333 Plaza gas permit CITY OF ATLANTIC BEACH
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: GSRS18-0048
Description: install 2 gas-piping outlets 8 2 110-Ib. cylinder tanks
Estimated Value: 1075
Issue Date: 5/8/2018
Expiration Date: 11/4/2018
PROPERTY ADDRESS:
Address: 333 PLAZA
RE Number: 169999 0000
PROPERTY OWNER:
Name: William Alfam
Address: 333 PLAZA
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: AEI INTERNATIONAL CORP.
Address: 7709 ALTON AVE CA 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$7,500.
1VjLUaAiV 1UA_L rL1 K1V1A f tirrldl.A l wiN
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845
fOB ADDREBs:. , V) Plaza PERMLT#Res I8-��4
ACf_ 16 -000
PROJECT VALUE$ ARI# REQUIRED
__Air Handling Equipment Only _Air Handling Unit& Condenser _ Condenser Only
QEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Sear 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
SIRE PREVENTION
Fire Sprinkler System Quantity (Requires 3sets of plana) -
Fire Standpipe Quantity (Requires 3 sets of plana
Underground Fire Main Value . (Requires 3 sets of plana)
Fire Hose Cabinets Quantity (Requires 3 sets of plans)
Commercial Hoods Quantity (Requires 3sets 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
TU'sAElevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets G Pumps
#Vented Wall Furnaces ` Refrigerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks (gallons) �2
Wells
)THER: In&tallin 2 lit Lbr .
omit becomes void if vmk dors not ammenre witWn s wkmonth period or work is suspended w abandoned for six months.i body certify that I have res
ns application and know the same to be iron and correct All provisions of laws and otdimccon governing this work will he complied with whether specified
ot. The permit does not give mabority to violate the provimmis of any other state or local law regulation a ynartion Or the pafonnance ofconstrUM I
Property Owners Name aan pjjjf i-I owk � Phone Number 3$$ � �J 2b 2
dechanicalCompany AEI (ML Corp dbCL AGI � Ucr �fttQfficePh ..1214-jI71Fax 7Z1--1354
;o.Address: 109 ABa rl Ave City pfylsarl o i 1 fe state zip 22-11
,icep{nseea Holder(Print):&/ 0. cad `/'t State Certification/Registration
# `/I I+
a, i.F Notary public•State at Fmriee Before ine this day o£ 20
My Comm.Expirta Jul 7 a,2019
¢.�e Commission#FF 141288 S e of No Public �- ~
emdeamaohaaumnrurn,uen igpatu tart' —
10/T0 mvd Stl9I3V 09EETZLb06 IT:90 TTOZ/EZ/80
Cash Register Receipt Receipt Number
City of Atlantic Beach R4987
Av
DESCRIPTION ACCOUNTCITY PAID
PermitTRAK $89.00
GSRS18-0048 Address: 333 PLAZA APN: 169999 0000 $89.00
MECHANICAL $85.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
GAS PIPING OUTLETS 455-0000-322-1000 2 $10.00
TANKS GAS OR LIQUEFIED PETROLEUM 455-0000.322-1000 200 $20.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0600 D $2.00
STATE DCA SURCHARGE 45500002080]00
TOTAL FEES PAID BY RECEIPT: R4987 $89.00
CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,R.32233
05/08(2018 09:26:07
CREDIT CARD
VISA SALE
Cad d XJ(N%Y,%KK2786
SEQ k: 1
Batrh#: 601
INVOICE I
Approval Cade: 0007
Entry Metlad: Marital
Mode: Onlne
Tax knout: $0.00
Cad Code: M
SALE AMOUNT 889,00
CUSTOMER COPY
Date Paid:Tuesday, May 08, 2018
Paid By:AEI INTERNATIONAL CORP.
Cashier: BA
Pay Method: CREDIT CARD 1
Printed:Tuesday,May 08,2018 9:27 AM 1 Of 1