2393 Ocean Breeze Ct 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 NEXr DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-MCHG-2777
Job Type: MECHANICAL GAS PIPING
Description: GAS PIPING -WATER HEATER
Estimated Value:
Issue Date: 12/13/2016
Expiration Date: 6/11/2017
PROPERTY ADDRESS:
Address: 2393 OCEAN BREEZE CT
RE Number: 168908-8230
PROPERTY OWNER:
Name: HANSEN, KIRK& BONNIE,
Address: 2393 OCEAN BREEZE CT
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 Mach DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $64.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC REACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
03/00/2011 08:58 9047213350 AEIGAS PAGE 01/01
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845 ?
oB ADDRzss: CY-04-% 9k-U2-Q— #
PROJECT VALUE$ — ARI# REQUIRED
Air Handling Equipment Only _,Mr Handling Unit& Condenser _Condenser Only
MW 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'
tEPLACEMEENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Tuallifity BTU's Per Unit Seer Rating
Duct Systems: Total FM REQUIRED
IRE PREVENTION
Fire Sprinkler System q 3
Quantity ;equIrres 3:::0or';1hamV
Fire Standp Quantity
Undergroung", ire Main value
Fire Hose Cabinets Quantity eq:'Irrmes 33 M"s:fplanm:
Commercial Hoods Quantity
Fire Suppression Systems Quantity
IRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty_ Automobile Lifts
Gas Piping Outlets Boilers — BTU's
Flevators/Eacalatiors
ML OTHER GAS PIPING Had Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
N Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
)THER. k415V%tA UK,%. (AAa (113A RAINIIA� 'in (IL-d-L,W A 4-
emit becomes void if work does remcommumce within a six month period or work is suspended or abendoned for six months.I hereby certify that I haw mad
Lis 2pplICAtiOn md imom,the same to be rue and cormot, All provisions of laws and ordiamm govcrning this work will be compiled with whether specified or
ot. The permit does not at"authtty W violate the prpisions of my other suits or loco law mzulation construction or the performance of construction.
toperty Owners Name V—fA-T�i L�-�A PhoreNumber (j.0-
4echanical Company �6(`D N6� ��M C0�23 �w Phone Pltlkw3—�-3:3!'0
.0.Address: City State a Zip
,icense Holder(Print): 136UY762- 5j2Md11 r) State Certification/Registration# qC7 I
! My Comm.ExpimsJul 13,2(118 OfilleirethS dayof
Commission#FF 14193B
Pub
griature of Notary
CTIN OF ATIAN71C BEACH
W sEMINCLE RD
ATLANTIC BEAC,FL 32233
CREDIT CO
VISA SAIE
Cad 4 M==4008
SEQ#: 9
ub#� 260
I%VOICE 9
Approvii Code 80726G
bty wtoc: M31W
ft� oft
Tax Amad' $0.00
card Code: m
SALE AMOUNT
CUSTOMER COPY
CITY UF ATLRNIIE REACH
DDO KhINXE ROAD
ATLANTIC IM, FL 32272
POE (N4) 247-5826
LasMer Id: atlbcld�tIbbja
Re.reipt Date: 12113/2016 1:57tM PM
T(neipt Number: DS-71%5
jbb TO: j�-RCRG-7M- Wh PIPING - WRIER H
ERTM G,4- Gas Piping Vented Units SS-00
Job ID: lb-MDr-ZM - 6A3 fTPIM - W41M H
EATER MJ)M - �tate Ma�h DM �urcharge S
2.00
in M: IG-"u-jM - sAS PIPING - WRIER H
EM FM - 3tate MLh MA 3urcharge $2.
M
Job M: 1&-(OG-ZM- URS PIPING WRIER H
EAIR TP - Trade Permit Base T�ee M-M
Fopurt Due: $64.UU
Te,cl,, Intorm.tion: �asp SS.W
Tender Type: CL
Tender ropurt: sD4.L-i
Charge Due: W.UD