77 Shell St mchg permit CITY OF ATLANTIC BEACH
fl 800 SEMINOLE ROAD
1 ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
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MECHANICAL GAS PIPE PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
706 INFORMATION:
Job ID: 16-MCHG-2717
Job Type: MECHANICAL GAS PIPING
Description: install gas piping for water heater
Estimated Value: $440.00
Issue Date: 12/6/2016
Expiration Date: 6/4/2017
PROPERTY ADDRESS:
Address: 77 SHELL ST
RE Number: 169582-0000
PROPERTY OWNER:
Name: WHITE REV TST ET AL, ELIZABETH,
Address: 1510 EAST RD
GENERAL CONTRACTOR INFORMATION:
Name: AEI INTERNATIONAL CORP.
Lewis D.Spradlin,Jr., 19471
Address: 7709 ALTON AVE QA LEWIS SPRADLIN
Phone: 904-724-9771
FEES:
Gas Piping Vented Units $5.00
State Mach DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Gas Pipe Outlets $10.00
Total Payments: $74.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)24.77.5826 Fax (904)24,7-5845 IV N1 L t}
(OB ADDRESS: / l 1/ JX Py 1- PERMIT#
PROJECT VALUE$ �F0 . 0 O ARt# REQUIRED
_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
MPLACEMENT Alit CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Hest: Unit Quantity BTU's Per Unit Seer Rating
-
Duct Systems: Total CFM REQUIRED
?IRE PREVENTION
Fire Sprinkler System - Quantity - (Requires 3 sets of plan)
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 Boilers BTU's
Elevators E
1,LL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTUs
# Water Heaters 11 Solar Collection Systems
Tanks(gallons)
Wells
)THER: Tr �nfve_u, dfna �� avlly rim- inl.'c. ou7`SIa�G
='it b000008 void if work does wt commence within a six month period or work is sospmded m abandoned for s&months.I hereby e.. that I have r<
iisappgagdonmdkmowthet tobet mdwired AN provisions oflawe end ordinances goveodug this wade will be complied with whethm spmfie
ut. The permit dom not give 8vasority to vi0lam dw provisions of my other sate or local law regulation mft*acim or the performance ofwnsbructlon.
'roperty Owners Name Cando 1;Renfloslclin1 E.. A �,",KPhcne Number
Co-dechanical Company at IN.VL dba R ,type ce Phoue 4111.11 Fax 'fzj- 350
:o.Address; I"1O`1 A liz]n lavc City jo c.K'4onvi Ile state fkn-Zip
,tcense Molder(Print): 5prajlin State Certification/Registratlon# -19\-1
1Taw,sed S1SsiwWre of License Holder _
Before me this day of 20
a4� xaarvPudpswea ons. e _
Slephenle Race tACdire Signature of Notary Publi
y aYCdnawabn PP O]er16
Aw 6ryinn Odatlaeir
a39Vd
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ATLANTIC BEACH
` PERMIT RECEIPT
/ i
December 6, 2016
PERMIT DESCRIPTION: install gas piping for water heater
PERMIT NUMBER: 16-MCHG-2717
ADDRESS: 77 SHELL ST
OWNER:
Gas Piping Vented Units $5.00
State Mech DBPR Surcharge $2.00
State Mech DCASurcharge $2.00
Trade Permit Base Fee $55.00
Gas Pipe Outlets $10.00
Totals:
$74.00
PA10
DEC 06 2016
CITY OF ATLANT
IG BEACH
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