740 PARADISE LN - GAS PIPING �S`rri ` `,.
�' CITY OF ATLANTIC BEACH
5:71i
SS1
J {_
;, 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
'z'r)1119 INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL GAS -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: GSRS17-0036
Description: GAS PIPING TO GRILL, COOK TOP 7 FIRELOGS
Estimated Value: 0
Issue Date: 10/19/2017
Expiration Date: 4/17/2018
PROPERTY ADDRESS:
Address: 740 PARADISE LN
RE Number: 172376 0245
PROPERTY OWNER:
Name: SPRINGFIELD BUILDERS LLC
Address: 13846 ATLANTIC BLVD#204
JACKSONVILLE, FLI 32225
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: AEI INTERNATION L CORP.
Address: 7709 ALTON AVE OA LEWIS SPRADLIN
JACKSONVILLE, F 32211
Phone:
PERMIT INFORMATION:
Please see attached conditions of approv I.
WARNING TO OWNER: YOUR FAIL'URE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT I 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 requiredor work exceeding an estimated value of
$2,500. For HVAC work, a Notice of Commen ement is only required when HVAC work
exceeds and estimated value of$7,500.
02/04/2011 01:24 9047213350AEIGAS PAGE 01/01
•
MECHANICAL PE IT APPLICATION
, CITY OF ATL.' TIC BEACH
800 Seminole Rd Atla tic Beach, FL 32233 '
• • . Ph(904)247-5826 F: (904)247-5845 .C S R` '7- 0 OS
JOB ADD•Rss: 7140 P/ G I',S,e, , — As# S/'7-01 V 9
PROJECT VALUE ,Ala# REQUIRED
Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only
NEW AIR CONDITIONING & HEATING SYS EM INSTALLATION . ..
Air Conditioning: • Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's er Unit . Seer Rating_
Duct Systems: Total CFM REQUIRED •
REPLACEMENT.AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioziiix�g: Unit Quantity Tons Pe Unit
Heat Unit Quantity^ BTU's 'er Unit Seer Ratiung._.
Duct Systems: Total CFM REQUIRED
FIRE 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 I (Requires 3 sets of plans)
Fire Suppression Systems Quantity (Requires 3 sets of plans)
FIRE PLACES �SCELLANEOUS:
Prefabricated Fireplace Qty utomobi�le Lits
Gas Piping Outlets oilers BTU's
levators/Bscalators
ALL OTHER GAS PIPING eat Exchanger •
Quantity of Outlets lumps '
#Vented Wall Furnaces efrigerator Condenser BTU's '
#Water Heaters olar Collection Systems '
anks (gallons)
LL ells •
OTHER: :l� C Si in' `7) / lc, l/ . f - piv ldfS.
Permit 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 read
this application and know the same to be true and correct. All provisions of laws£tnd ordinances governing this work will be complied with whether specified or
not. The permit does not give authority to violate the provisions of any other sta a or local Iaw regulation construction or the performance of construction.
Property Owners Name .„,d,k1 k). -6'cid ,66t,.��,c : .S Phone Number 1711244-1024 -02-V)
Mechanical Company 6./ /-L (or, L M t Ga-C Office Phone /22-114 9 n'Fax •7 /` 335 0
56 r-tic_tj
Co. Address: 7/0 9 I'u r>I . i. City da desliakilL Stateipl3Z 2-//
License Holder(Print): hV7e.-.7-4_,01,-//.1 State Certit cation/Registration# r 7
.Notarized Signature.of License Holder_,,,,6 ...
$1)P rvOQubi.,s eM ulre Before me this / 'day of Lhde�A 20 /`1 S1ePhante R < -�f 'MY Commiwron G4129256 Sl lure of Expires OAr0U2021 � Notary Public
Ate- Cash Register Receipt Receipt Number
j _ -s5
'v City of Atlantic Beach R3213
DESCRIPTION I ACCOUNT I QTY I PAID
PermitTRAK $69.00
GSRS17-0036 Address: 740 PARADISE LN API : 172376 0245 $69.00
MECHANICAL. i ' ' $65:00 -
MECHANICAL BASE FEE 1E455-0000-322-1000 0 $55.00
GAS PIPING OUTLETS 1455-0000-322-1000 3 $10.00
- - 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: R3213 $69.00
CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,FL 32233
10/19/2017 09:50:41
CREDIT CARD
VISA SALE
CARD# X)OOOOOOOO(XX2786
:INVOICE 0004
SEQ#: 0004
Batch#: 000660
Approval Code: 019246
Entry Method: Manual
Mode: Online
'Fax Amount: $0.00
Card Code: M
SALE AMOUNT $69,00
CUSTOMER COPY
Date Paid:Thursday, October 19, 2017
Paid By: AEI INTERNATIONAL CORP.
Cashier: ME
Pay Method: CREDIT CARD 3
/g`
Printed:Thursday,October 19,2017 9:51 AM 1 of 1 0