592 Cruiser Ln GSRS18-0079 COAB Permit Form with Conditions - RenewedOWNER:ADDRESS:CITY:STATE:ZIP:
JANE FULLETT 592 CRUISER LN ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
AEI INTERNATIONAL CORP.1750 Emerson Street JACKSONVILLE FL 32207
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
170703 0328 SEASPRAY
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
592 CRUISER LN MECHANICAL RESIDENTIAL GAS install gas-piping outlet &
250-gal. tank - Renewed $2045.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT RENEWAL 455-0000-322-1000 0 $89.00
GAS PIPING OUTLETS 455-0000-322-1000 1 $10.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 45500002080700 0 $2.00
TANKS GAS OR LIQUEFIED PETROLEUM 455-0000-322-1000 250 $20.00
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
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.
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.
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.
1 of 2Issued Date: 7/11/2018
PERMIT NUMBER
GSRS18-0079
ISSUED: 7/11/2018
EXPIRES: 7/8/2024
MECHANICAL RESIDENTIAL GAS
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
TOTAL: $178.00
2 of 2Issued Date: 7/11/2018
PERMIT NUMBER
GSRS18-0079
ISSUED: 7/11/2018
EXPIRES: 7/8/2024
MECHANICAL RESIDENTIAL GAS
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
CITY OF ATLANTIC BEACHJ1
r l
rt a 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL GAS -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: GSRS18-0079
Description:install gas-piping outlet&250-gal. tank
Estimated Value: 2045
Issue Date: 7/11/2018
Expiration Date: 1/7/2019
PROPERTY ADDRESS:
Address: 592 CRUISER LN
RE Number:170703 0328
PROPERTY OWNER:
Name: JANE FULLETT
Address: 592 CRUISER LN
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: AEI INTERNATIONAL CORP.
Address: 7709 ALTON AVE QA LEWIS SPRADLIN
JACKSONVILLE, FL 32211
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU 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.
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.
A notice of Commencement is only required for work exceeding an estimated value of
2,500. For HVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
Lvi.r,%—r1A1NXq:AL rJr{X1V11'1' AFFL1CA'1'101N
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845 6-1s ( oz)--1
COB AbnREss: 12 rU1 er Ln PERMIT#
PROJECT VALUE 20+5:. 00 ARI# REQUIRED
Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only
SEW AIR CONDI'T'IONING & HEATING S'Y'STEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Pleat: Unit Quantity BTU's Per Unit Seer RatingDuctSystems:Total CFM REQUIRED
tEPLACEMENT AYR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer RatingDuctSystems:Total CFM REQUIRED
IRE 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 bloods Quantity Requires 3 sets of plans)
Fire Suppression Systems Quantity Requires 3 sets of plans)
IRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalators
LL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets I Pumps
Vented Wall Furnaces Refrigerator Condenser BTU's
Water Heaters Solar Collection Systems
Tanks (gallons) 290 qal
Wells
ETHER: i -b erne rq+or Gfl d In tali 750 al bur 11t j -on y
rmit becomes void if work does not Commence within a 6,X month period or work is suspended or abandoned for six months.T hereby owify that I have read
s application and know the sank to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or
L The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
operty Owners Name oneie R f e+- Phone Number 8'1 110- 73 66
echanical Company AV 1 fL Corp1 Cas ervi Ce Office Phone _TZ14-9111Fax-72-I 3350
Address: -1-109 Abx) AVS City IQC145C3r1Vl le Statef"L Zip 2211
cense Holder(Print):Y rl ri.- State Certification/Registration
1'e
STEPHANIE E,CARTER
P *` Notary Public-State of Florida efore me this day of 20
My Comm.Explres Jul 13.2018
Commission#FF 141288 gnature of Notary Public
Bonded Through National Notary Assn.
TO/i0 39dd SV013d 09661ZL006 OT:bO TTOZ/LZ/0T
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r1,A,`Jfjr
r
Cash Register Receipt Receipt Number
J r
City • Atlantic Beach R5613
DESCRIPTION CITY PAID
PermitTRAK 89.00
GSRS18-0079 Address: 592 CRUISER LN APN: 170703 0328 89.00
MECHANICAL 85.00
MECHANICAL BASE FEE 455-0000-322-1000 0 55.00
GAS PIPING OUTLETS 455-0000-322-1000 1 10.00
TANKS GAS OR LIQUEFIED PETROLEUM 4S5-0000-322-1000 250 20.00
STATE SURCHARGES 4.00
STATE DBPR SURCHARGE 455-0000-208-0600 0 2.00
STATE DCA SURCHARGE 45500002080700 0 2.00
TOTAL FEES PAID CY RECEIPT: R5613 89.00
CITY OF ATLANTIC BEACH
800 SENINOLE RD
ATLANTIC BEAC,FL 32233
0711 2018 11:0 :04
CREDIT CARD
VISI,SALE
Card XXXXXXXXXXXX2786
SEQ#:3
Batch;;: 645
INVOICE 3
Approval Code: 011560
Entry Method: Manual
Mode: Online
Tax Amount:0,00
Card Code: M
SALE AMOUNT X89,00
CUSTOMER COPY
Date Paid: Wednesday, July 11, 2018
Paid By: AEI INTERNATIONAL CORP.
Cashier: BA
Pay Method: CREDIT CARD 3
Printed:Wednesday,July 11,2018 11:04 AM 1 of 11
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