398 11th Street MECH GAS PIPING CITY OF ATLANTIC BEACH
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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-964
Job Type: MECHANICAL GAS PIPING
Description: GAS PIPING TO GRILL WATER HEATER
Estimated Value:
Issue Date: 4/24/2015
Expiration Date: 10/21/2015
PROPERTY ADDRESS:
Address: 398 11TH ST
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: AEI INTERNATIONAL CORP.
Address: 7709 ALTON AVE QA LEWIS SPRADLIN
Phone: -
FEES:
Gas Pipe Outlets $20.00
Gas Piping Units $0.00
State Mach DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $79.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WHIM ALL CITY OF ATLANTIC BEACH ORDRVANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax (904)247-5845
Jos ADDRESS: PERMIT#
PROJECT VALUE S
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
Au Conditioning: Unit Quantity Tons Per Unit nRl#REQUIRED
Heat: Unit Quantity BTU's Per Unit Seer Rating
Duce 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 Firephuce'QtyAutomobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets v PUMPS
#Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters �_ Solar Collection Systems
Tanks (gallons) .
Wells / p
OTHER: :�,ej* -f /n mj/.a e Q�� tw,4' R e,*e--
�
Permit becomes void if work does rpt commence within a%month period or work is suspended or abandoned for sec months.I hereby certify that I have 111L�
,his application and know the same to be We end correct. All pmvisions of laws and ordinances gowming this work will be complied with whether specified
or not. he permit does not give authority to violate the provisions ofm y other state or local law regulation construction or the performance ofconstruction.
Property Owners Name t�OS CO CjpnSkA.L0i O(1 Phone Number 233
Mechanical Company aC//�' In7,7,6 office Phone ax R/-33Sn
Co.Address: city✓L&rP-1,//, State,,�/ Zip -7-2
License Holder(Print): '4g ppState Certification/Registration#
Notar$ed Signature of Lieense Holder ` aO ,� ,!Q AQ,z,
Swom and subecri aw dS 0 20
Signature of No