592 Cruiser Ln GSRS18-0079 gas permit CITY OF ATLANTIC BEACH
J
�1
r l
rt a 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: GSRS18-0079
Description: install gas-piping outlet&250-gal. tank
Estimated Value: 2045
Issue Date: 7/11/2018
Expiration Date: 1/7/2019
PROPERTY ADDRESS:
Address: 592 CRUISER LN
RE Number: 170703 0328
PROPERTY OWNER:
Name: JANE FULLETT
Address: 592 CRUISER LN
ATLANTIC BEACH, FL 32233
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.
Lvi.r,%—r1A1NXq:AL rJr{X1V11'1' AFFL1CA'1'101N
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845 6-1s (� oz)--1
COB AbnREss: 12 rU1 er Ln PERMIT#
PROJECT VALUE 20+5:. 00 ARI# REQUIRED
_Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only
SEW AIR CONDI'T'IONING & HEATING S'Y'STEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Pleat: Unit Quantity BTU's Per Unit Seer Rating
Duct Systems: Total CFM REQUIRED
tEPLACEMENT AYR 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 bloods Quantity _ (Requires 3 sets 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
.LL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets I Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks (gallons) '290 qal
Wells
ETHER: i -b erne rq+or Gfl d In tali 750 al bur 11t j -on y
rmit becomes void if work does not Commence within a 6,X month period or work is suspended or abandoned for six months.T hereby owify that I have read
s application and know the sank to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or
L The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
operty Owners Name one ie R f e+- Phone Number 8'1 110- 73 66
echanical Company AV 1 fL Corp1 Cas ervi Ce Office Phone _TZ14-9111Fax-72-I 3350
). Address: -1-109 Abx) AVS City IQC145C3r1Vl le Statef"L Zip 2211
.cense Holder(Print): Y� rl�ri.- State Certification/Registration
1'e
STEPHANIE E,CARTER
+P *` Notary Public-State of Florida efore me this day of 20
• My Comm.Explres Jul 13.2018
�• Commission#FF 141288 gnature of Notary Public
" ��+�'•,~' Bonded Through National Notary Assn.
TO/i0 39dd SV013d 09661ZL006 OT:bO TTOZ/LZ/0T
3 r1,A,`Jfjr�
r
Cash Register Receipt Receipt Number
J r
City • Atlantic Beach R5613
DESCRIPTION • CITY PAID
PermitTRAK $89.00
GSRS18-0079 Address: 592 CRUISER LN APN: 170703 0328 $89.00
MECHANICAL $85.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
GAS PIPING OUTLETS 455-0000-322-1000 1 $10.00
TANKS GAS OR LIQUEFIED PETROLEUM 4S5-0000-322-1000 250 $20.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 45500002080700 0 $2.00
TOTAL FEES PAID CY RECEIPT: R5613 $89.00
CITY OF ATLANTIC BEACH
800 SENINOLE RD
ATLANTIC BEAC,FL 32233
0711 2018 11:0 :04
CREDIT CARD
VISI,SALE
Card XXXXXXXXXXXX2786
SEQ#: 3
Batch;;: 645
INVOICE 3
Approval Code: 011560
Entry Method: Manual
Mode: Online
Tax Amount: $0,00
Card Code: M
SALE AMOUNT X89,00
CUSTOMER COPY
Date Paid: Wednesday, July 11, 2018
Paid By: AEI INTERNATIONAL CORP.
Cashier: BA
Pay Method: CREDIT CARD 3
Printed:Wednesday,July 11,2018 11:04 AM 1 of 11
moor