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325 COUNTRY CLUB LN - GAS PIPING r-. �S, CITY OF ATLANTIC BEACH 2 800 SEMINOLE ROAD j - ATLANTIC BEACH, FL 32233 ;N INSPECTION PHONE LINE 247-5814 \J111>'� MECHANICAL GAS PIPE PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 17-MCHG-2922 Job Type: MECHANICAL GAS PIPING Description: install gas-piped fireplace, 2 gas outlets, 3 water heaters Estimated Value: $1,200.00 Issue Date: 1/4/2017 Expiration Date: 7/3/2017 PROPERTY ADDRESS: Address: 325 COUNTRY CLUB LN RE Number: 171962-0000 PROPERTY OWNER: Name: GROVER JR, WILLIAM HOWE Address: 325 COUNTRY CLUB LN 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 Gas Pipe Outlets $10.00 Gas Piping Units $16.00 Gas Piping Vented Units $15.00 State Mech DBPR Surcharge $2.00 11 State Mech DCA Surcharge $2.00 Trade Permit Base Fee $55.00 Total Payments: $100.00 PERMIT IS API'ROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 01/13/2011 19: 14 9047213350 AEIGAS PAGE 01101 MECHANICAX.. PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach,FL 32233 Ph(904)247-5826 Fax(904)24.7-5845 11-, NAC ri CI- aci3-)- 4c FOB ADDRESS: -5 Cc - Ulo L rN - PERMrr# . ARI# _ REQUIRED PROJECT VALUE $ t — Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only 4EW 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 ZEPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity Tons Per Unit Heat: Unit Quantity _ BTU's Per Unit _ Seer Rating D Duct Systems: Total CFM TIRE 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 1 _ . (Requires 3 sets of plans) Commercial Hoods Quantity (Requires 3 sets of plans) Fire Suppression Systems Quantity i _ (Requires 3 sets of plans) 1 LRE PLACES !MISCELLANEOUS: Prefabricated Fireplace Qty !Automobile Lifts Gas Piping Outlets --1-- Boilers BTU's !Elevators/Escalators k.LL OTHER GAS PI INS 1Heat Exchanger • Quantity of Outlets - IPumps #Vented Wall Furnaces _„ ;Refrigerator Condenser BTU's # Water Heaters 3 _ 'Solar Collection Systems !Tanks (gallons) Wells )THER: if 006\ kD 3 1W otiA4kiOtlis Rteii i\cQ Com crmit becomes void if work docs not commence within a six month period or work is suspended or abandoned for six months.I hereby certify that X have its application and know the same to bt true and correct All provisions of laws and ordinances governing this work will ._ ..m• -ed with whether spceifi, ot. The permit does not give anthority to violate the provisions of any oth r state or lova law relation COs c on or . '....u,..• ance of construction k � ",i 'roperty Ovvuers Name L «, 1111 �ti C�l \�©,1�4� .�k � P me 1.be , ,,.�._► 4ech.artical Company r` Office Phone ?- ,I/-9 a-4kax -al-2 3 S L ICs f C.�Zip -2- 1 ,n. Address:-9-3-e) co C,,l�l�-p n Gk.��/�c� �- _ City CLc o u Gl State�r Accuse Holder(Print): /38-/i / 40 4. o r.1 IT State Cerd s cation/Registration# ? R. / . - I 4 1r�>, a ed Sigma=P,�J tse fielder • 9L -- 1 4 i t-als Notary Public-State of Florida ' ji-t-L of1120 �• My Comm.Expires Jul 13,2018 Before me this `^ l i \ y • V°,om -6,?;$ Commission# FF 141288 C 1 ",,Of,,\"• Bonded Through National Notary Assn. 0 Signature of Notary Public ` ti_0 .. \t C L' r ' if�•S, ATLANTIC BEACH PERMIT RECEIPT \\0;319'r January 4, 2017 PERMIT DESCRIPTION: install gas-piped fireplace, 2 gas outlets, 3 water heaters PERMIT NUMBER: 17-MCHG-2922 ADDRESS: 325 COUNTRY CLUB LN OWNER: Gas Pipe Outlets $10.00 Gas Piping Units $16.00 Gas Piping Vented Units $15.00 State Mech DBPR Surcharge $2.00 State Mech DCA Surcharge $2.00 Trade Permit Base Fee $55.00 Totals: $100.00 ?r 1 F P c,0 O \ l k