675 BEACH AVE - MECH GAS PIPING ri" ` CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
\+J �" 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-1516
Job Type: MECHANICAL GAS PIPING
Description: 1 water 2 outlets 1 tank
Estimated Value:
Issue Date: 6/25/2015
__ _ Expiration Date: 12/22/2015
PROPERTY ADDRESS:
Address: 675 BEACH AVE
RE Number: 170121-0000
PROPERTY OWNER:
Name: BENZ. JAMES W & CATHERINE M, *
Address: 675 BEACH AVE
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 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: (Q S cC PV`L PERMIT# I - ►4C-S1-/7S
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)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile 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 1 Solar Collection Systems
Tanks (gallons)
Wells
OTHER: la S 00 W.a. .- \r o k r } c)cr l 1nQU r and, qr'k1l
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 rea:i
this 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
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 ba-SCO C Pry Phone Number -2:33— o
Mechanical Company f ( .C\ C'or 9 d(xx ft-t( erk3 Se_sYQDffice Phone -7Q,-1-q3?1 Fax 3-„P, l --33 S
Co. Address: (_tOrltaC-t r7ei9 S Cc rY► City JO Ck.52 nnn (1 t State A Zip
License Holder(Print): 2e'k in ct a 5 p ra c-J ( i r State Certification/Registration# C.-/ )f
Notarized Signature of License Holder g Q( C S p
.4 worn and subscribed before me is /7th day f t1,1(�l/i-e 20 A
Notary Public State of Florida '
,`: Stephanie Renee McGuire signature of Notary Public \ / / J 1)/
My Commission FF 033716
?�0.0' Expires 08/01/2017