592 TIMBER BRIDGE LN - GAS PIPING \ CITY OF ATLANTIC BEACH
rf-------,
1ST
�, �� 800 SEMINOLE ROAD
J �Jr: ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
•J�Jp,l9r
MECHANICAL GAS PIPE PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-MCHG-629
Job Type: MECHANICAL GAS PIPING
Description: 2 WATER HEATERS
Estimated Value: $1,955.00
Issue Date: 3/15/2016
Expiration Date: 9/11/2016
PROPERTY ADDRESS:
Address: 592 TIMBER BRIDGE LN
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: AEI INTERNATIONAL CORP.
Address: 7709 ALTON AVE QA LEWIS SPRADLIN
Phone: - -
FEES:
Trade Permit Base Fee $55.00
State Mech DCA Surcharge $2.00
State Mech DBPR Surcharge $2.00
Gas Piping Vented Units $10.00
Total Payments: $69.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACII 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: 9 Si Timber br i c 3e. Lr' PERMIT# 15- SfCZ"213`
PROJECT VALUE $ $1,956.0 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)
Wells
OTHER: Dryer ., Coot- Top , Gri 11
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. n
Property Owners Name (4NXr Side 1-lomtS Phone Number ZI`I-4-12)94
Mechanical Company A.E.1 i nit. COP alai Ae i &QS Seveffice Phone 7ZLfr rn 1 Fax 7 21 —3 3SO
Co. Address: 7101 f On w.)G City Jc,a-S o n v i ltc State ft Zip Mall
License Holder(Print):/3 C /! fl do- 9 P /h State Certification/Registration # 9 9 ! -)
Notarized Signature of License Holder .1_1l
Before me this 154'h day of N1Ql�c1�Si nature of Notar Public &, 2o
e ��
'? o` Exp res 06/01 201F7 033716
Signature
•