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309 Magnolia St mchg permit 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-2482 Job Type: MECHANICAL GAS PIPING Description: GAS PIPING - ONE OUTLET Estimated Value: Issue Date: 11/4/2016 Expiration Date: 513/2017 PROPERTY ADDRESS: Address: 309 MAGNOLIA ST RE Number: 170450-0000 PROPERTY OWNER: Name: SCHAFFER, CLARK & MARGARET S, Address: 309 MAGNOLIA ST GENERAL CONTRACTOR INFORMATION: Name: AE] INTERNATIONAL CORP. Lewis D.Spradlin,Jr., 19471 Address: 7709 ALTON AVE QA LEWIS SPRADLIN Phone: FEES: Gas Pipe Outlets $10.00 State Mech DBPR Surcharge $2.00 State Mach DCA Surcharge $2.00 Trade Permit Base Fee $55.00 Total Payments: $69.00 PERMIT IS APPROWD ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND WE FLORIDA BUILDING CODES. 01/28/2011 09:39 9047213350 AEIGAS PAGE 01/01 MECHANICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Benh,FL 32233 Ph(904)247-5826 Fax(904)247-5845 rV\C t-k& z4(&Z- oB ADDRESS: EL��N& ( 0� !N-, PERNUT# 4�j PROJECT VALUE $ ARI# _REQUIRED __Air HaudHng Equipment Only __,Air HandUng Unit& Condenser —CondenserOnly [EW AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: UnitQuamity_ TonsPerUnit Heat: Unit uantity BTU's Per Unit Sea Rating— Duct Systems: Total%PM REQUIRED LEPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quanthy Tons Per Unit — Heat: Unit rtity— BTU`s Per Unit— Seer Rating-- Duct Systems: Total My REQUIRED IRE PREVENTION Fire Sprinkler Sys= 2umfity (Requires 3 sets of plans) Fire Standpi liamity (Requires 3 sets of plans) Undargro=,Fire Main value (Requires 3 sets of plans) Fire Hosc Cabinets Quantity quires 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 Boilers -Ts — BTU's— Elevatom kiaiators kLL OTHER GAS PIPING Heat Exchanger Quantity of Outlets #Vented Wall Furnaces =ngarator Condenser BTU's— #Water Heaters Solar Collection Systems Tanks(gallons) Wells )THER: 50 A-b L%A� emit becon"void Kworkdoes not conannonOeVVithin 615tKaroamperloa or won,1,attspentsm Or mmQOmOtOf3MR=UQ.A U�WX-V LwU�1-1 ,is application and know the strove to be nuo and correct. All provisions of laws and ordinarices governing this work will be complied whir whether specified or ot The pemit don not sive authority to violate,the provisfirna;of my other samft orjocal law regaldon m,stmotion or the pertorosence of construction. 1roperty0wncrsName5aM!L—LCLj�= . ­ . -:�+ Phone Number cto�Lq v�>-A%pi 4echanical Companybg=,�L �Vl�-TGO--5 ��9W Plume—gafnLFatZ3�-3?6D� --r-?A CA N��v, � —%� 44 ,o.Address: city State ZOD61� Acense Holder (Print1,-fAU(\Aqcz-'�pc state certificaticn/Registration �ota z It NetaryPublIC-State day of of F, me this -a My comm.Ew"Ires Jet[I Ofteellsiml#FF 14120A. aeodad= of Notary Public 0ju'a CITY OF ATLANTIC BEACH 800 SEMINOLE RD ATLANTIC SEAC,F.32233 IIjD4/2OI6 13:09:31 CREDIT CARD VISA SALE C CiFd 4 kD0000000002786 " 4 S SEQ;: 2 �Q 0 INVOICE 2 WOIC Approval Code: 004468 v Bty Mdxd: M" �V Mwe: Onh 2 2 68 Tax kroAt $000 Ta Cud Code: M Car w L I SALE AMOUNT %9,M CUSTOMER COPY CITY OF ATLFB4TIC BEACH 000 SEMINOLE ROAD ATLANTIC BEACH, FIL 32233 PHONE (904) 247-505 Cashier Id: atlbcld\dtlbbid Receipt Date: 11/4/2016 1:11:26 PM Receipt Number: OS-71662 Job ID: 16-fCkG-2482 - GAS PIPING - ONE OUT LET G1 - Gas Piping Outlets $10.00 Job ID: I6-WNG-24B2 - GAS PIPING - ONE OUT LET MDBPR - State Mech DBPR Surcharge $2 .D) Job ID: lfi-MCM-2482 - GAS PIPING - ONE OUT LET MDCA - State Mach DCA Surcharge $2.0 0 Job ID: I6-MCHG-2q82 - GAS PIPING - ONE OUT LET TP - Trade Permit Base Fee $55.00 Amount Due: SG9.00 Tender Information: Cash $69.00 Tender Type: CC Tender Amount: $69.00 Change Due: $0.00