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1624 Atlantic Beach GSRS18-0101 Cash Register Receipt Receipt Number ,to City of Atlantic Beach R6817 DESCRIPTION PermitTRAK $158.00 GSRS18-0101 Address: 1624 ATLANTIC BEACH DR APN; 169505 1120 $69.00 MECHANICAL $65,00 MECHANICAL BASE FEE 455-0000-322-1000 0 $55,00 GAS PIPING OUTLETS 455-0000-322-1000 1 4 <,n nn R 1 7 $4�00 STATE 7STATE DBPR SURCHARGE 455-0000-208-0700 1 0 $2,00 STATE DCA SURCHARGE 455-0000 208-0600 0 :���12 000 $89.0 GSRS18-0102 Address:404 S OCEANWALK DR APN: 169463 0524 $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 455-0000-322-1000 200 $20.00 sTAfE'sa!RckAkEREs $4.00 $2.00 STATE DSPR SURCHARGE 455-0000-209-0700 0 TATE DCA SURCHARGE 455.0000-20g-ngnn 1 0 TOTAL FEES PAID BY RECEIPT: R6817 $158.00 Date Paid: Monday, October 01, 2018 Paid By: AE] INTERNATIONAL CORP. Cashier: CB Pay Method: CREDIT CARD 1835 Printed:Monday,October 01,2018 12:45 PM 101`1 AN-VA-�\ kji, .1 le Z!i Ati7, --PERMT lliga2jZ.�to PROJECT VALUE ARI N ---UJWED --Air Handling Equipment Only ---Air Handling Unit& Condenser —CondesserOnly fEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity Tons Per Unit Heat: Unit Quantity BTU's Per Unit Seer Rating— Duct Systems: L 011111 UkM REQUIRED EPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: UnitQuantity Tons Per Unit Heat: Unit Quantity� BTU's Per Unit Seer Rating— Duct Systems: Total CFM — REQUIRED RE PREVENTION Fire Sprinkler System Quantity Fire Standpipe (Requires 3 sets of plans) Underground Quantity Fire Main Value (Requires 3 Sets of plans) Fire Hose Cabinets (Requires 3 lets of plans) Quantity (Requires 3 sets of plans) Commercial Hoods Quantity (Requires 3 sets of plans) Fire Suppression Systems Quantity (Requires 3 sets of plans) RE PLACES MISCELLANEOUS: Prefabricated Fireplace Qty Automobile Lifts Gas Piping Outlets Boilers Elevator;/�wajam, X OTHER GAS PIPING Heat Exchanger Quantity of Outlets Pumps #Vented Wall Furnaces Refrigerator Condenser # Water Heaters; Solar Collection Systems Tanks(gallons) Wells 'HER: it lXXXTrei md if-Olk doicsFICK COnlorestce ithi.,a six exulth petted or work is suspended or sussidoevel!,r,3kjxWr, TmbMaaaaaa lonev need 3plication and know,thenurne to be true and correct. All proviSio ,,onthS.I h— y oernify""a the pannit does n I give a ns of lws end ordinances;governing this I be mrnplied with whether spocified or itylow.losethepro 0 my Other sene or lueal low regulation construction or the perfornerm ofewstuctim. 0 u� — -e,ty O"ers Name �\AXFA% Phone Number '�9\ N'�� hanical CMpaywz lb" Of.9 1w V-"bffice Ph,4j(jL-3)�, 7PJxC 4,ddress: ILaH CA Star,a ziv use Holder(Print): 6eknda— 4L State Certification/Registration# 9 ds, er 1606^19�lm =�� �*Ov4e stephinne E center forcine this;6vh -)o �LC==2M" da o,=� nature of Notary Publt,-I—�!�, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 MECHANICAL RESIDENTIAL GAS - MUST CALL BY 4PM1 FOR NEXT DAY INSPECrION: 247-5814 PERMIT INFORMATION: PERMIT NO: GSRS18-0101 Description: Estimated value: 3200 issue Date: 10/1/2018 Expiration Date: 3/30/2019 PROPERTY ADDRESS. Address: 1624 ATLANTIC BEACH DR RE Number: 1696061120 PROPERTY OWNER: Nam; ATLANTIC BEACH PARTNERS LLC Address: 414 OLD HARD RDSUITE 502 FLEMING ISLAND. FL 32003 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: AEI INTERNATIONAL CORP. Address: 7709 ALTON AVE QA LFiNIS SPRADLIN JACKSONVILLE, FL 32211 Phone: _jiERMIT 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 a cies. * A notice of Commencement is only required for work eic din an estimated value of $2,500.For RVAC work,a Notice of Commencement is only required when HVAC work exceeds and estimated value of$7,500.