1703 PARK TER E - GAS PIPING frLyr
, = 's, CITY OF ATLANTIC BEACH
IA j 800 SEMINOLE ROAD
3 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: 16-MCHG-874
Job Type: MECHANICAL GAS PIPING
Description: 2 outlet 1 tank
Estimated Value: $890.00
Issue Date: 4/13/2016
Expiration Date: 10/10/2016
PROPERTY ADDRESS:
Address: 1703 E PARK TER
RE Number: 172020-0240
PROPERTY OWNER:
Name: LEE, JENNY CLARE & MICHAEL D, *
Address: 1703 E PARK TER
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 Units $0.00
Gas Pipe Outlets $10.00
Total Payments: $69.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANIIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
/ T
Ph(904) 247-5826 Fax(904) 247-5845
!
JOB ADDRESS: 7 03 Par- 1< / C Yr a GG PERMIT#
PROJECT VALUE $ 890. OD 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 PIPIN� Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks (gallons) /2-0
6,,,, 6.0s hint_ -f' Wells
OTHER: exko o W G--ft•� >! c ,t- 2 on lc-
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 1�%eK/ Lc,n n(A-L/2-t°r— Phone Number 5L/ ` i'7r
Mechanical Company /1-67 £OJ S er VI 4./e..r Office Phone /21/-977/ Fax 72/-3 3SZ)
Co. Address: 7O I1/17UY1 City LlQL (1YIVl//t State a Zip 32 /
License Holder (Print): 1- `;Ati ..!,,, ■/wu State Certification/Registration (7
Notarized Signature of License Holder I i # 4■,∎. . 47
=.,,ar'a,G^ Notary Public State of Florida Before me this /.3 day of Iiri 20 /to
NeStephanie Renee McGuire /'� 4. 2/
4 My Commission FF 033716 Signature of Notary Public .:-/ i
0„ Expires 08/01/2017