344 5TH ST MECH s� CITY OF ATLANTIC BEACH
s) 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
��X131
MECHANICAL GAS PIPE PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 14-MCHG-710
Job Type: MECHANICAL GAS PIPING
Description: gas piping
Estimated Value:
Issue Date: 12/30/2014
Expiration Date: 6/28/2015
PROPERTY ADDRESS:
Address: 344 5TH ST
RE Number: 169836-0020
PROPERTY OWNER:
Name: GREENE III, CLARENCE &ASHLEY,
Address: 344 5TH ST
GENERAL CONTRACTOR INFORMATION:
Name: AEI INTERNATIONAL CORP.
Address: 7709 ALTON AVE QA LEWIS SPRADLIN
Phone: - -
FEES:
Gas Piping Vented Units $10.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $69.00
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
?1�� 1 Ph (904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: Jg- t ��= PERMIT#
PROJECT VALUE $ ARI# REQUIRED
Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only
'y E W 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
ILEPLACEMENT 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
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)
141RE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts
Gas Piping Outlets Boilers BTU's
E levators/Escalators
LL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets 2. Pumps
# Vented Wall Furnaces Refrigerator Condenser BTU's
# Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
5 'FHE R: 0\W p 1 PTI na tro C1 oar i I 1
w
unit 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
;iris 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
;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.
Property Owners Name (Y)CCLA. Yt b4 r 44cm CS t_c Phone Number Ulaci - Z9 3 I
fechanical Company nG-�1 %YI� rn Aka Pru cis 'Scir� fS Office Phone�Z4- 1"�3>�ax �al"3 �S�
Co. Address: 7-IQq AHi-yrr �9V��_ City J��cNt.Vt11�, State `r( Zip
License Holder(Print): inola S r State Certification/Registration #
Notarized Signature of License Holder
=08/0W017
of Fb�e Before me this�9 day of 'DrC �y 20
nee McGuire FF 033718 Signature of Notary Public
017