1748 Live Oak Ln GSRS18-0064 gas permit 'j iLL/j•
sJ 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: GSRS18-0064
Description: Buried 500 Gal Tank w/ Underground line
Estimated Value: 4060
Issue Date: 6/13/2018
Expiration Date: 12/10/2018
PROPERTY ADDRESS:
Address: 1748 LIVE OAK LN
RE Number: 172020 0202
PROPERTY OWNER:
Name: CUTLER CHRISTINE E
Address: 1748 LIVE OAK LN
ATLANTIC BEACH, FL 32233-5606
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.
MECHAN C L PERMIT APPLICATION
CYTS► p. ATLANTIC BE
800 Semi-, ole Rd Atlantic Beach, FL 32233
Ph(9041 24' -5826 Fax (904)2475845
JOS ADDRESS: PERMIT
/ `r �/ � Gl-
PROJECT VALUE 410 Cc � � C7 0 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
Unit Quantity BTU's Per Unit Seer Rating
Heat: Q. Y 1eEQrI1'1�E'D
Duct Systems: Total CFM
FIRE PREVENTION (Requires 3 sets of plans)
Fire Sprinkler System Quantity (Requires 3 sets of plans)
Fire Standpipe Quantity
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)
FIRE PLACES MISCELLANEOUS:
Lifts
BTU s
Prefabricated Fireplace Qty Automobiley
Oras Piping Outlets Boilers
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters Solar Collection Systems d
Tanks (gallons)
Wells
f # Call rl c'�f �G ��u.�•
OTHER: &Uilall 44to k r 1 / n� Ij
Permit becomes void if work does not commence within a six I�Emonth period or work is suspended or abandoned for six months,I hereby certify that I have read
this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or
not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
Pro rt
owners Name D� '�Q Phone Number QpL4^5Z 1—630
rG Y
Mechanical Company X1 1 /r7#L �,� Ciba � - s Vr C S Office Phone -72q-`�711 Fax 7Z,J
Co. Address: 7 _709 �Nzan Ave
City IaCk,�anur,le State Zip??11
License Holder(Print): eil i n
State Certification/Registration# �"
, natkYF !€ c# Hal er �'
r Notary PubIIC-State of Florida t� 20
e• : My Comm.Explres Jul 13,201 fore me this day of.
=:
Commission FF 141288
� °.��` •`' Bonded Through National Nota
�Ass gnature of Notary Public
TO/TO 39dd SV013d 05EEZZLb06 86:ZO TTOZ/OZ/60
Cash
s> Register
City ofAtlanticBeach R5350
DESCRIPTION •
AID
PermitTRAK $89.00
GSRS18-0064 Address: 1748 LIVE OAK LN APN: 172020 0202 $89.00
MECHANICAL
$85.00
GAS PIPING PERMIT FEE 455-0000-322-1000 0 $55.00
GAS PIPING OUTLETS 455-0000-322-1000 1 $10.00
TANKS GAS OR LIQUEFIED PETROLEUM 455-0000-322-1000 500 $20.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 45500002080700 0 $2.00
:TOTAL1
11
CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,FL 32233
:6113/2016 16:18:16
CREDIT CARD
VISA SALT:
..ARD# WXXM=2786
INVOICE 0001
SEQ#: 0005
Batch#: 000618
AWoval Code: 013330
Ent y Method: Manual
Mode: Online
Tax Amount: $0 00
Card Code: M
akE AMOUNT
$89,00
CUSTOMER(OPY
Date Paid: Wednesday, June 13, 2018
Paid By: AEI INTERNATIONAL CORP.
Cashier: CB
Pay Method: CREDIT CARD 013330
ITIPrinted:Wednesday,June 13,2018 4:19 PM 1 of 1
TPANT