295 BELVEDERE ST - GAS PIPING ,:51.J.V.P.
ri 40' ' . s CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
L141,,,,..-0 — INSPECTION PHONE LINE 247-5814
li
MECHANICAL RESIDENTIAL GAS -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: GSRS18-0028
Description: GAS PIPING - 3 OUTLETS, RANGE,W,H., GRILL, 120 GAL TANK
Estimated Value: 0
Issue Date: 3/30/2018
Expiration Date: 9/26/2018
PROPERTY ADDRESS:
Address: 295 BELVEDERE ST
RE Number: 170501 0000
PROPERTY OWNER:
Name: HEZEL STEPHANIE A
Address: 295 BELVEDERE ST
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.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions
applicable to this property that may be found in the public records of this county, and there may
be additional permits required from other governmental entities such as water management
districts, state agencies, or federal agencies.
* 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.
07/16/2011 02:19 9047213350 AEIGAS PAGE 01/01
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
' 800 Seminole Rd Atlantic Beach,FL 32233
.Ph(904)247-5826 Fax(904)247-5845 ( SRS/ g - (1)()Z8
FOB ADDRESS: 2 9 5 v-9_,),,,• Ra PERMIT#
PROJECT VALUE $ 62-9 .4-0 ARI# _ 17EQU1RE1)
Air Handling Equipment Only Air Handling Unit & Condenser - Condenser Only
EW 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 ,
tEPLACEMENT 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 Quantity (Requires 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 BTU's •
Elevators/Escalators
LL OTHER GAS PIPING Heat Exchanger
•Quantity of Outlets .3 Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
# Water Heaters Solar Collection Systems
Tanks(gallons) 12-12__-._
Wells
)THJl R: I i't -i— it an A - t N v; 1 ► " S - .• A 1 -2.0 -ai C
ea-mit bocomcs void if work does not commence within a six month period or work is suspended or abandoned fbr six res.I liereby certify that I have tee
us application and know the same to be true and correct All provisions of laws and ordinances governing this work will be complied with whether specix ted
ot. The permit does not give authority to violate the provisions of any°theql state or local law regulation construction ar the performance of construction.
`roperty Owners Name Ot r r�.d 1 1�j� `
r�,er 'S - A A - e - - Phone
Number 1 I D— D'S 9�
dechanical Company S\GT 0,...c.,0,...c., cur\I-CC S _ Office Phone 4 11IFax!ommoiI" 33
'o. Address: 1-TN (M --6"1_ City ' Stater 1 Zip
license Holder(Print): b t,40k-5ya8tk _- — State Certification/Registration# Ci-Cl_ 11
h -.,.' ",,,, Notary Public-Slate at Florida 4 r
�r °`b0oL :
5 My Comm.Expires Jul 13,2018 ' '� re me re '' ` Cly of`" 20 �.
1t- 1i; • 1.mature of Notary Public, .f`, - `
Cash Register Receipt
,,,..A.,,,,,:„.
'� Receipt Number
l zj r
City of Atlantic Beach R4643
DESCRIPTION I ACCOUNT QTY PAID
PermitTRAK $89.00
GSRS18-0028 Address: 295 BELVEDERE ST APN: 170501 0000 $89.00
MECHANICAL $85.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
TANKS GAS OR LIQUEFIED PETROLEUM 455-0000-322-1000 120 $20.00
GAS PIPING OUTLETS 455-0000-322-1000 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: R4643 $89.00
CITY OF ATLANTIC BEACH
B00 SEMINOLE RD
ATLANTIC BEAC,FL 32233
03,'30/2018 10:07:44
CREDIT CARD
MC SALE
CARD# XXXXXXXXXXXX1088
INVOICE 0004
SEQ#: 0004
Batch#: 000767
Approval Code: 03014C
Entry Method: Manual
Mode: Online
Tax Amount: ;0.00
Card Code: M
SALE AMOUNT x89,00
CUSTOMER COPY
Date Paid: Friday, March 30, 2018
Paid By: AEI INTERNATIONAL CORP.
Cashier: CB
Pay Method: CREDIT CARD 03014c
Printed: Friday, March 30,2018 10:08 AM 1 of 1 1r
nrm