1930 Beachside Ct gas permit -S�Y
~ a CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
_ ATLANTIC BEACH, FL 32233 -
.t INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL GAS -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: GSRS17-0013
Description: GAS PIPING-FIREPLACE, POOL, COOKTOP& 120 GAL TANK
Estimated Value: 0
Issue Date: 6/20/2017
Expiration Date: 12/17/2017
PROPERTY ADDRESS:
Address: 1930 BEACHSIDE CT
RE Number: 169542 0596
PROPERTY OWNER:
Name: KATHERINE A CALDWELL
Address: 1930 BEACHSIDE CT
ATLANTIC BEACH, FL 32233-5965
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: AEI INTERNATIONAL CORP.
Address: 7709 ALTON AVE QA LEWIS SPRADLIN
JACKSONVILLE, FL 32211
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB
SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For HVAC work,a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
03/28/2011 00:28 9047213350 AEIGAS PAGE 01/01
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)24.7-5845 G SRS 7–O0 (3,
iOB ADDRESS: t q� � �1�C PERMIT#
PROJECT VALUE$ 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 Par Unit Seer Ratin
Duct Systems: Total CFM D
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 j REQUIRED
PREVENTION C
Fire Sprinkler System Quantity (Requires 3 sets of plans
Fire Standpipe Quantity I (Requires 3 seta of plans
Underground Fire Main Value T (Requires 3 sets of plans)
Fire Hose Cabinets Quantity (Regaires 3 sets of plans).
Commercial Hoods Quantity (Regaires 3 sets of plans)
Fire Suppression Systems Quantity (Requires 3 sets of plans)
+7RE PLACES MISCELLANEOUS*
Prefabricated Fireplace Qty– Automobile Lifts
Gas Piping Outlets 1 — Boilers BTU's
Elevators/Escalators
LLL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Z Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
)TITER: G p?) +o fir lace ,Pool hey+er CAot^+�.g
ermit becomes wid ifwork does not wmmrnw within a six mouth period wwoek la suspended m abmdmed for aft moaft.i hmaby ramify tbatlve haccs
iisapplimtimmdka tbe�etobettvemdoonw,t Alt pmvWma of ism and ordimmm governing this work WW be complied with whetherSpecified
of The permit does not give authority.violmthe atomsofmy other star,or loco)law regulation construction or the pmfb ceofconsmicdgn-
toperty Owners Name �) G , Phone Number p�?
dechanical Company NE a N+ 6 CE� 62,
:o. Address: 'Vo "k�� (L City Stat,2 Zit
.icense Holder(Print): cation/Regisnatioa# lT
STEPHANIE .CA.Tea
Vii¢" 6s, Netsiy POO-Stara. .11da Before me this 6"Nday of ^. 20�
r ••1 my Comm.ExpiNs dm I a,ZviU \ �F•—
commlaalon0FF141288 Signature of Notary Public -
�r,e�• BmgMlbmupiNalmYra.ywa `�•-�
Cash
�J �r ,eL ,.f Registerr
City
f Atlantic Beach R1806
DESCRIPTION ACCOUNT CITY PAID
PermitTRAK $113.00
GSRS17-0013 Address: 1930 BEACHSIDE CT APN: 169542 0596 $113.00
MECHANICAL $109.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
FURNACES AND HEATING 455-0000-322-1000 1 $24.00
VENTED WALL FURNACE WATER HEATER 455-0000-322-101)0 2 $10.00
UNIT
TANKS GAS OR LIQUEFIED PETROLEUM 455-0000-322-1000 120 $20.00
STATESURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE I55-0WO-208-0700 0 $2.00
TOTAL : 1 . $113.00
Date Paid: Monday,June 19, 2017
Paid By:AEI INTERNATIONAL CORP.
Cashier: CT
Pay Method: CREDIT CARD 019712
Printed:Monday,June 19,2017 3:17 PM 1 of 1