1733 ATLANTIC BEACH DR GAS PIPE PERMIT CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
r
MECHANICAL GAS PIPE PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-MCHG-1404
Job Type: MECHANICAL GAS PIPING
Description: GAS PIPING - 2 OUTLETS, FIRE PLACE, WATER HEATER
AND SUMMER KITCHEN
Estimated Value:
Issue Date: 6/20/2016
Expiration Date: 12/17/2016
PROPERTY ADDRESS:
Address: 1733 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 $10.00
Trade Permit Base Fee $55.00
Total Payments: $75.00
PERMIT IS APPROVED ONLV IN ACCORDANCE WITH ALI, CITN' OF ATLANTIC BEACH ORDINANCES AND TIIE FLORIDA
BUILDING CODES.
MECHANICAL PFRmrr APPLICATION
Crry OF ATLANTIC BEACH
goo Seminole Rd Atlantic Beacb,FL 32233
Ph(904)247-5826 Fax(904)247-5845
f0f:ADDRM:
PRO.NCT VALUE AW# REQUMD
Air HandUmg Equipment OnlY Air HandUng Unit & Condenser Condenser Oull
aW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit quanfi:ty Tons Per Unit Seer RAting
He-at: unit Quantity BTUs Per Unit
Duct Syswms-. Total CFM
ZEpLACF
,MENT AIR cONDITIONING & IE[EATTNG SYSTEM INSTALLATION
Air Con&tionW: Unit Quantity_ Tons Per Unit
Hest- unit Quantity BTUs Pei Unit Seer REQUD?ED
Duct Systmw- Total CFM
?]-RE PREVENTION Quantity (Requires 3 sets of phus)
Fire SprbAcder System. (Rapdres 3 sets of plans)
Fire StandpilDe quantity
Undergroaa Fire main value (Reqvdres 3 sets of plow)
Fire Hose Cabinets Quantity Otequires 3 sets of plans)
Commercial Hoods Quantity (Requires 3 sets of plans)
Fire Supprc��on Systems Quantity (Reqvilres 3 sets of plans)
�iTRE PLACES MISCELLANEOUS:
Prefabricawd Fireplace Qty---�-- Automobile Lffts
pas Piping Outlets Boilers
Elevatom/EsrAators;
�LL OTFIER GAS PIMG Heat Exchanger
—Quantity of Outlets ?A Pumps
4 Vented Wall Furnae4e$ Refrigerator Condenser BTLTs
4 Water Hgaters Solar Collection SYst=s
Tw2ks (gallans)
Wells
)TMR:
armit beemin void Twork does not vhfidn a shE mouth ptTiod or wotk is=TmdW or aboadcoed forsix 6nth&I her6y CerffY Owt I have
iis applicatim and know ft ;--,-to be true and corre& All provWow of laws and ordivalam gov=iag Olis work wM be compliedy6th whether specLl
ot, The poniait does not give miftwity to violate the provkdons of=YY otber swe Or local law Teguladon co"��Or the Performance of oonstruindon.
1roperty0vvm=N=e \4 On--)E-S Phone NumbeT L�L.-'233
Aechamed Company Qx,�� c7ks-Qvu(�� fficeftone I-A
—LO
-C,State ELL Zip!�z-
,o. Address:'?-3-C>9
,kense Holder(jNftt).. ?e 54,tta d
State,Certification/Registaiion 4 1 7
votdriw sknaw"0 Lkmse
Before.'me this day of jZ-b-2-2L 20
NoVirY Public Stske Q1 FtOrida
Stephanie Renee McGOm cZ
MYCQ 11ME'Sio'l FF 033716 Sipo=of Notary PUblic T"
SVE)13V t,0 :6Z:- TT13Z,1-'6l31!T0
TO/T121 39Vd
PAID
JUN 2 0 2016
ATLANTIC BEACH
CITY OFATL,4NTjC r3EACH
PERMIT RECEIPT
PERMIT DESCRIPTION: GAS PIPING-2 OUTLETS, FIRE PLACE,WATER HEATER AND SUMMER KITCHEN
PERMIT NUMBER: 16-MCHG-1404
CITY OF ATLANTIC BEACH
ADDRESS: 1733 ATLANTIC BEACI-ItW�Eo 800 SEMINOLE RD
ATLANTIC BEAC,R.32233
06/20/2016 09:28:43
OWNER: CREDIT CARD
DATE ISSUED: DA VISA SALE
Card# XXXXXXX=2786
FEES DUE: SEQ#: 4
Bath#: 153
Gas Pipe Outlets $10.00 INVOICE 4
Approval Code: 020480
Entry Method: Manual
Gas Piping Vented Units $10.00 Mode: Onlhe
Tax knount: $0,00
- Card Code: M
Trade Permit Base Fee $55.00
SALE AMOUNT $150,11
Totals: $75.00
CUSTOMER COPY