1717 MARITIME OAKS DR - GAS MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845 G S S
0?JOB ADDRESS: 1-11-4- Mar,- ►me Oaks D` (� f
PERMIT#
PROJECT VALUE UE $ 2040.40 ARI# REQUIRED
Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only
STEW 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
TEPLACEMENT 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
FIRE 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 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 BTU's
ALL OTHER GAS PIPING Elevators/Escalators
Heat Exchanger
Quantity of Outlets 3
s
#Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters ____L___ Solar Collection Systems
Tanks (gallons)
Wells
)THER: QaS 0019 1n1Ri-erheater , 00a-top ;GNI and dr .r
:mit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.I hereby certify that I have read
is 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
)t. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the perfo ce of construction.
roperty Owners Name P-iverC c ie kiarre Phone Number 5'l 1-0`—0%5
[echanical Company PEI Ir +L Corp dila AEI G.s SP rvi&'c Office Phone 72H d1i]iFax 121 -3350
o. Address: 1101 Alton Ave. City JCt(,k.Sonv i i I e. State 1FL Zip 32211
icense Holder(Print): 6E/in da, .5-prci.cilrir o State Certification/Registration# 'f'j n-
otarized Signature of License Holder /J e� �d
Notary publ'�c SLte of Florida Before me this 1 Q 2 V i
Stephanie E Carter 1 t day of .,.1rt#;
My Commission GG 239425
T,' Expires 07/18/2022
Signature of Notary Public T) ‘.'► t -- .Lai r
MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
J r I
+' , PERMIT GSRS18-0107 VIII
Ar...,/1
ISSUED: 10/22/2018
3 , CITY OF ATLANTIC BEACH EXPIRES: 4/20/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
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.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
1717 MARITIME OAK DR MECHANICAL RESIDENTIAL GAS GAS PIPING -WATER $2040.00
HEATER, GRILL AND DRYER
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169505 1770 ATLANTIC BEACH
COUNTRY CLUB UNIT 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
AEI INTERNATIONAL CORP. 7709 ALTON AVE JACKSONVILLE FL 32211
OWNER: ADDRESS: CITY: STATE: ZIP:
MCGOWAN JOSEPH M 93 RIVER ST SLEEPY HOLLOW NY 10591
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR 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.
LIST OF CONDITIONS
(Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
I _
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
it
FURNACES AND HEATING 455-0000-322-1000 1 $24.00
GAS PIPING OUTLETS 455-0000-322-1000 3 $10.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
Issued Date: 10/22/2018 1 of 2
S' '�"1' MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
, t , GSRS18-0107
� � PERMIT ISSUED: 10/22/2018
, CITY OF ATLANTIC BEACH EXPIRES: 4/20/2019
TOTAL:$93.00
Issued Date: 10/22/2018 2 of 2