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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' ��