1680 MARITIME OAK DR - GASI
r St; CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
j 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-3681
Job Type: MECHANICAL GAS PIPING
Description: GAS PIPING - ONE FIRE PLACE AND 3 OUTLETS
Estimated Value:
Issue Date: 4/5/2017
Expiration Date: 10/2/2017
PROPERTY ADDRESS:
Address: 1680 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.
01/11/2011 20:16 9047213350 AEIGAS PAGE 01/01
MECIIANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
• . 800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826
Fax (904)247-5845 ! 7_fy\C-kG._ 3 c7 (
rOs ADDRESS: \._ jn3 1� Y� ��t •-� 0 C, PERMIT# 11
PROJECT VALUE $ ARI# REQUIRED
Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only
+iEW AIR CONDITIONING & BEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit _ Seer Ratingr
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
d 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
4 11L OTHER GAS PIPTN Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Hearers Solar Collection Systems
Tanks (gallons)
Wells
)THER: --
omit 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 rea
us application and/mow the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified
ot. The permit does not give aun rity to violate the provis'ons of any other state or local law regulation construction or the performance of construction.
`roperty Owners Name
��.. ' 6A ' (1-5 Phone Number /I(. ~SWy
4echanical Company P1 t. o.,15 so Nit ti Office Phone-DM-9911Fax1P-t-33)
;o, Address: d • & at1 fk � .. _ City-6CV1WI--- State \'`t Zip\,
Avulse Holder(Print): 8th'JO d0-- _Spr)h' r" State Certification/Registration# CI-5 `1
1 „,0,1`p STEPHANIE E.CARTER k
�" S da of ( 4 _20 .\,—1
a=`�.- .;:,,t -Notary PUDIic-State of Florida ‘Before me this y
'•x : My Comm.Expires Jul t3,2018 OC)V—..A e
�'��= Commission#Ff 1412tieSignature of Notary Public -tfi9.It �t ,• \ vim--- _-_-_.._.
`'g% � �� Bond 0
CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,FL 32233 CITY OF ATLANTIC BEACH
04/05;201710:39:03 800 SEMINOLE ROAD
CREDIT CARD ATLANTIC BEACH, FL 32233
PHONE (904) 247-5826
VISA SALE
Cashier Id: atlbcld\atlbbja
XXXXX10
Card# 0000X2786 Receipt Date: 4/5/2017 10:38:56 AM
SEQ#: 2 Receipt Number: 05-72809
Batch#: 336 Job ID: 17-MCH6-3681 - GAS PIPING - ONE FIR
INVOICE 2 E PLACE AND 3 OUTLETS 61 - Gas Piping Outle
Approval Code: 005800 is $10.00
Entry Method: Mar><lal Job ID: 17-MCH6-3681 - GAS PIPING - ONE FIR
Mode: Od E PLACE AND 3 OUTLETS 63 - Gas Piping Vente
irt
Tax Amount: d Units $5.00
$0.00
Card Code: M Job ID: 17-MCH6-3681 - GAS PIPING - ONE FIR
E PLACE AND 3 OUTLETS MDBPR - State Mech DB
PR Surcharge $2.00
SAE AMOUNT $74,00 Job ID:• 17-MCHG-3681 - GAS PIPING - ONE FIR
E PLACE AND 3 OUTLETS MDCA - State Mech DCA
Surcharge $2.00
CUSTOMER COPY Job ID: 17-MCHC-3681 - GAS PIPING - ONE FIR
E PLACE AND 3 OUTLETS TP - Trade Permit Bas
e Fee $55.00
Amount Due: $74.00
Tender Information: Cash $74.00
Tender Type: CC
Tender Amount: $74.00
Change Due: $0.00