1763 ATLANTIC BEACH DR - GAS PIPING `s\ CITY OF ATLANTIC BEACH
•
800 SEMINOLE ROAD
J - 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-1186
Job Type: MECHANICAL GAS PIPING
Description: GAS PIPING - 2 WATER HEATERS, 2 FIREPLACES & 2
OUTSIDE OUTLETS
Estimated Value: $2,210.00
Issue Date: 6/10/2016
Expiration Date: 12/7/2016
PROPERTY ADDRESS:
Address: 1763 ATLANTIC BEACH DR
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 $20.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $89.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
1
1 !
r f� ATLANTIC BEACH
PERMIT RECEIPT
PERMIT DESCRIPTION: GAS PIPING -2 WATER HEATERS, 2 FIREPLACES &2 OUTSIDE OUTLETS
PERMIT NUMBER: 16-MCHG-1186 A
ADDRESS: 1763 ATLANTIC BEACH DR P" 'D
OWNER:
,UN 10 2U1
CITY OF ATLANTIC BEACH,
DATE ISSUED: 1`k(0.:—)
FEES DUE:
Gas Pipe Outlets $10.00
Gas Piping Vented Units $20.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Totals:
$89.00
Ir
4
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax(904)247-5845 --mCt- e
10B ADDRESS: _ 11(3 At 1 r PERMIT# 1 E SFR-SL1
PROJECT VALUE $ 2 Z t G .00 # REQUIRED
Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only
1EW 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
tEPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating
UD
Duct Systems: Total CFM
'IEEE PREVENTION 3 sets of plans)
Fire Sprinkler System Quantity (Requires(Requires 3 sets of plans)
Fire Standpipe Quantity � e ��3 sets of plans)
Underground Fire Main Value
(Requires 3 sets of plans)
Fire Hose Cabinets Quantity Commercial Hoods Quantity _ (Requires 3 sets of sets of inns plans)
lans)
Fire Suppression Systems Quantity (Requiresplans)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts
Gas Piping Outlets _le._. Boilers BTU's _.
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets 2- Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's .
# Water Heaters Z Solar Collection Systems
Tanks(gallons)
Wells
)TITER: .. .• ,' • . , . r..lat•r .• ex +wo • • • i 0 i to01:1-0‘) arrl 16\1
ermit becomes void if work does not cote hence within a six month period or work is suspended or abandoned for six months.I hereby certify that I have rt
tis application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specie
ot. 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 • fl .. t • . orneS Phone Number VANti a304 -24
ilechanical Company AEI \cct'L Cor? DiRk, M.1 God ,SestNi ce,S Office Phone 17 M-4i 711 Fax�Z IJ-_,_: _.,150
'o. Address: 714°1. Pc 1i-on CAVc., City,)o.c K$OOv i 11e. .. Statef L Zip 3 2.2-11
,icense folder(Print): Glinolp.- SipYatiVir\ State Certification/Registration# 11 11
,'otarized Signature of License Holder_ 23 _----C62/-24"-.-4-117--4- -----�
Before me this 231:4_day of /)'1Q 20 /6
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c � MyCommisBion FF 033716 Signature ofNotary Public ��_ '�-��
�ro,ro Expires 081u1/2017
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