290 BEACH AVE - GAS PIPING ' ' - °S, CITY OF ATLANTIC BEACH
"� 800 SEMINOLE ROAD
yr 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-2945
Job Type: MECHANICAL GAS PIPING
Description: GAS PIPING AND BELOW GROUND TANK - 6 OUTLETS
PLUS 2 FIREPLACE OUTLETS
Estimated Value: $2,400.00
Issue Date: 12/28/2015
Expiration Date: 6/25/2016
PROPERTY ADDRESS:
Address: 290 BEACH AVE
RE Number: 170196-0010
PROPERTY OWNER:
Name: PITLER, ANDY
Address: 273 OCEAN BLVD
GENERAL CONTRACTOR INFORMATION:
Name: AEI INTERNATIONAL CORP.
Address: 7709 ALTON AVE QA LEWIS SPRADLIN
Phone: - -
FEES:
Gas Pipe Outlets $14.00
Gas Piping Vented Units $10.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $83.00
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 S me e,z9�1 5
JOB ADDRESS: -.9 D 5 ' ,4 �vt'nu e 2r ,5c4 PERMIT# `�'
PROJECT VALUE $ Z`(w.0 ) 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 2- Solar Collection Systems
Tanks (gallons) 7 _CO be/vi•w6 o-oze, d
Wells
OTHER: e/e7' 2— d rcrers gA, , cy, 1/ .(2) 6„(0.c., l air..
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 Phone Number
Mechanical Company(r t I VT.l., CDC -i\-)eya A5.1 Goo S cJ■rP` Office Phone/AI-171 Fax.1)1 -2 X'
Co. Address: `I`l Oct (-\\ 0 Ail'P City . Y om►-At iIP State l Zip, \ \
License Holder(Print): \i 0a,.:..( 5 n c r-,8. `�.■∎'(\ State Certification/Registration# 99 i i
Notarized Signature of License Holder , — ai.rrl 1^.---
1'4 Notalic of Florida Before me this al3 day of eCt-6 20 "/S�
Step Mc J7�v/My Cs033716 Signature of Notary Public i G��pc