152 3RD ST - MECH GAS PIPING CITY OF ATLANTIC BEACH
ss�
Ai, 's 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
F
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-2209
Job Type: MECHANICAL GAS PIPING
Description: water heater cook top and grill
Estimated Value:
Issue Date: 9/18/2015
Expiration Date: 3/16/2016
PROPERTY ADDRESS:
Address: 152 3RD ST
RE Number: 170196-0000
PROPERTY OWNER:
Name: ANDO, STEPHANIE ELIZABETH
Address: 152 3RD ST
GENERAL CONTRACTOR INFORMATION:
Name: AEI INTERNATIONAL CORP.
Address: 7709 ALTON AVE QA LEWIS SPRADLIN
Phone: - -
FEES:
Gas Piping Vented Units $15.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $74.00
PERMIT IS APPROVED ONLY IN ACCORDANCE %%ITII ALL CITY OF ATLANTIC BEACH ORDINANCES AND 771E 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: /5a 3 rd 5+( "+ t (14-1(111\--1-i( f}l �7);1 "ERMIT#
PROJECT VALUE $ ARI# REQUIRED
Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only—
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
Air Conditioning: Unit Quantity Tons Per Unit
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 I Solar Collection Systems
Tanks (gallons) (J ) la(>0.1A.\
Wells
OTHER: 163 i e. O ir) wOkir- 1,12(.2 0-€1,- i /c)o_k .---h- r Y OJY'i j 1
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
read 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 P r� CO s ._ I . 0)% tat etc. Phone Number 1 (-Q33(33*
Mechanical Company All In-I1 Corp a1PL Act Cy' \ Sfe_vic i Office Phone /9 ax : r3 3 S
Co. Address: /\`4- (Ivy City S )01-C-L l?0 t1 f 1( EState '/Zip 3---Qa.1 )
License Holder(Print): .10 d 1 tS pr1r(C State Certification/Re istration# / 7--
Notarized Signature of License Holder Wz-g -t == Yp.
nook. Notary Public State of Florida Before me this /64-6- day of � 20 /5
Stephanie Renee McGuire /2.0-441.,- I�/' ` ��C�y�
4'• �`� Expireos 081/O7/2o17 033716 Signature of Notary Public