1734 Maritime Oak Dr 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 NE)(T DAY INSPECrION: 247-5814
JOB INFORMATION:
Job ID: 17-MCHG-3463
Job Type: MECHANICAL GAS PIPING
Description: install 4 gas-piping outlets
Estimated Value:
Issue Date: 3/10/2017
Expiration Date: 916r2017
PROPERTY ADDRESS:
Address: 1734 MARITIME OAK DR
RE Number: None
PROPERTY OWNER:
Name: RIVERSIDE HOMES OF N FL
Address: 414 OLD HARD RD STE 502 MATTHEW ROBERTS_
GENERAL CONTRACDOR INFORMATION:
Name: AEI INTERNATIONAL CORP.
Lewis D. Spradlin,Jr., 19471
Address: 7709ALTONAVE QALEWISSPRADLIN
Phone: 904-724-9771
FEES:
Gas Pipe Outlets $10.00
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: $74.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
03/19/2011 23:41 9047213350 AEIGAS PA(E 01/01
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
IoB ADDRESS: Ph(904)247-5826 Fax(904)24.7-5845 —/A C
PEPAM#
PROJECT VALUE$_ AU# REQUIRED
—Air Handling Equipment Only __Air Handling Unit & Condenser _CondenserOnly
MW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity— Tons Per Unit —
Heat: Unit Quantity BTU'sPerUnh_ Seer Rating—
Duct Systems: Total CFM REQUIRED
IEPLACEMENT AIR CONDITIONING &]BEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity— Tons Per Unit —
Heat: Unit Quantity BTU`sPcrUn1t_ Sea Radmg__
Duct Systems: Total CFM REQVIRED
FIRE PREVENTION
Fire Sprinkler System Quantity (Requires 3 sets of plans)
Fire Stemdpi Quantity unres 3 sets of plans)
UndergroMFire Main Value R�qlures 3 sets of plans)
Fire Hose Cabinets Quantity (Requires 3 sets of plans)
Commercial Hoods Quantity equ!res 3 sets of plans)
Fire Suppression Systems Quantity tilmures 3 sets of plans)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty_ Automobile Lifts
Gas Piping Outlets Boilers ---W— BTU's—
Elevatiorsia" Ora
LLL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furrances Reffigellator Condenser BTU's—
#Waff Hesters Solar Collection Systems
Tanks(gallons)
Wells
)THERI;�ko:A_q k6-WV=t 0,'.7 K)
strait beconnes,void If vvorli�locs nut conavorto itlun a six nuunth period or work is suspended or abandoned for six waft.I hereby certify that I have ret
jis application ad know the same to be we ad connect All provision,of lam ad onfinancess governing drs work WM be complied with whether spacifi.,
ot. The Permit does not give son ma,or local law regulation constropcifod por the performance of construction.
Iroperty Owners Nfmue.rk;;�= Phone Number
Aechanica][Corrpxmy�,��Q Aba&=Z6�' itMe Phon._W11LF.LL-��_5b_
-1 Oak h
-1 k%-,
Address: - ��A NVO— CiZ�k��
,Icense Holder(Print): 65111`11411 .52MAIin _StatcCertification/RegismstionN
S1Vv"mdqeI Ider . ;n 3/.
Notary Public-81me of Rules
my Comm,Expires Jul 13,2014 Before we this day,of cg,��N 2
Commission#FF 141208
Scroallunsmalstars,1111myAssus. Signaturt:of Notary P ic "rs�t P_. Pi�A
[CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC REAC,FL 32233
03/10/2017 15:45:49
CREDIT CARD
VISA SALE
Card# VXDOODOODD(2786
SEQ k 9
W#: 316
INVOICE 9
Approval Code: OID400
B"WOW: martial
mok Onift
03""20'
CM
AT
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W
C"d#
EQ#
Jl`h#
INVOICE
0
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Tax Arrad: $0.00
W U
d Codat: m
SALE AMOUNT $74,00
CUSTOWR COPY
CITY OF ATLANTIC BEACH
900 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
PHONE (9114) 247-5B2&
Cashier Id: atibcld\atlbbja
Receipt Date: 3110/2017 3:46:49 PM
Receipt Number: OS-72619
Job ID: 17-WHG-3q53 - install 4 gas-piping
,bb ID: 17-MENG-3463 - install 4 gas-piping
Job It: 17-MCHG-3q53 - install 4 gas-piping
JDb ID: 17-MCHG-3463 - install 4 gas-piping
Jab ID: 17-MDZ-3463 - install 4 gas-piping
Amwnt Due: $74.00
Tender Information; Cash $74.00
Tender Type: CC
Tender Amount: $74.00
Change Due: $0.00