1722 MARITIME OAK DR - GAS PIPING CITY OF ATLANTIC BEACH
t 800 SEMINOLE ROAD
J11 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-3241
Job Type: MECHANICAL GAS PIPING
Description: GAS PIPING - WATER HEATER, DRYER, COOKTOP AND
GRILL
Estimated Value:
Issue Date: 2/13/2017
Expiration Date: 8/12/2017
PROPERTY ADDRESS:
Address: 1722 MARITIME OAK DR
RE Number: None
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: $74.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FX.. 32233
Ph(904)247-5826 Fax (904)247-5845 1, 7._Mci-i.6- .Z a- V,
lOB Anrn ss:j.7 2.2- !`-'a i-1 rY!e �S Dr PERT 1rr#
PROJECT VALUE$ �. .ARI# REQUIRED
Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only
'TEW.ALR 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
tEPLACEMENT 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
{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)
TIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts
Gas Piping Outlets Boilers BT'U's
Elevators/Escalators
#LL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets 3 Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters _i_ Solar Collection Systems
Tanks (gallons)
Wells
)TIIER: - 1t1 +0 _ kiNr teette_.r ,crt r , enoitkolo rxnci ('ri 11
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 hove rc
ns application and know the same to be true and correct. Ali provisions of laws and ordinances governing this work will be complied with whether specific
ot, The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of ons action.
'roperty Owners Name RjVP r i cle, Hdrne-C Phone Number L44Q - 45
ilechanical Company AEI 10+1. Nrfir clh2,__AEI - Office Phone•12'-I-ll llFax 17-1 -3 (
�rvtte
.o. Address: -710 1 f o r7 __ Ave- City JO-CV-Son V i ne, State rL Zip 32 2 ! 1
Acense Bolder(Print): • - 'ti . _ , ,. I i ) _ State Certification/Registration# ell fl.
!der
,.k4' +"lu,•, STEPHANIE E.CARTER —
r� `�- Notary Public•State of Florida
:,� : Before me this da of �,P 20
�y yr`` • MY Carnal Expires Jul 13,2018
A,, 1� a:` Commission r#FF 141288 Signature of Notary Publi �j�, ‘ ill _
+�+ ,• Bonded Through National Notary Assn.
TO/TO 3E$ d SVSISl7 09EETZLb06 9T :6T TTOZ/ZZ/Z0
'L`1
�-Sr :0f,;
� , ATLANTIC BEACH
s' PERMIT RECEIPT
�J;il9`" February 13, 2017
PERMIT DESCRIPTION: GAS PIPING-WATER HEATER, DRYER,COOKTOP AND GRILL
PERMIT NUMBER: 17-MCHG-3241
ADDRESS: 1722 MARITIME OAK DR
OWNER:
CITY OF ATLANTIC BEACH
Gas Pipe Outlets $10.00 800 SEMINOLE RD —
ATLANTIC BEAC,FL 32233
02.13:2017 10:52:55 _
Gas Piping Vented Units $5.00 CREDIT CARD
VISA SALE
State Mech DBPR Surcharge $2.00 CARD a XXXXXXXXXXXX2786
INVOICE 0001
State Mech DCA Surcharge $2.00 SEQ : 0001 —
Batch g: 000497
Approval Code: 013742
Trade Permit Base Fee $55.00 Entry Method: Manual —
Mode: Online
Tax Amount. $0.00
Cad Code: M —
Totals: $74.00 SALE AMOUNT $74,00
CUSTOMER COPY
PAID
Fa 132011
TY OE A11-ANTIC BBp,CN
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