1644 Park Ter W - GAS PIPING i' , sir
1°41;P. CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
5� ATLANTIC BEACH, FL 32233
�� INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL GAS -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: GSRS17-0023
Description: GAS PIPING -2 WATER HEATERS & RANGE
Estimated Value: 0
Issue Date: 8/11/2017
Expiration Date: 2/7/2018
PROPERTY ADDRESS:
Address: 1644 W PARK TER
4 RE Number: 172020 0164
PROPERTY OWNER:
Name: GRAMLING SCOTT R
Address: 1644 W PARK TER
ATLANTIC BEACH, FL 32233
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$7,500.
01/04/2011 17:55 9047213350 AEIG43 PAGE 01/01
MECHANICAL PERMIT ApfLICATION
CITY OF ATLANTIC BEACH
- 800 Seminole Rd Atlantic Beath,FL 32233
Ph(904)247-5826 Fax(904)247-5845 SRsl 7 - oc Z3
FOB ADDRESS: _ I. (o Pa V ie,ry-m e,. -s, PERMIT#
PROJECT VALUE$. J-725 .04 ART# REQUIRED
Air Handling Equipment Only Air Handling Unit& Condenser Condenser Only
NTEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity __ Tons Per Unit
Unit Q
BTU's Per Unit Seer Rating
Duct.Systems: Total CFM REQUIRED
REPLACEMENT 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
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 Q Wtity (R.equires 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 5 _ BTU's
Elevators/Escalators
-
LLL OTHER GAS PIPING Heat Exchanger
Qncntity of Outlets _-.1 APs - -
#Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters I Solar Collection Systems
TRnks(gallons) _ , l 0 0
Wells _
)MER: C./0S v. , . in, ',i t.r r and caro __ _.
:.rmit 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 rer
us application and know the same to be true and Correct. All provisions of laws and ordinances governing this work will be cotrtpbed with whether speciiied
ot. The permit does not give authority to violate the provisions of any other stere or local law regulation construction or the perfo}gtance of construction.
'roperty Owners Name el- e+re --iOrneAS Phone Number/ 23rr—$1 B0 _.
rlechanical Company A Ei w)-vi. Corp CI ba 4161 ( S cervi ce S Office Phone—124-9h1tFax 121— 3 350
1o. Address: '7109 141 n Ave city 3a,Ocsonuiilc State VI Zip ;3221 j
.icense Holder(Print): i' a 0 r. SI , , i .S State Certification/Registration#_19_11.,_____
___
q
,,'i►1y�ti', STEPHANIE E.CARTER ) (� 11
ettrt. Notary Public-State of Florida Before me this` 4h.:- day of U Y 20 - ll
'' - My Comm.Expires Jul 13,2018
r �` Commission#FF,141213 ��, 1 !b.,%4) `SQ_- ,I
Signature of Notary Pubh '
��9f tb�'� Bonded lhrou�l Netlon�MotatY Assn,
s`` Cash Register Receipt Receipt Number
jj'
City of Atlantic Beach R2266
DESCRIPTION I ACCOUNT QTY I PAID
PermitTRAK $89.00
GSRS17-0023 Address: 1644 W PARK TER APN: 172020 0164 $89.00
MECHANICAL $85.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
GAS PIPING OUTLETS 455-0000-322-1000 3 $10.00
TANKS GAS OR LIQUEFIED PETROLEUM 455-0000-322-1000 100 $20.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 45500002080700 0 $2.00
TOTAL FEES PAID BY RECEIPT: R2266 $89.00
CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,FL 32233
08 11 2017
13:43:49
CREDIT CARD
VISA SALE
CARD; XXXXXXXXXXXX2786
INVOICE 0005
SEQ;:
Batch x: 0004
Approval Code: 000622
011546
Entry Method:
Mode: Manual
Tax Amount: Onlne
Card Code: $000
M
SALE AMOUNT $89,0
CUSTOMER COPY
Date Paid: Friday, August 11, 2017
Paid By: AEI INTERNATIONAL CORP.
Cashier: LE
Pay Method: CREDIT CARD 622
Printed:Friday,August 11,2017 1:45 PM 1 of 1
,eNu,