1829 Seminole Rd mechanical gas permit � r
:� fs CITY OF ATLANTIC BEACH
Albv-
3 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
!ro13 � INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL GAS -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ACRS17-0257
Description: GAS PIPING -ONE OUTLET & 100 LB TANK
Estimated Value: 350
Issue Date: 12/13/2017
Expiration Date: 6/11/2018
PROPERTY ADDRESS:
Address: 1829 SEMINOLE RD
RE Number: 169632 0000
PROPERTY OWNER:
Name: WATERS JANICE B & JAMES DEZMOND ET AL
Address: C/O MARTINA BLYTHE1829 SEMINOLE RD
ATLANTIC BEACH, FL 32233-5915
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.
03/3112011 06: 27 9047213350 AEIGAS PAGE 01102
MECHANICAL PPERMTT APPLICATION
CITY OF ATLANTIC BEACH
goo Seminole Rd Atlantic Beach,.FL 32233
Ph(904)247-5826 Fax(904)247-5845 �P1, ` 7 _ L1 �j
res AnnxEss: 18 2 q ,�i no 1e PER1vl T# 0Z.
PROJECT VALUE $. 350:QG -- - ARI# .REQUIRED
Air Haudfiug Equipment Only Air Handling U'nit & Condenser Condenser Only
dEW 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 .� Y REQULRED
;LEPLACENIENT AIR CONDITIONING cot HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit - Seer Ra
Duct Systems: Total CFM REQULKED
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 Talose Cabinets Quantity (Requires 3 sets of plans)
Commercial Hoods Quantity _-- (Requtres 3 sets of plans)
Fire Suppression Systems Quantity (Requires 3 sets of plans)
IRE PLACESMISCELL,A,NEOUS:
Prefabricated Fireplace Qty Automobile Lifts
Gas Piping Outlets � Boilers BTU's
El evatorsffi%,aI ators
kLL OTHER GAS PIPIIG Heat Exchanger
Quantity of Outlets Pumps
Vented Wall Furnaces Refrigerator Condenser BTU's
# Water Beaters Solar. Collection Syst=s
Tanks (gallons) �
-W ells
)THER: — O k- 12_ — —
Y:sif ovovmcs void if work dow not commence within a six month period or work is suspended or abandoned for six mars.I hereby city that i haves rr
iia applicatim and know the same to be trues and corrmt All provisions of taws and ordinances governing this work will be complied with whether sl eci>:iG.
ot. The pemiit does not give authority to violate the provisions of arty gtiter stare or lor-sI taw r�ulatioa cottstxuction or the performance of constauct.on.
'roperty Owners Name a, , C � .--_—Phone Number 651
rZcchaaical Compaay__AE ,-_�— 'N� ._� -- - - —ogre e Phone r12"-F-q`I�I I Fax �1Z�: 59_
Address: "7-1 0 q A l AN/ City L� v i�� State L:dip�ZZl1.
—_ ._-- --
:kense flolder(Print):- La Lia rC) a _— State Cerdficat on/Registration#���l
7EPHANl:E. ARTERNotary Publice of Floritla 5ef6re nxe t�liS ' oN': My Comm.E%pul 111,2018 141288 +`�:i�ai�.xe U� t3t33;J �11b11Q:ftlded T1Vough Notary ASK
.S,ay
S`r r
:+ Cash
City J r •
of BeachR • •
DESCRIPTIONACCOUNT CITY PAID
PermitTRAK $158.00
ACRS17-0257 Address: 1829 SEMINOLE RD APN: 169632 0000 $89.00
MECHANICAL $85.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
GAS PIPING OUTLETS 455-0000-322-1000 1 $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
GSRS17-0054 Address: 96 OCEAN BLVD APN: 170224 0000 $69.00
MECHANICAL $65.00
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 DBPR SURCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 45500002080700 0 $2.00
TOTAL ' •8 $158.00
Date Paid: Wednesday, December 13, 2017
Paid By: AEI INTERNATIONAL CORP.
Cashier: LE
Pay Method: CREDIT CARD 013175
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Printed:Wednesday, December 13,2017 12:46 PM 1 of 1
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