350 Ocean Blvd GSRS18-0062 Gas Permit F
CITY OF ATLANTIC BEACH
51 800 SEMINOLE ROADATLANTIC BEACH, FL 32233
xu;; INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL GAS -
MUST CALL BY 4PM FOR NE)IT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: GSRS16-0062
Description: Install 3 gas piping outlets &2 water heaters
Estimated Value: 1320
Issue Date: 5/30/2018
Expiration Date: 11/26/2018
PROPERTY ADDRESS:
Address: 350 OCEAN BLVD
RE Number: 170177 0000
PROPERTY OW NER:
Name: CELLAR WILLIAM J
Address: 4901 BELFORT RD STE 140
JACKSONVILLE, FL 32256
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: AEI INTERNATIONAL CORP.
Address: 7709 ALTON AVE CIA 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
1 exceeds and estimated value of$7,500.
i
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845
DB ADDRESS: 860 oucto 6W P"tM[rrfj&SRS1NOCQZ
PROJECT VALUE S 3 a� ARI# REQUIRED,
_Air Handling EquipmentiOnly _Air Handling Unit& Condenser _Condenser Only
MW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat Unit Duct Systems: Total CFMREQUIRED
BTU's Per Unit Seer�
MPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit QuantityTons 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 Fitt Main Value (Requires 3 sets of plana)
Fire Huse Cabinets Quantity (Requires 3 sets of plana)
Commercial Hoods Quantity (Requires 3 sets of plana)
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 PIPINGHeat Exchanger
_-_-J3
Quantity of Outlets _-
-
#Vented Wall Furnaces Rerg ator Condenser BTU's
#Water Heaters — Solar Collection Systems
Tanks(gallons) Z a
Wells t/
1THER: aaS Pinrlo -to (2) wA+4'he4FerS , i'Ol C- tdimer Ari II
Ij
seen becomes void if w does no,tomrnente ilain a six mond,period or work is suspended or obendorwd for six momhs.l heronry wdiy and 1 hove lead
is application and know the saint to r true and lorreL All provisions of laws sod ondin a ess aovomins this work will x complied with whether speared w
L The park does mtaivc minority to violate the provisions ofaey othor sate or local laweaa
rlforma
aties,o,sstrw;lon or the performance ofconsaucaon.
toperty OwnenName r/a Vl aJIrP Nome 5 Phone Number Zach Z62:
imhanicai Company AEI li*i rp dba AE1 (-',mac rvi mice Phone ii( rax -121 -3350
o.Address: 1-109 Alton Ave _ city Wgonvillc. State&2ip�?_2_Il
icense Holder(Print): &Jinek, s mdl:n State Ce,tifa=on/Reg;stravon#_tILL__
sr
k..:
r K•. Wouryy Cor wenn-sial:nl fmddr pore me this I` day of 20'
�`! uy Comm.Fxplrea Jul 13,2a1
ere s commgsion w ff 1nYbe
-"•`l scneaderessAxamiul llvayb Snature of Notary rnbh<
ze/te 39tld Stl9r3v GGEETU1,06 zo:pe ttez/80/6e
City of Atlantic Beach �
Cash Register Receipt Receipt Number
,v 0
DESCRIPTION ACCOUNTCITY PAID
PermitTRAK $168.00
GSRS18-0059 Address: 79 W 4TH ST APN: 170824 0020 $89.00
MECHANICAL $85.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
5-0
GAS PIPING OUTLETS 45000-322-10002 $10.00
TANKSGASOR LIQUEFIED PETROLEUM 455-0000-322-1000 120 $20.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000.208-0600 0 $2.00
STATE DCA SURCHARGE 45500002080711 0 $2.00
GSRS18-0062 Address: 350 OCEAN BLVD APN: 1701770000 $79.00
MECHANICAL $75.00
MECHANICAL BASE FEF 455-0000-322-10000 $55.00
GAS PIPING OUTLETS 455-0000-322-1000 3 $10.OD
VENTED WALL FURNACE WATER HEATER 455-0000.322-1000 2 $10.00
UNIT
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000.208-0600 0 $2.00
STATE DCA SURCHARGE 45500002080700 0 $2.00
TOTAL • 11 $168.00
CRY OF ATIANTIC BEACH
830 SENINOtE RD
ATLANTIC BEAC,R 32233
05/30/2018 16:08.17
CREDIT CARD
VISA SALE
Card 9 RAIIXYJIX%xN%X2786
SEQ 4: 7
Bahh P: 616
IWOICE 7
Approval Code: 030707
EtMtkil: M31W
Mode: Onlhe
Tax Imam: $0.00
Cad Code: M
Date Paid:Wednesday, May 30, 2018 SALE AMOUNT $law
Paid By:AEI INTERNATIONAL CORP.
Cashier: BA
Pay Method: CREDIT CARD 7 CUSTOMER COPT
Printed:Wednesday,May 30,20184:09 PM IofI It