200 5th st 2015 gas CITY OF ATLANTIC BEACH
J
800 SEMINOLE ROAD
- v ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
MECHANICAL GAS PIPE PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-MCHG-16
Job Type: MECHANICAL GAS PIPING
Description: GAS PIPING 2 TANKS
Estimated Value:
Issue Date: 1/7/2015
Expiration Date: 7/6/2015
PROPERTY ADDRESS:
Address: 200 5TH ST
RE Number: 170174-0000
PROPERTY OWNER:
Name: RIPLEY TRUST, MARGARET J
Address: 200 5TH ST
GENERAL CONTRACTOR INFORMATION:
Name: AEI INTERNATIONAL CORP.
Address: 7709 ALTON AVE QA LEWIS SPRADLIN
Phone: - -
FEES:
Gas Pipe Outlets $10.00
Gas Piping Vented Units $5.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $74.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL REERMIT APPLICATION -
CITY OF ATLANTIC BEACH CJA
800 Seminole Rd Atlantic Beach, FL 32233 , 'W
Ph(904) 247-5826 Fax (904) 247-5845 I
'9B ADDRESS: aOO S� PERMIT#
PROJECT VALUE $ ARI# REQUIRED
PAir Handling Equipment Only Air Handling Unit & Condenser Condenser Only
VIEW 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
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
AI"-JL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
# Vented Wall Furnaces Refrigerator Condenser BTU's
# Water Heaters Solar Collection Systems
Tanks (gallons) f � �
Wells
o—rHER: -} { C��, p�rc���n . �e � Lc 11bz' s,1�n
yrN Z
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
;his 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
oi 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.M
Property Owners Name 1 t k ViPhone Number�t -Qll 1-308
Mechanical Company�' 51�'� � (QAC. �K'� � � ?�Y'y'+c—� Office Phone Fax
Co. Address: ` r iti, � Cityy1Statel�L Zip
License Holder(Print): +r �, State Ce i atio e istration# _
Ticen
o er �tCJ s
v►" ATMERINE ICN
z Notary Public-State of Florida Before me this day of ,20
My Comm.Expires Mar 24.2018
ommission M FF 087557
Signature of Notary Publ' ��