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1565 Selva Marina GSRS18-0072 Cash Register Receipt Receipt Number [I City of Atlantic Beach R6208 DESCRIPTION ACCOUNT CITY PAID PermitTRAK $89.00 GSRS18-0072 Address: 1565 SELVA MARINA DR APN: 171945 0000 $89.00 MECHANICAL $85.00 MECHANICALBASF FEE 455-0000-322-1000 1 0 $55.00 GAS PIPING OUTLETS 455-0000-322-1000 1 1 $10.00 TANKSGASOR LIQUEFIED PETROLEUM 455-0000-322-1000 2 $20.00 STATE SUR04ARGES $4.00 STATE DBPR SURCHARGE 455-OWD 208 0600 o $2.00 STATE DCA SURCHARGE 455000208a7ao $2.00 TOTAL FEES PAID BY RECEIPT: R6208 $89.00 CM OF ATiANTIC BEACH $00 SEP11NOLE RD ATLANTIC BEAC,R.32233 09�04�2018 08:30:17 CREDIT CARD K SALE Cad# xxxxxx=1068 SEQ#: I W#: 682 VIVOICE I Approval Codk: 00406C Entry*M: manual M& Drum Tax knout: $ODO Card Code: M SALE AMOUV 02 CUSTWER COPY Date Paid:Tuesday, September 04, 2018 Paid By:AEI INTERNATIONAL CORP. Cashier: BA Pay Method: CREDIT CARD I Printed:Tuesday,September 04,2018 8:31 AM 1 of I 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: GSRS18-0072 Description: Gas Piping to Range Estimated Value: 1249 Issue Date; 9/4/2018 Expiration Date: 3/3/2019 PROPERTY ADDRESS: Address: 1565 SELVA MARINA DR RE Number: 1719450000 PROPERTY OWNER;- Name: Ben Philips Address: GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: AEI INTERNATIONAL CORP. Address: 7709 ALTON AVE CIA LEWIS SPRADLIN JACKSONVILLE, FIL 32211 Phone: PERMIT INFORMATION: Please see attached conditions of approval. WARNING TO OWNIER: 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 Beach,Fl,32233 Ph(904)247-5826 Fax(904)247-5845 JOB ADDRESS: /ff(PT I!,1VA Mayl Pnmrr 4,y -0612- 2.L PROJECT VALVE AIU# --�lq L _REQU1RED —Air Handling Equipment Only __Air Handling Unit& Condenser _Condenser Only NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity_ T,*ns Per Unit Rest: UnitQuantity— BTU'gPerunit— Seer Rating_ Duct Systems: Total CFM REQUIRED REPLACEMENT AIR CONDITIONING&HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity_ Tons Per Unit Heat: Unit Quantity_ BTU's Per Unit Seer RatingjffURED Duct Systems: Total CFM FIRE PREVENTION Fire Sprinkler System Quantity lRequires 3 sets of plans) Fire Stand ' uantity (Requires 3 sets of plans) 'rFire Main aloe (Requires 3 sets of plans) Undergro�pm ? 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 plares� FIRE PLACES MISCELLANEOUS: Prefabricated Fireplace Qty_ Automobile Lifts Gas Piping Outlets Boilers BTU's Elevatori/�aiators ALL OTHER GAS PIPING Heat Exchanger Quantity of Outlets Pumps 0 Vented Wall Furnaces Refrigerator Condenser BTUFS-- #Water Heaters Solar Collection Systems Tanks (gallons) Wells OTHER: InlOwl- 923 Ql�1�j LO rao�,r se-IL -.7 -/00 -A permit becomes void if we*don not curmience within a six month period or work is suspended or abandoned for six months.I hereby oenny that have read this application and knew,the same to be rise and cxxrrexx� Ul provisions of laws and ordinances governing this we&will be controlled with whether specified or not. The permit does W give W ,thistly toviplillp t�t,prqviskorz of my other stars,or local law reipulatlon coenstructione or the pentommence,of construction. Property Owners Name. . 8EN Phi iVS PhoneNumber eqC�4-&461,2-23 I Mechanical Company PEI 119h Cow albo- A91 k Stryilzs ffloe PhoneI2�-Tl�l Fam -721-5350 Co. Address: -7-107 Aiton AVe — city kysotiville State Zip 3220 License Holder(Print): j 1;0 S-rertifleationvRegistration er +,,�. 20 S Notary Pubiro-State Florida efore me this day of—Wf\%— j MY comm.Expires in 13.2016 commissi If FF= =N*w ignature,of Notary Public:!a&A IQL, 10/10 39V8 SVS13V 0SEETUV06 LE:EO TTOZ/EI/GT