1755 BEACH AVE - GAS PIPING � J
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O. CITY OF ATLANTIC BEACH
_ \`v 800 SEMINOLE ROAD
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
JOB INFORMATION:
Job ID: 17-MCHG-3155
Job Type: MECHANICAL GAS PIPING
Description: GAS PIPING - WATER HEATER, COOK TOP , DRYER
AND 250 GAL TANK
Estimated Value:
Issue Date: 2/2/2017
Expiration Date: 8/1/2017
1 PROPERTY ADDRESS:
Address: 1755 BEACH AVE
RE Number: 169672-0000
PROPERTY OWNER:
Name: Swanson, Jeffrey D
Address: 1755 Beach AVE
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 Pipe Outlets $10.00
Gas Piping Vented Units $5.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
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)247-5826 Fax (904)24.7-5845 1 '7 - f1'\C t-cam, _31 s5
roB ADDRESS: I 1 55 e.a.cl' cz.ve _--_-- PERIVIIT# _
PROJECT VALUE $ ARI# REQUIRED
Air Handling Equipment Only Air Handling Unit & Condenser Condenser Onl3
qEW 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
2EPLACEMENI' AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Pleat: Unit Quantity BTU's Per Unit Seer Rating
Duct Systems: Total CFM REQUIRED
+IRE 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)
IRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts _
Gas Piping Outlets Boilers BTU's . .
Elevators/Escalators
k.LL OTHER GAS PYPING Heat Exchanger
Quantity of Outlets Z Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters _1—. Solar Collection Systems
Tanks(gallons) Zip_ r
Wells
I )TITER: acts pi 003 -to Water near Cook--Qp 4 Ciruie,r
ermit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.I hereby certify that I have re
its application and know the same to be true and correct All provisions of laws and ordinances governing this work will be complied with whether spccifle
ot. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performancce�of construction.
'roperty Owners Name ;,0 a ti U.. n Phone Number?�)d3-0`ia`4
Aft ,r .e rt/ a ► ,L '. r, ' I .' Office Phone -72 -''711F ',/ __i_-
:0.
7i -"33
nEchanicat Company ..
;o.Address: /IC°9 /}-t4onAve- City 30_ct onVtiie. State ri- Zip 3 221\
Accuse Holder(Print): P)a. t r1 d(3• S. .. I i i'1 State Certification/Registration# 6/911
,�.... .,` tJi ii,,il.a, :"• .14;t,-.i:.',,Holder ' i I
``�'a "Ue 15A-
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• �° *`�= Notary Public State of Florida Before me this cla of L)C_ k 20 1
•E My Comm.Expires Jul 13,2018 Y
'-q Commission#FF 1 q M (�. ,i� r
'' .° h'�'. Bonded Through National Notary Assn.- Signature of Notary Public: '(`1,IQ1\fit i td -l
TO/TO 39Vd goSI3V 05EEIZLb06 ZO:OZ 'HOZ/OWN
CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,FL 32233
0002,2011 09:23:05
CREDIT CARD
CITY OF ATLANTIC BEACH VISA SALE
800 SEMINOLE ROAD Card s XXXXXXXXXXXX2186
ATLANTIC BEACH, FL 32233 SEQ A:
PHONE (904) 247-5826 2
Batch>{: 293
Cashier Id: atlbcld\atlbbja INVOICE 2
Approval Code:
Receipt Date: 2/2/2017 9:23:00 AM A
Receipt Number: 0S-,2337 002599
Entry Method: Manual
Job ID: 17-MCHC-3155 - GAS PIPING - WATER H
EATER, COOK TOP , DRYER AND 250 GAL TANK G1 Online
- Gas Piping Outlets $10.00 Tax Amount: $0.00
Card Code:
Job ID: 17-MCHC-3155 - GAS PIPING - WATER H
EATER, COOK TOP , DRYER AND 250 GAL TANK G3
- Gas Piping Vented Units $5.00 SALE AMOUNT $74,00
Job ID: 17-MCHC-3155 - GAS PIPING - WATER H
EATER, COOK TOP , DRYER AND 250 GAL TANK MD
BPR - State Mech DBPR Surcharge $2.00
Job ID: 17-MCHG-3155 - GAS PIPING - WATER H CUSTOMER COPY
EATER, COOK TOP , DRYER AND 250 GAL TANK MD
CA - State Mech DCA Surcharge $2.00
Job ID: 17-MCHG-3155 - GAS PIPING - WATER H
EATER, COOK TOP , DRYER AND 250 GAL TANK TP
- Trade Permit Base Fee $55.00
Amount Due: $74.00
Tender Information: Cash $74.00
Tender Type: CC
Tender Amount: $74.00
Change Due: $0.00