2075 Vela Norte Cir mechanical gas permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL GAS -
MUST CALL BY 4PM FOR NEXr DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: GSRS17-0015
Description: gas-piping for range
Estimated Value: 0
Issue Date: 7/3/2017
Expiration Date: 12/30/2017
PROPERTY ADDRESS:
Addres�s: 2075 VELA NORTE CIR
RE Number: 1695061088
PROPERTYOWNER;
Name: HEALY GRANT A
Address: 2075 VELA NORTE CIR
JACKSONVILLE, FIL 32233-4533
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Namei AEI INTERNATIONAL CORP.
Address: 7709 ALTON AVE CIA 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$7,500.
04/07/2011 22:01 9047213350 AEIGAS PAGE 01/01
MECELANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)24.7-5845 0, CIO I Is—
r0B ADDRESS. L�� PERhffr#—
PROJECT VALUE _MQULRED
__Air Handling Equipment Only __Air Handling Unit& Condenser —Condenser Only
JEW AIR CONDITIONING & HEATING SYSTEM INSTALLA11ON
Air Conditioninig; Unit Quantity— Tons Per unit
Heat: Unit Quantity BTLPs Per Unit Seer Rating
Duct Sysuans: Total CFM REQUDWD
1EPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: UnitQu=tity_ BTLFsPerUnit— Seer Rating
Duct Systems: Total CFM REQULUD
ZIRE PREVENTION
Fire Sprinkler System Quantity =cas 3:eb of plans
Fire Standp I Quantity 3 ets of plans�
UndergrourtseFire Main Value (Requires 3 sets of
Five Hose Cabinets Quantity (Requires 3 sets of Plans)
Commercial Hoods Quantity (Requires 3 sets of plans)
Fire Suppression Systems Quantity (Requires 3 sets of plans)
7IRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty— Automobile Lifts
Gas Piping outlets Boilers BTU's—
ElevatordEscalators
kLL OTHER GAS PH"G Heat Exchanger
Quantity of Outlets I Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's—
#Witter Heaters solar collection Systems
Tanks(gaflons)
Wells
)THER: (16
emit b�void ifvask doce act conarnanct vithin a six mouth period ceveds is suspeaded or ob-adcass!for six asoughe,I hereby certify that I have rea
,�uppliclom=4$mow*a me to be tru,ausd correcL All proviSiM of ISNYS W 0olicasOCat governing this work Will be 00taplispil with whether specixied
ot, The Permit doce,act give authority to Violate the polSim of My oth,,,,,,or lost law regulation atbe pffsxaace of construction.
.Mpffty Owners Name Qvft� %S)iW Phone Number
AcchaxucalCoxxxpany��
.— City StftELzipaaL�
cation/Registration
Acense Holder qrit): &-jinclo, sand/iP3—state C #.
114buy Public-State DI Fl"Id. Before me this day of M 20
-' My COMM.EXPINS Jul 13,2018
commission# FF Ill 288 Signature of Notary Public
Cash Register Receipt Receipt Number
City of Atlantic Beach R1896
DESCRIPTION PAID
I ACCOUNT CITY
PermitTRAK $138.00
GSRS17-0015 Address: 2075 VELA NORTE CIR APN: 169506 1088 $69.00
MECHANICAL $65.DD
MECHANICAL BASE FEE 455-0000-322-1000 0 $55,00
GAS PIPING OUTLETS 455-0000-322-1000 1 $10.00
STATE SURCHARGES $4.00
STATE DERR SURCHARGE 455 0000-208-0600 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0700 0 $2.00
GSRS17-0016 Address:470 SATURIBA DR APN: 172020 0196 $69.00
MECHANICAL $65.00
MECHANICAL BASE FEE 455-0000�322-1000 0 $55.00
GAS PIPING OUTLETS 45s-ao00-322-1000 3 $10.00
STATE SURCHARGES $4.00
STATE DERR SURCHARGE 455 0000-208-0600 0 $2.00
STATE DCA SURCHARGE
TOTAL FEES PAID BY RECEIPT: R1896 $138.00
Date Paid: Monday,July 03, 2017
Paid By:AEI INTERNATIONAL CORP.
Cashier: BA
Pay Method:CREDIT CARD 3
Printed:Monday,luly03,2017 11:20 AM 1 Of 1 Ir
Cad 3$s
sEqc 3
uocCOV
'AS
W4010E
m
vok.
lax koo
cxdcodr
SUNO
ow
C�sj 00 cop(