583 Coastal Oak Ln Mechanical Gas Piping r ' � CITY OF ATLANTIC BEACH
J 800 SEMINOLE ROAD
j Ili __, ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
\121 r-
MECHANICAL GAS PIPE PERMIT
I MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247 -5814
JOB INFORMATION:
Job ID: 16 -MCHG -355
Job Type: MECHANICAL GAS PIPING
Description: MECH - ONE OUTLET, GAS COOKTOP, DRYER & GRILL
STUB OUT
Estimated Value:
Issue Date: 2/12/2016
Expiration Date: 8/10/2016
PROPERTY ADDRESS:
Address: 583 COASTAL OAK LN
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 Vented Units $15.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $84.00
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: 583 Na,57t Oak La/a.. La/a.. PERMIT # (5 -SFR. ,x3-55'
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 1 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)
0A0 Wells
OTHER: k Dr y k r i f t s�t4 10 •
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 A i :tv� t . �' �" ' tse)P; P r:TL G96 `7 r Office Phone 917I Fax 7?, "? : .
Co. Address: `7 ! J` °R f- \ \- a =,\ 1 ' City YP fr-,nt State Zip ,
License Holder (Print): \ s ., r;. < . !�( State Certification/Registration # 991
o
Notarized Signature of License Holder . ` � . ,• /
'% Notary Public State of Florida Before me this .2 9 day of t.Cti'7L �l 20 /
�' ^ Stephanie Renee McGuire f�
My Commissio FF 033716 Signature of Notary Public c 42.-c._ �.. 4,W
� ti� Expires 08101 /20n 17