1770 MARITIME OAK MECH GAS ,�r 1
s, CITY OF ATLANTIC BEACH
r l 800 SEMINOLE ROAD
AIF 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 -926
Job Type: MECHANICAL GAS PIPING
Description: COOKTOP WATER HEATER FIREPLACE GRILL DRYER
Estimated Value:
Issue Date: 4/26/2016
Expiration Date: 10/23/2016
PROPERTY ADDRESS:
Address: 1770 MARITIME OAK 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.
04/19/2016 22:32 9047213350 AEI GAS PAGE 01/01
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247 -5826 Fax (904) 24.7 -5845
)1i ADDRESS: 1110 Mciri- i,rre OWL )r PiRMrr#
PROJECT VALUE $ ! Z00 • 0 G ARI # 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 .REQUIRED
£PLACEMENT 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
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)
Conmi.ercial Hoods Quantity (Requires 3 sets of plans)
Fire Suppression Systems Quantity (Requires 3 sets of plans)
'IRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts
Gas Piping Outlets ___1 Boilers BTU's
Elevators/Escalators _
LLL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets S Pumps •
# Vented Wall Furnaces Refrigerator Condenser BTU's
# Water Heaters_ Solar Collection Systems
Tanks (gallons)
Wells
)THER: q' . - i t • Cook -k. • W ocre+r 1ne etttr Vi - • to-Cc, rill ck n-el c l rr ,
,rmit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. T hereby certify that T. have read
is 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
)t. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
roperty Owners Name R(Ve i ckt I-t e s . Phone Number ,QAiar '7.1' -1- `I S q 1
4echanical Company AEI 11111 cor p 1 6 P . AEI Gas Sex'V ior- effice Phone 72' f -' 171Fax lit 3350
'o. Address: _ 11 09 A Ito n Ave. City M C State r' L Zip 321 t 1
,icense Holder (Print): ' el 1 n cI oa S • rex • 1 i r1 State Certification/Registration. # / `)1
notarized Signature of License Holder A . 4 --- e'iA- '-
' r�1 20 I
Before me this 2 Q day of Ap
„! ry Public tale S of Fle ignature orida " 4,14,L4: 7 a
yp Step Renee McGuir of Notary Public
v 0 My Commlasion FF 033718