1765 MARITIME OAK DR - GAS PIPING & W.H. !r
�� t CITY OF ATLANTIC BEACH
' �r ;-) 800 SEMINOLE ROAD
6 -r' ATLANTIC BEACH, FL 32233•
--) INSPECTION PHONE LINE 247-5814
9131 W f'
MECHANICAL GAS PIPE PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-MCHG-1770
Job Type: MECHANICAL GAS PIPING
Description: GAS PIPING AND WATER HEATER
Estimated Value:
Issue Date: 7/24/2015
Expiration Date: 1/20/2016
PROPERTY ADDRESS:
Address: 1765 MARITIME OAK DR
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: AEI INTERNATIONAL CORP.
Address: 7709 ALTON AVE QA LEWIS SPRADLIN
Phone: - - _
FEES:
Gas Pipe Outlets $10.00
Gas Piping Units $1.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $70.00
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 i 5" —1 -7
JOB ADDRESS: fl US- -01( . PERMIT#
r\AC`~t 1/Y1 e 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
ART#
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 I 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: ¶0" tavern Yvo e he2ke.v- Arcp1aC.e v -No,›, °!`r'\\
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 rei
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 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 ht.iev Wit" IAD On-e/3 Phone Number (214- -4 9
Mechanical Company Qe i ..722/7'Go rr d4 ./),f►6 _5,,1`-t"C Office Phone W5.1- ?2/Fax
voi,si City .�-rei//� Stated Zip 3�-z
Co. Address: ��T�9` l,��� � ty J�r•t�so p __.._.
License Holder(Print): 'e /ii'd/i .92i- a/4 ) State Certification/Registration#
Notarized Signature of License Holder :1-73.p �
Sworn and subscribed before me this 2 1 ' day of 20/3— .
1►><Y°� Notary Public State of Florida
`s f Stephanie Renee McGuire Signature of Notary Public tic c-/
My Commission FF 033716
a
i 'i po? Expires 0810112017