Permit Mech Gas 1345 Ocean Blvd 2013 C,
St CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00001982 Date 1/11/13
Property Address . . . . . . 1345 OCEAN BLVD
Application type description MECHANICAL GAS PIPING
Property Zoning . . . . . . . RES SF DISTRICT
Application valuation . . . . 0
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Application desc
gas piping
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Owner Contractor
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LINDLEY TOLBERT DESIGN INC AEI INTERNATIONAL CORP.
465 BEACH AVE 7709 ALTON AVE
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32211
(904) 724-9771
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Permit . . . . . . MECHANICAL GAS PIPE PERMIT
Additional desc . .
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 7/10/13
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Other Fees . . . . . . . . . STATE MECH DCA SURCHARGE 2 . 00
STATE MECH DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 90 . 00 90 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 94 . 00 94 . 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: J' C PE
jK 00"W
PROJECT VALUE
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
ARI#
Air Conditioning: Unit Quantity Tons Per Unit REQUIRED
Heat: Unit Quantity BTU's Per Unit Seer Rafing_
Duct Systems: Total CFM REQUIRED
FERE PREVENTION
Fire Sprinkler System Quantity (Requires 3 sets of plans)
Fire Standpipie Quantity (Requires 3 sets of plans)
Underground Fire Main Value (Requires 3 sets of plans)
Fire Hose Cabinets Quantity (Requires 3 sets of plans)
Comm ial 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
A.LL OTHER GAS PIEP Heat Exchanger
Quantity of Outlets Pumps
Vented Wall Furnaces Refrigerator Condenser BTU's
Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
CA- 7,!�tz e,
r I
OWN
3ermit 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
his application and know the same to be true and correcL All provisions of laws and ordinances governing this work will be complied with whether specified
)r 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-
?roperty Owners Name Phone Number
qechanical Company a z allA 4;4Z —Office Phone Fax )P�1/-
:�o. Address:'7�Ie 1� city.'JA Z// e —State,-,-/ zip
License Holder(Print):
Stat Certification/Registration#
Votarized Signature of License Holder,
,�/
Sworn and subscribed before me this day of 20 /3
#0 Pu Notary Public state of Florida
Stephanie Renee McGuire Signature of Notary Public C;cp���
My commission DD906170
% E,pres 08/01/2013