Permit Mech Gas 330 Country Club Ln 2013 '5% 1
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00001980 Date 1/11/13
Property Address . . . . . . 330 COUNTRY CLUB LN
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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PARKER EARL W JR & LEYA M AEI INTERNATIONAL CORP.
505 BASSWOOD CT 7709 ALTON AVE
ST JOHNS FL 32259 JACKSONVILLE FL 32211
(904) 724-9771
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Permit . . . . . . MECHANICAL GAS PIPE PERMIT
Additional desc . .
Permit Fee . . . . 95 . 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 95 . 00 95 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 99 . 00 99 . 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: Q-zxl(� twoq�� PERMFr#I
pRojEcTvAwEs 'Z300t-CD
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 REQUVZED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
ARI#
Air Conditioning: Unit Quantity Tons Per Unit REQUIRED
Heat: Unit Quantity BTU's Per Unit Seer Rating_
Duct Systems: Total CFM REQUIRED
FUZE 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)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty_ Automobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalators
ALL OTECER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Reffigerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks (gallons) k�Lo
Wells
OTHER:
.3ermit becomes void if work does not commence within a sbc 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 correct All provisions of laws and ordinances governing ibis work will be complied with whether specified
)r not Tlie permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction-
:I -V�\yz—k--Izr Phone Number
)roperty Owners Name I
Vechanical Company -1\2T- (10N,15 Office Phone-?4L4-T)-7/ Fax
2o. Address: lltP� AA+bv-� -P\m>- C t`iAk-SNW'1 Ic State Zip
License Holder (Print): 10 vlqz�s\-t Y\) tate Certification/Registration
Votarized Signature ofLicense Id -
Sworn and subscribed before me this day of 20 /3
Notary Public State Of Florida -�P�
Apo 0)0% Stephanie Renee ignature of Notary Public
im,,rommission DD906170
9s()8/01/2013
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