310 7th GSRS18-0088 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
PERMITINFORMATION:
PERMIT NO: GSRS18-0088
Description: install gas water heater
Estimated Value: 3065
Issue Date: W10/2018
Expiration Date: 2/6/2019
PROPERTY ADDRESS:
Address: 310 7TH ST
RE Number. 169885 0000
PROPERTY OW NER:
Name: VALENO BARBARA
Address: 310 7TH ST
ATLANTIC BEACH, FL 32233
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.
Cash Register
n Receipt1 1 -
City
of 61
DESCRIPTION
1
PermitTRAK $64.00
GSRS18W�ATEDCASURCHARGE
dress: 310 7TH ST APN: 169885 0000 $64.00
i M $60.00
CAL BASE FEE 455-0000-322-1000 0 $55.00
ALL FURNACE WATER HEATER
455-0000-322-1000
STES
$4.00
PR SURCHARGE 455-0000-208-W00 0
SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL / BY RECEIPT: 1 $64.00
CRY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,R.37233
08/1012018 11:09:55
CREDIT CARD
NSA SPIE
Cad# XV000(.YNXR2786
SEQ#: 5
Bam#: 667
INVOICE 5
Approval Code: 010910
Entry ftxd: Maui
Mode: Onlhe
Taw Arwt: $0.00
Cad Code: M
SA[EAMOUNT $64,00
CUSTOMER COPY
Date Paid: Friday,August 10,2018
Paid By:AEI INTERNATIONAL CORP.
Cashier: BA
Pay Method: CREDIT CARD 5
Printed:Friday,August 10,2018 11:10 AM 1 of 1
,vm
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beech, FL 32233
Ph(904)247-5826 Fax (904)247-5845
T#
tt)a ADDRPSS: X10 `�'n 6t' C1 S Q $ - OQ$ S
,_PERLIII #
PROJECT VALUE$---Zq s5.00 ARI# REQUI1tFD
--Air Handling Equipment Only _Air Handling Unit& Condenser _Condenser Only
iEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's per Unit— SeRating..
Duct Systems: Total CFM Seer
tEPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tans Per Unit
Heat: UnitQuantity BTU's Per Unit SRti
Duct Systems: Total CFM eerangREQUIRED
'IRE PREVENTION
Fire
Fire S1taand ppenkler System QQuantity (Requires 3 sets of plans)
Undergroupnd Fire Main �7�titi ty (R-qu, es 3 sets of pleas)
Fixe Hone Cabinets Quantity (Requires 3 sets of plans)
(Requires 3 sets of plans)
Commercial Hoods 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 BT'U's
LL OTHER GAS PIPING 6levatorsBscalators
Quantity of Outlets Heat Exchanger
#Vented Wall Furnaces _� Pumps
#Water Heaters Re&tgeratorCondenser BTU's,
�� Solar Collection Systems
Wanks (gallons)
ells
THER: ;,M P1 to W(kkrVie tftr .
mit becomes void If work does not oommenoe within a six month period or work A suspended or abandoned for alx months.[hereby cua[y that t have read
rlppliulloa and know the some 10 be true and cormct. All provisions of laws and ordinenoex governing this work will be toes 1'
The permit does not sive authority to violate the provisions of My Omer pied with whether spedged or
Y state or local law regulation Wnatmeaon or the perforrnw,ofco *Wthorr.
� haniertY Owners Name Phone Number X215-� R
chanicat Company ALI inr✓s NLtc� pE) r C CaruirrcOffice Phone - 1l1 Fax -7J ^3350
Address: -109 Alton Avenue City onuille state f-L zip 32211
eeuae Holder(Print): hr)d0. irr State Certification/Registration# R91
ItariZed Si sat rr Pi�rasay� nwnpvumsmb aFlmjer
t�_) Stephan.E carterfore me this S� _'\ da ofaa ,;{ Wre`�a oinei�aa� 20 ��
gnature of Notary public
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