1618 Atlantic Beach Dr gas piping permit %J
SS CITY OF ATLANTIC BEACH
'P,
800 SEMINOLE ROAD
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: GSRS18-0001
Description: GAS PIPING -3 OUTLETS AND WATER HEATER
Estimated Value: 0
Issue Date: 1/18/2018
Expiration Date: 7/17/2018
PROPERTY ADDRESS:
Address: 1618 ATLANTIC BEACH DR
RE Number: 1695051125
PROPERTY OWNER:
Name: RIVERSIDE HOMES OF NORTH FLORIDA INC
Address: 1227 SAN JOSE BLVD STE 120
JACKSONVILLE, FL 32223
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 aftached 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$7,500.
1V1LLk,r1A1N1UAJU I MUM I PIr r JUIX—M I IIJI I
Cm oF ATLANTic BEAcH
800 Seminole Rd Atlantic Beach,FL 322.33
Ph.(904)247-5826 Fax(904)247-5845
C)
FoB ADDREss: 1618 kaf�h C. 6ea pFaw r
Ln Pr
PROJECT VALUE$, ARI# REQUIRED
Air Handfing Eqnipment Only Air Handfling Unit& Condenser Condenser Only,
qEW AIR CONDMONING & HEATING SYSTEM INSTALLATION
Air Conditioning. Unit Quantity Tons Per Unit
Heat: unit Quantity 13TUs Per Unit Seer Rating
Duct Systems: Total CFM REQUMED
kEPLACEMENT AIR CONDMONING & HEATING SYSTEM INSTALLATION
Ak Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit SeerRadng
Duct Systems: Total CFM REQUIRED
ZME PREVENTION (Requires 3 sets of plaw)
Fire Sprinkler Syftm Quantity
Fire StaudPipe Quantity (Rcquhw 3 sets of plaw)
Underground Fire Main value (Rtquires 3 sets of phns)
Fire Hose Cabinets Quantity (Requim 3 sets of plans)
Commercial Hoods Quantity (Requires 3 sets of pISM)
Fire Suppregsioti Systems Quantity (Requires 3 sets of plgnss)
�.IIRE PLACES MSCELLANEOUS:
Prefabricated Fireplace Qty_ Automobile Lifts
crag 13.1pling onflets Boilers BTU's
�LL OTEIER GAS PIEPINf Heat Exchanger
Quantity of Outlets pumps
#Vented Wall Fumaces Refrigerator Condenser BTfYs
# Water Heaters Solar Collection Systems
Tanks(gallons)
WeUs
)THER; i r)I jjQ N a;�-,r rV&te r Q-,arl I drkk r i�hiih
IF IF - U
mnit becomcs void if work doos wyt commcnoo widda a six moiAh palod or work is ntarpmd-ed or abandmed for six=*nth&I hweby catify that i have res
iis application and know the sme to be tw and conut All provisiow of laws and oramces Zov=jug*As work will be OOMPIW with whether spocii.W
ot. The permit d6m not gtvc authority to violme dw provW=of any other stide or loccal law reidation consawflon or the pirn,411ee of con=cdon.
$roperty Ownm Name gwzrside k_&nfz Phone Number 1-1(o-O-- H 5
Aechanical Company 09 llliU &rlo j11,_ AD (19
_7C <da,4MC --- state f__L1_zip 3 LZ
.o. Address:_ 1 20) city, lar.-K
,icense Holder(Print): 6e.11-orJo- .5�.rrzlhn State Ce4tification/Registration# 17;i_
�TaW§ed-84wature f. X -
0 IL nw-ft,
�TEPN NiE E, CARTER
A
Notary PubliC-State o6lorida eforemethis clay 20
MY COmM.Expires Jul 13,1018
Commission #FF 141288 tg13 e of Notary Publk ��z L
Imm Thavh wolul NONY Assn,
TO/TO 39Vd SVD13V OSEETZLVOG CT:90 TTOZ/t,0/90
Receipt Number
Cash Register Receipt
City of Atlantic Beach R3965
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $79.00
GSRS18-0001 Address: 1618 ATLANTIC BEACH DR APN: 169505 1125 $79.00
MECHANICAL $75.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $S5.00
GAS PIPING OUTLETS 455-0000-322-1000 3 $10.00
CONVERSION BURNERS FURNACES AND 455-0000-322-1000 0 $10.00
HEATING UNIT
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: R3965 $79.00
CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,FL 32233
10:35:19
CREDIT CARD
VISA SALE
Card XXXXXXX=2786
SEQ 2
Bath#: 524
INVOICE 3
Approval Code: 018100
Entry Method: Manual
Mode: Online
Tax Amount: $0.00
Card Code: M
SkE AMOUNT $792
CUSTOMER COPY
Date Paid: Thursday, January 18, 2018
Paid By: AEI INTERNATIONAL CORP.
Cashier: BA
Pay Method: CREDIT CARD 3
00
I
Printed:Thursday,January 18, 2018 10:36 AM 1 of 1 4
TRAM