2347 FIDDLERS LN - GAS PIPING ,, rj: ' -i,,,
�� �' \s,� CITY OF ATLANTIC BEACH
-AF - r 800 SEMINOLE ROAD
,\ � ATLANTIC BEACH, FL 32233
�01319r INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL GAS -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: GSRS18-0029
Description: GAS PIPING - 3 OUTLETS, ONE WATER HEATER
Estimated Value: 0
Issue Date: 3/30/2018
Expiration Date: 9/26/2018
PROPERTY ADDRESS:
Address: 2347 FIDDLERS LN
RE Number: 169463 0112
PROPERTY OWNER:
Name: HAMMOND JULIE A TRUST
Address: CIO JULIE A HAMMOND TRUSTEE
BURKE, VA 22015-2841
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 07: 27 9047213350 AEI 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 ,_T_A S R S IS --00 Z-
top ADDRESS: 2 3 - 1 F`C\C ke r S Lane PERPter#
PROJECT VALUE $ ARI# REQUIRED
Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only
JEW 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
kEPLACEMENT 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)
4TRF PLACES MISCELLANEOUS:
Prefabricated Fireplace QtyAutomobile Lifts
Gas Piping Outlets —T^ Boilers BTU's
Elevators/Escalators _
LLL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets •_ -.__ Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
# Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
)TffER: - a • . -It) re r f te r ..., 1CP, 0001 hect+er •• - -•• :
n'nit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.t hereby certify that Y have_rel
pis application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether speruied
ot. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
'roperty Owners Name C I' ' a _. .ICS n homes Phone Number 441 CI" 0481
4echanicai ComA E 1pany `Y Car L3 L i i C Office Phoae 7 2L1"Ct T1 Fax 121-3:36Q
;o. Address: —1—to 9 Plittirl ....fir _ City Jo -S on Ji X 1 e State EL Zip 3"1; 11
,cease Holder(Pr nt): O /w a 5 r 01 i ,_ii n gState Certification/Registration# _ 11
w .--.--
A,',40,„, ;., P;:<•i;E E.CARTER SCJ/
Y J�
r°w '`.`cc., Notory Public-State of Florida Before me this 614 ` day Of LI 2[{
g:`:', » ••: my Comm.Aspires Jul 13,2018 r
x ' '- tea;' Commisshn#FF 141288signature � public
of�1:s
.i ';',,0r�,'P'' Bonded Through National Notary Assn.
?S `1
Cash Register Receipt Receipt Number
r)
)v . City of Atlantic Beach R4653
i3
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $93.00
GSRS18-0029 Address: 2347 FIDDLERS LN APN: 169463 0112 $93.00
MECHANICAL $89.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
FURNACES AND HEATING 455-0000-322-1000 1 $24.00
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: R4653 $93.00
CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,FL 32233
)3 30/2018 14:28:51
CREDIT CMD
VISA SALE
:ARD# OOO(X)XXI(XXX2186
INVOICE 0009
'EQ#: 0009
Batch#: 000761
Approval Code: 030674
Entry Method: Manual
Mode: Online
Tax Amount: $0.00
Card Code:
SALE AMOUNT $93,00
CUSTOMER(OPV
Date Paid: Friday, March 30, 2018
Paid By: AEI INTERNATIONAL CORP.
Cashier: CB
Pay Method: CREDIT CARD 030674
Printed: Friday, March 30,2018 2:30 PM 1 of 1
TRACT