377 8TH ST - GAS PIPING (;,3-1,,tvi:(7,,
il, CITY OF ATLANTIC BEACH
ii..,-. ii j 800 SEMINOLE ROAD
5"t ATLANTIC BEACH, FL 32233
`°' INSPECTION PHONE LINE 247-5814
1119
MECHANICAL GAS PIPE PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-MCHG-1571
Job Type: MECHANICAL GAS PIPING
Description: gas piping to tankless water heater, range, dryer, vent-free
fireplace, and grill
Estimated Value: $1,200.00
Issue Date: 7/14/2016
Expiration Date: 1/10/2017
PROPERTY ADDRESS:
Address: 377 8TH ST
RE Number: 169978-0000
PROPERTY OWNER:
Name: BOUTSELIS JOHN & JENNIFER, *
Address: 7050 BUSEY RD
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 $5.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $74.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND TUE FLORIDA
BUILDING CODES.
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c.s ATLANTIC BEACH
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PERMIT DESCRIPTION: gas piping to tankless water heater, range, dryer, vent-free fireplace, and grill
PERMIT NUMBER: 16-MCHG-1571
ADDRESS: 377 8TH ST ?r,°
OWNER: 0,. 1.4. °
CH
DATE ISSUED: co�F pa`AN'1C\*.N
FEES DUE: ` ' 1
Gas Pipe Outlets $10.00
Gas Piping Vented Units $5.00
State Mech DBPR Surcharge $2.00
CITY OF ATLANTIC BEACH
State Mech DCA Surcharge $2.00 800 LE RD
ATLANTICC BEAGEAC,FL 32233
07.14/2016 14:21:16
Trade Permit Base Fee $55.00 CREDIT CARD
VISA SALE
CARD; X00000 00(XX2786
Totals: INVOICE 0005 '
$74.00 SEQ P: 0004
Batd�g: 000357
Approval Code: 014089
Entry Method: Manual
Mode: Online
Tax Amount: $0.00
Card Code: M
SALE AMOUNT $74,00
CUSTOMER COPY
MECHANICAL PERMIT APPLICATION I b- ►AGt-1 — IS1-)
CrrY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845 i
FOB ADDRESS: 5. - ^�' T##I,(0-a
fc2-•
PROJECT VALUE$ , QQ ART# REQUTIRLD: v t
Air Handling Equipment Only Air Handling Unit& Condenser Condenser Only
dEW 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
2EPLACEMENT 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
RE 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)
IRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts
Gas Piping Outlets __I _ Boilers BTU's
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces T Refrigerator Condenser BTU's
# Water Heaters ,..__I_ Solar Collection Systems _ _
Tanks(gallons) 122 L.
L.
t ae-\e'er Wells
)THER: I t. VIM NiA ear W. tlit.• - r LAA 1 r A. kw Ilt..
1. r• _ I
crmit becomes void if work does not commence within a six '. period or work is suspended or abandoned for sic months.I hereby certify that I have r
ris application and know the same to be true and correct All provisions of Laws and ordinances governing this work will be complied with whether specifl
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.
rroperty Owners Name cSCC2 Cl �Yr JG r7(11—7-d Phone Number 2 3 3 `L~?
mechanical Company a e?l In / CP rp (i))4 6,4_,, 64 s_ ai .c Office Phone 3-x,4191 -,Fax es.!-a 3
7Z1-3350
'o. Address: -�-o t 4._/1---e>.-) a-4 )Ln!t,�P CityYCbc KS an u,i61 State F L Zip -.1'2,--z.!
.icense Holder(Print): /3a.1/"I Q Sp' c://(.--V- `'V' State Certification/Registration# R / 7
vrotarized Sure of License Holder y ? l - -2/ , �%"' -2�;
,.► ��fet Motery Fublic State a}FIor�a9 Before me this day of • " . 20
Steohanle Renee McGuire
�Ar p� My Comminaion FF Q33716 Signature of Notary Public �e!jl��` "`� �/ i
pro+¢ `x,? 07.0 2017
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