79 W 4th St GSRS18-0059 Gas Permit CITY OF ATLANTIC BEACH
r 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: GSRSIM059
Description: GAS PIPING-2 OUTLETS & 120 GAL TANK
Estimated Value: 1290
Issue Date: 5/30/2018
Expiration Date: 11/26/2018
PROPERTY ADDRESS:
Address: 79 W 4TH ST
RE Number: 170824 0020
PROPERTY OWNER:
Name: PRETT DEVELOPERS LLC
Address: 888 KINGMAN RD
HOMESTEAD, FL 33035
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: AEI INTERNATIONAL CORP.
Address: 7709 ALTON AVE OA 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$7,500.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beech,FL 32233
Ph(904)247-5826 Fax(904)247-5845
JOB AnnRless: 72 W LL Parr# /
PROJECT VALUE$ /29 D. 00 ARI# REQUIRED
_Air Handling Equipment Only _Air Handling Unit& Condenser _Condenser Only
NEW 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
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: . UnitQuantity BTU's Per Unit Seer Rating
Duct Systems: Total CFM REQUIRED
FIRE PREVENTION
Fire Sprinkler System Quantity (Requires 3 sets of plans)
Fire Standpipe Quantity (Requires 3 sets of plans)
Undergound Fire Main Value (Requires 3 sets of plane)
Fire Hose Cabinets Quantity (Requires 3 gets of plans)
Commercial Hoods Quantity (Requires 3 sets of plans)
Fire Suppression Systems Quantity (Requires 3 sets of plans)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalawn
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets 2 Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters T Solar Collection Systems
Tanks
(gallons)
Well /•— r�0
OTHER: li*ks i oe gWig (v raf74t. z YaGrioi W FI. orf (/) /1 o 1
���
Permit bccomes void if wart does not commence within asix month period or work is suspended or abandoned for six months.I hereby certify that 1 have read
this application nul know the sure to be true and cortat All pmvisiom of lawn and ordiMnoes govemiog this work will be camplicd with wbmlher speelfied or
not. The permit does rot give w,bority,to miste t'/
he ilrovisions ofany other meteor loaf law regulation mmut dieo or the perfamuncc of wnstruction.
Property Owners Name .St7t0.r.a, -, DkA L,1 /ys Phone Number 3tZ5--3lo0-y5/2
Mechanical Company at Intl Carp riba- ACI GM e$ervfo-,OffiwPhone l24-gT11Fax-121-3350
Co. Address: "1-109 RFMn AVe City .-QCKSont/il Ie State rL Zip ztl
License Holder(Print): S lira aljin State Certification/Registration# 991 T
R, „ f !C4MZ+1 er .G?.�.iH.el�et. lPi•
F"� 4 wyPellie•ahte of Fhdda �3r
my comm.Ealm Jm ta.2dte efore me this day of 0 O
�# 6ommi6slon a FF 1412!9
6s.•, amaedib xisi aumaaa.yAm ignature of Notary Public 1
Z@/Z0 39Vd Sd9I3V 6SEETU1,06 ZV:00 IIBZ/80/60
Cash
Q Register. ReceiptReceipt1 1 Number
City
f Atlantic Beach
T
DESCRIPTION
PermitTRAK $168.00
GSRS18-0059 Address: 79 W 4TH ST APN: 1708240020 $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 120 $20.00
STATE SURCHARGES $4.00
STATE DRIER SU RCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 45500002080700 0 $2.00
GSRS18-0062 Address: 350 OCEAN BLVD APN: 170177 0000 $79.00
MECHANICAL $75.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
GAS PIPING OUTLETS 455-0000-322-1000 3 $10.00
VENTED WALL FURNACE WATER HEATER 455-0000-322-1000 2 $10.00
UNIT
STATE SURCHARGES $4.00
STATE DEER SURCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 45500002060700 0 $2.00
iTOTAL FEES PAID 11 $168.00
CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,FL 32233
05/30/2018 1618:17
CREDIT CARD
NSA SALE
Cad A XXVIgXMMMM 7136
SEQ#: 7
w o: 616
INVOICE 7
Approval Code: 030707
En07 Metlwd: mmi
Mode: Drive
Tar Amald: $0.00
Cad Cade: M
Date Paid:Wednesday, May 30, 2018 SALE AMOUNT $168,00
Paid By:AEI INTERNATIONAL CORP.
Cashier: BA
Pay Method:CREDIT CARD 7 CUSTOMER COPA
Printed:Wednesday,May 30,20184:09 PM 1 of 1 It
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