Quantity Tons per Unit Heat: Unit Quantity BTUs per Unit Seer Rating (REQUIRED) Duct Systems: Total CFM [DREPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) [I Air Handling Equipment Only 0 Condenser Only 0 Air Handling Unit& Condenser Air Conditioning: Unit Quantity Tons per Unit ED) Heat: Unit Quantity BTU's Per Unit Seer Rating (REQUIR Duct Systems: Total CFM FIFIRE 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) 1 6 2019 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) 7FIRE PLACES MISCELLANEOUS: Prefabricated Fireplace (Qty)_ Automobile Lifts Gas Piping Outlets Boilers BTUs Elevators/Escalators DALL OTHER GAS PIPING Heat Exchanger Quantity of Outlets 3 Pumps #Vented Wall Furnaces Refrigerator Condenser BTUs #Water Heaters 2 Solar Collection Systems Tanks (gallons) Wells MOTHER: Gas piping to(2)waterheaters,fireplace,cooktop,grill and generator. install gas tanks. 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 Narne:Albert Rummans ir Phone Number: 90AJ 14-4 -j 6'114 Mechanical Company: AEl Intl Corp DBA Aei Gas Services Office Phone: (904)724-9771 Fax(904)721-3350 Co.Address: 7709 Alton Ave City: Jacksonville State: FIL Zip: 32211 License Holder: Belinda Spradlin State Certi'flicaZi,on//,Regi'stration# 9917 Notarized Signature of License Holder The foregoiR instrurpent was acknowledged before me this da" \D�GCUL4, 201��, in�he State,of Florida, County of � I-,– - , — Signature of Notary Public Notary Pubitc state of Florida Stepoanie E Carier �/Personally Known OR Produced identification my commission GG 239425 Type of Identification: Q-.6 a Expires 0711812022 Updated 1019118 Cash Register Receipt Receipt Number City of Atlantic Beach R7858 DESCRIPTION ACCOUNT CITY PAID PerrnitTRAK $163.00 GSRS19-0004 Address: 526 ATLANTIC BEACH CT APN: 169505 1410 $79.00 MECHANICAL $75.00 MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00 GAS PIPING OUTLETS 455-0000-322-1000 4 $10.00 VENTED WALL FURNACE WATER HEATER 455-0000-322-1000 2 $10.00 UNIT STATE SURCHARGES $4.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SU RCHARG E 455-0000-208-0600 0 $2.00 GSRS19-0005 Address: 745 AMBERJACK LN APN: 171197 0000 $84.00 MECHANICAL $80.00 MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00 TANKS GAS OR LIQUEFIED PETROLEUM 455-0000-322-1000 120 $20.00 VENTED WALL FURNACE WATER HEATER 455-0000-322-1000 1 $5.00 UNIT STATE SURCHARGES $4.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL FEES PAID BY RECEIPT: R7858 $163.00 UTY OF ARANTIC BEACH 800 SENINCLE RD ATLANTIC BEAC,Fl.32233 01�,16 2019 13:19:11 CREDIT CARD VISk SALE Card XXXXXXX=2786 SEQ#: 5 Batch 772 INVOICE 7 Approval Code: 016034 Entry Method: Manual Mode: Onlhe Tax Amount: $0,00 Card Code: M Date Paid: Wednesday,January 16, 2019 Paid By: AEI INTERNATIONAL CORP. SALE AMOUNT $1631 Cashier: BA Pay Method: CREDIT CARD 7 CUSTOMER COPY Printed:Wednesday,January 16,2019 1:20 PIVI 1 of 1