589 COASTAL OAK LN - GAS PIPING rvJ
`` CITY OF ATLANTIC BEACH
4t, 'y J 8P 00 SEMINOLE OAD
j7. ATLANTIC BEACH, FL 32233
INSPECTION HONE LINE 247-5814R
`gip\—)r
MECHANICAL GAS PIPE PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 17-MCHG-3783
Job Type: MECHANICAL GAS PIPING
Description: install gas piping to 2 water heaters, fireplace, grill, cooktop,
& lanterns
Estimated Value:
Issue Date: 4/18/2017
Expiration Date: 10/15/201.7
PROPERTY ADDRESS:
Address: 589 COASTAL OAK LN
RE Number: None
PROPERTY OWNER:
Name: RIVERSIDE HOMES OF N FL
Address: 414 OLD HARD RD STE 502 MATTHEW ROBERTS
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 $15.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
I
Trade Permit Base Fee $55.00
Total Payments: $84.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
,'s `� �.
ss1 ATLANTIC BEACH
`�. - -
...._s� PERMIT RECEIPT
�<_.1_-.0.219'r• April 18, 2017
<_.1_-.0.219'r•
PERMIT DESCRIPTION: install gas piping to 2 water heaters,fireplace,grill, cooktop, & laterns
PERMIT NUMBER: 17-MCHG-3783
ADDRESS: 589 COASTAL OAK LN
OWNER: RIVERSIDE HOMES OF N FL
CITY OF ATLANTIC BEACH
Gas Pipe Outlets $10.00 800 SEMINOLE RD
ATLANTIC BEAC,FL 32233
04:18 2017 14:58:24
Gas Piping Vented Units $15.00 CREDIT CARD
VISA SALE
State Mech DBPR Surcharge $2.00 CARD s XXXXXXXXXXXX2786
INVOICE 0002
State Mech DCA Surcharge $2.00 , SEQ 0002
Batch#: 000542
Approval Code: 018376
Trade Permit Base Fee $55.00 . Entry Method: Manual
Mode: Online
Tax Amontt: $0.00
Card Code: M
Totals: $84.00 SALE AMOUNT $84,00
CUSTOMER COPY
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01/24/2011 22:05 9047213350 AEIGAS PAGE 01/01
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
• 800 Seminole Rd Atlantic Beach,FL 3,233
Ph(904)247-5826 Fax (904) 24.7-5845 i l- Yl Lt{el- - 3 -
q` -1 110B ADDRESS: C66--___ r\ . PERMIT# \r s 4
PROJECT VALUE$ ARI# REQUIRED
Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only
JEW 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
2EPLACEMENT 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 711ZE 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 T (Requires 3 sets of plans)
Fire Suppression Systems Quantity . _ (Requires 3 sets of plans)
PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts
Oas Piping Outlets ---F— Boilers BTU's
Elevators/Escalators
UI,L OTHER GAS PIJ."ING. Heat Exchanger .�
Quantity of Outlets Pumps
#Vented Wall Furnaces . Refrigerator Condenser BTU's
#Water Heaters *I- Solar Collection Systems __
Tanks (gallons)
Wells
)')("TIER: e ^ li.i,1' N 0 \ALA-Vs.> `i"l�fl C� r+S�.j ' • -► '' Ids°
•
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 rca
os application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified
or_ The permit docs not give authorityQ\V( '5
to violate a provis ons of any other state or local law regulation construction or the perfomiannstr
ce oaf couction
.
'roperty Owners Name � 6v.. \k 5 Phone Number --1o`-1-P- ‘60
.._,- -x
�-- " �f#ti Phone 7 `il 1 FaxTl'3 '
Mechanical Company t ,1_ ,.► D� ,,.
,o. Address: 1709 `INAI L . _ Citti 'R k_9.,. . State zip )) `
License Folder(Print): )C,ii nda. 1 it''1 State Certification/Registration# (39 i li
., _.:,r-, . . ... � � �' '' .�
o�P +pud,, STEPHA. I E.CARTER C�1�h 1
i _41, a<c;2 Notary Public-State of Florida Before me this i D day of �1�r • 1 , 20
• ' ,��:•_ My Comm.Expires Jul 13,2018 +1
%J�.i}oPP Commission#FF 141288 , Signature of Notary Public 1�t `� O
? %n4fm Bonded Through National Notary Asan.