2338 FIDDLERS 2015 HVAC CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
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-711
Job Type: MECHANICAL GAS PIPING
Description: 2 H2O HTRS AND EXISTING RANGE
Estimated Value:
Issue Date: 3/26/2015
Expiration Date: 9/22/2015
PROPERTY ADDRESS:
Address: 2338 FIDDLERS LN
RE Number: 169463-0138
PROPERTY OWNER:
Name: TIMOTHY, MCGILL
Address: 2338 FIDDLERS LN
GENERAL CONTRACTOR INFORMATION:
Name: AEI INTERNATIONAL CORP.
Address: 7709 ALTON AVE QA LEWIS SPR
ADLIN
Phone: - -
FEES:
Gas Pipe Outlets $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
Ph(904)247-58216 Fax (904) 247-5845
JOB ADDRESS: �� � �A,^�11Ve 2Z-
PROJECT VALUE $
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 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
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)
FIREPLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Pum s
##Vented Walof l Furnaces Refrigerator Condenser BTU's
# Water Heaters -2-- Solar Collection Systems
Tanks (gallons) -SUGka-�
Wells
OTHER: GAS X216-f-6 -'D Z\kA l uay- \1P n 2 YS CYYI
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 re.,.;
ibis application and know the same to be true and correct All provisions of laws and ordinances governing this work will be complied with whether specifies:
or 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 -i�o SCOonss I -h� Phone Number 2!:]>'5-- U9 C�
Mechanical Company ��i� ���GO e �� y,+� s ci v�ecsOffice Phone /-S;; Ff �� 1-���__'
Co. Address: T] l,���D� �oD� c City J/6 c o•-7,o�l�- State Zip
License Holder(Print): e 11,-7& - State Certification/Registration# '49/2� _____ .
lvotarized Signature of License Holder
Sworn and subscribed before me this 25-L41 day of March 20 /5
,►0 Notary Public State of Florida
'P Stephanie Renee McGuire Signature of Notary Public
My Commission FF 033716
% do Expires 08/01/2017