23 CORAL ST - GAS PIPING -S rA�`l J
J,
•
j 1 '" \s, CITY OF ATLANTIC BEACH
J\ 800 SEMINOLE ROAD
jA k' ;r 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: 17-MCHG-3010
Job Type: MECHANICAL GAS PIPING
Description: install 3 gas piping outlets
Estimated Value:
Issue Date: 1/17/2017
Expiration Date: 7/16/2017
PROPERTY ADDRESS:
Address: 23 CORAL ST
RE Number: None
PROPERTY OWNER:
Name: PILLAR LLC
Address: 2232 Corporate Square BLVD
GENERAL CONTRACTOR INFORMATION:
Name: AEI INTERNATIONAL CORP.
Lewis D. Spradlin, Jr., 19471
Address: 7709 ALTON AVE QA LEWIS SPRADLIN
Phone: 9.04-724-9771
FEES:
Gas Pipe Outlets $10.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $69.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
01/26/2011 20: 18 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
COB ADDRESS: . Cc, -.<:1,.t _4s. PERMIT#
PROJECT VALUE $_, . _ .ART# REQUIRED
•
Air Handling Equipment Only Air Handling Unit & Condenser Condenser Onli
41EW AIR CONDITIONING Sr. HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating —
Duct Systems: Total CFM REQUIRED
0
REPLACEMENT 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. - REQUIRE')
IRL 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)
FIRE PLACES MISCELLANEOUS;
Prefabricated Fireplace Qty Automobile Lifts
Gas Piping Outlets Boilers BTU's __--
Elevators/Es calators
kLL OTHER GAS PIPIT Heat Exchanger
Quantity of Outlets -'S Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
)THER: . ..
ermit becomes void if work docs not commence within a six month period of work is suspended or abandoned for six months.I hereby certify that I have i
Us application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specifi
ot, The permit does not give au n to viol the prov sions f any other state or local law regulation construction or the performance of construction.
'roperty Owners Name \\` `A _ PhoneNumber
ilechanical Company C�Y\T Catk-) C`.�: .LC Sty-Office Phone LI"7 ]i'ax7 -1"3-
C Cil t(i•\�Q State d–1 Ze., ._.1;o. Address: -r--mi 1 Vityelir)f - , p q
,icense Holder(Print . SrO G+ t�� State Certification/Registration#
Vi it
�� •. �; , Si�'itlt� '�I�se �:older �l.tA,./�.,� /
ro, -i't:% Wary Public- tate of Florida
. My Comm.Expires Jul 13,2018 Before me this day of . 20 \�
'''''-';-,,L".1--1'' Commission naFF 1412wa'Y 8A � ,� -
• '�'f°����� f3gxled T1Y'ouQh Nations!Notary Assn.
Signature of Notary Public��..
r - . �.s� ATLANTIC BEACH
e PERMIT RECEIPT
�yJFS1�'r January 17, 2017
PERMIT DESCRIPTION: install 3 gas piping outlets
PERMIT NUMBER: 17-MCHG-3010
ADDRESS: 23 CORAL ST CITY OF ATLANTIC BEACH
800 SEMINOLE RD
OWNER: PILLAR LLC ATLANTIC BEAC,FL 32233
01.17:2017 12:02:42
Gas Pipe Outlets $10.00 CREDIT CARD
VISA SALE
State Mech DBPR Surcharge $2.00 CARD s XXXXXXXXXXXX2786
INVOICE 0004
State Mech DCA Surcharge $2.00 SEQ n: 0004Batch;: 000478
Approval Code: 017955
Trade Permit Base Fee $55.00 Entry Method: Manual
Mode: Online
Tax Amount: $0.00
Card Code: M
Totals: SALE AMOUNT
$69.00 $69.00
CUSTOMER COPY
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