1810 ATLANTIC BEACH DR MECH GAS ' SS CITY OF ATLANTIC BEACH
'
800 SEMINOLE ROAD
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 -964
Job Type: MECHANICAL GAS PIPING
Description: GAS COOKTOP, FIREPLACE, DRYER GRILL, WATER
HEATER
Estimated Value: $1,200.00
Issue Date: 4/26/2016
Expiration Date: 10/23/2016
PROPERTY ADDRESS:
Address: 1810 ATLANTIC BEACH DR
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 $25.00
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
fOB ADDRESS: /g10 IH C becto4 PERMIT # t 6 -SFR-
PROJECT VALUE $ 1260 , 00 # REQUIRED
-
Air Handling Equipment Only Air Handling Unit & Condenser ____ Condenser Only
EW 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 REQ(TIRED
EEPLACEMENT AIR CONDITIONING- & ITEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity _ Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating
Duct Systems: Total CFM REQUIRED
IRE 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
k.LL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets - Pumps
# Vented Wall Furnaces - _ Refrigerator Condenser BTU's
# Water Heaters -_ Solar Collection Systems
Tanks (gallons)
Wells
)THER: f I' - , ,, o .. V., .. a ! 4__. .4i, gr ll ,, , ., . to 14 •,1-o-
ermit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify tharl have res
ii: 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
ot. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the perfonece of construction.
'roperty Owners Name R.1 Ve-r S lac 4--.4 orn - Phone Number T A 4 919
ilechanical Company AEI l l NTL CMS NA 40 Gigs, atv i CGpffice Phone7`1 11 11 Fax 77-1 360
;o. Address: 1101 h11 Prue City ,Y.so nu t llt. Statef Zip 32.z l 1
,icense Holder (Print) ncjC Spto c 31 i n State Certification/Registration # cm 17 r __
Voturr'zed Signature of License Holder d UY7 4L 7 f - -
Before me this _25 day of 4pr i / 20 /6
� No pµpltc State of Florida
? my co nie Rerte9 MCGuire
t � My Gommis9ivn FF 933716 Signature of Notary Public 1„t t - 7k /. :2 / L--- ,'
( . - j o ,, ri 1' Expires 0910112017
TO 710 ': SCEISC OSEETZL1706 9E :170 9T0Z; %5Z /b0