340 N OCEANWALK DR - GAS PIPING ,�' \s, 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-2747
Job Type: MECHANICAL GAS PIPING
Description: GAS PIPING - RANGE
Estimated Value:
Issue Date: 11/24/2015
Expiration Date: 5/22/2016
PROPERTY ADDRESS:
Address: 340 N OCEANWALK DR
RE Number: 169463-1556
GENERAL CONTRACTOR INFORMATION:
Name: AEI INTERNATIONAL CORP
Address: 7709 ALTON AVE LEWIS SPRADLIN
Phone: - -
FEES:
Gas Pipe Outlets $10.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $69.00
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 l rj C(.–l6_-Z 74.7
JOB ADDRESS: 3t-AO CC'_ttt`n U l -Z I' . v V PERMIT#
PROJECT VALUE $ 1UOC) °v 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 _ l___ Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
# Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
OTHER: �S e v -b {C,t`(\
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 l \ Q \ \kkC' k .`ESC i&D Phone Number(./(G6'a-0(Pb
Mechanical Company A.E t iN C\.. (',Dc.Q 1--)t,'A A a GPS S6cvkre Office Phone- 4.917) Fax 7,31 -2%3S0
Co. Address: 1 O % (--\\- iTh Pi\J City Y)P' i-t u 5,to State\ Zip 3a,-). \'.,
License Holder(Print): ' ( & i n c�c- , `l kCA State Certification/Registration# 991 '7 i.
Notarized Signature of License Holder .i°.a% . —I rui.4.a7JA.,-
i
�,�,. NoUry pu�licgtetedFbride Before me this.a(3 day of l oVernbe-►� • 20 15
f 4t; Stephanie Renee McGuke /Mid' l f
+ My Commission FF 03371e Signature of Notary Public _
Tp OF Expires 0810112017