355 6TH ST - MECH GAS PIPING CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
T' +� ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
R
MECHANICAL GAS PIPE PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
308 INFORMATION:
Job ID: 15-MCHG-1372
Job Type: MECHANICAL GAS PIPING
Description: 2 OUTLETS
Estimated Value:
Issue Date: 6/10/2015
Expiration Date: 12/7/2015
PROPERTY ADDRESS:
Address: 355 6TH ST
RE Number: 169898-0000
PROPERTY OWNER:
Name: HUNTER, MAUREEN E
Address: 2747 FALCON VIEW CT
GENERAL CONTRACTOR INFORMATION:
Name: AEI INTERNATIONAL CORP.
Address: 7709 ALTON AVE QA LEWIS SPRADLIN
Phone: -
FEES:
Gas Pipe Outlets $20.00
State Mech 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 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)247-5826 Fax(904)247-5845
JOB ADDREss: 35S LQIC_D ,S-r. 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
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)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace QtyAutomobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
OTHER: (�O.S�_ f�1pic�r+D QaA Vl oLA r o viler r l it .
Pemut 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 1 have read
this application and know the sameno be tme and correct All provisions of laws and ordinances governing this work will be complied with whether specified
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 S AP Phone Numberg S I
Mechanical Company Ao In f/ cojil p Office Phone
Co. Address: /go9 f}'/{o» Ry" City cOLt..ronviState�,zip-S-�;2a1-1
License Holder(Print): Cprl ori l,n State Certification/Registration# 991
Notarized Signature ojLicense Holder
Sworn and subscribed before me this 'Y 6 da of�o�f� LJ(/.'(t�✓1C����/J/�, ,20 /5
1%1Nobry me :7103 aMe `y:� /t-F//r.[w / / /✓�dw"�
srepbanre rsenea McGuire Signature of Notary Public
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