1739 Live Oak Ln 2014 Gas CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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Application Number . . . . . 14-00001145 Date 7/18/14
Property Address . . . . . . 1739 LIVE OAK LN
Application type description MECHANICAL GAS PIPING
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
3 OUTLETS, 120 GAL TANK
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Owner Contractor
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CZERKAWSKI, JOSEPH J AEI INTERNATIONAL CORP.
1739 LIVE OAK LANE 7709 ALTON AVE
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32211
(904) 724-9771
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Permit .
. MECHANICAL GAS PIPE PERMIT
Additional desc . Plan Check Fee . 00
Permit Fee 95 . 00 .
Issue Date . . . Valuation 0
Expiration Date . . 1/14/15
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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
r� Ph (904) 247-5826 Fax (904) 247-5845
.TOB ADDRESS: (� J� L t vt' 6A �C_ PERMIT#
PROJECT VALUE$ ARI# REQUIRED
Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only
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 CONDIT'ONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating
Duct Systems: Total CFM REQUIRED
FIRE 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 OTHER GAS PIPING Heat Exchanger
Quantity of Outlets AjPumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks (gallons) �kw
Wells
OTHER:
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 cone 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 is :sions of any other state or local law regulation construction or the performance of construction.
SCc� 8L)r`( � Phone Number 233 -0 01_(Property Owners Name o
Mechanical Company T_k3 tl_Co►� Dqa A •e_gJe&uic*, Office Phone Fax
Co. Address: -1'7Dg �lTo� �fyr Citydic�s�"'�� State 1_41_� Zips «
License Holder (Print): lkw IS 7,-� A State Certification/Registration 2tkl�
Nota riz �
c aI!�j x
JENNIFER WALKFR
y=g r MY COMMISSION#FF 0114 \ ,
8`'B o ,,me this ay of w "1 0
a EXPIRES:April 24 2017
4F h` Bonded Tin Notary Public Underwriters
ature of Notary Public