594 Coastal Oak GSRS18-0129 ''''' % MECHANICAL RESIDENTIAL GAS PERMITNUMBER
PERMIT GSRS18-0129
u = ISSUED: 12/10/2018
v- CITY OF ATLANTIC BEACH EXPIRES:6/8/2019
INSPECTIONMUST CALL . 14 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WIRK FAYST CINFIRM • • f IF TWE FL111511A
CODE, . CITY OF • • 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:
594 COASTAL OAK LN MECHANICAL RESIDENTIAL GAS Gas piping $2000.00
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
ATLANTIC BEACH
169505 2020 COUNTRY CLUB UNIT 02
ADDRESS:
AEI INTERNATIONAL CORP. 7709 ALTON AVE JACKSONVILLE FL 32211
• ADDRESS:
CURY JAMES D 1761 OCEAN GROVE DR ATLANTIC BEACH FL 32233-5844
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.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
GAS PIPING OUTLETS 4550000-322-1000 6 $1600
MECHANICAL BASE FEE 455-0000-322-1000 0 $5500
STATE)BPR SURCHARGE 455-0000-20807M 0 $2.00
STATE OCA SURCHARGE 455-0000.2080600 0 $2.00
TOTAL:$73.00
Issued Date: 12/10/2018 1 of 2
rs u+{)� nCash Register Receipt Receipt •Number
y
City of Atlantic Beach
DESCRIPTION ACCOUNT CITY PAID
PermitTRAK $231.00
GSRS38-0122 Address: 1962 COLINA CT APN: 169506 1058 $69.00
MECHANICAL $65.00
MECHANICAL BASE FEE455-0000322-1000 0 $55.00
GAS PIPING OUTLETS 455-0000.322-1000 1 $10.00
STATE SURCHARGES $400
STATE DBPR SURCHARGE 455-0000-208-W 00 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
GSRS18-0127 Address: 251 N OCEANFOREST DR APN: 1694631502 $89.00.
MECHANICAL $85.00
MECHANICAL BASE FEE 455-0000-322-1000 1 0 $55.00
GAS PIPING OUTLETS 4s5-0000-322-3000 1 3 $10.00
TANKS GAS OR UOUEFIED PETROLEUM 455-0000-322-1000 1 250 $20.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-07000 $2.00
STATE DCA SURCHARGE 455-0000208-0600 0 $200
GSRSIS-0129 Address: 594 COASTAL OAK LN APN:169505 2020 $73.00
MECHANICAL $69.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
GAS PIPING OUTLETS 455-0000-322-1000 6 $14.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000201-0]00 0 $2.00
STATE DCA SURCHARGE 455-0000208-0600 0 $2.00
TOTAL • ; 11
Date Paid: Monday, December 10, 2018
Paid By:AEI INTERNATIONAL CORP.
Cashier:CB
Pay Method: CREDIT CARD 10571
Printed:Monday,December 10,2018 3:23 PM 1 of 1
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JOB ADDRESS: 0 °� � .a{�,e,... PROJECT VALUE
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❑NEW AIR CONDITIONING&HEATING SYSTEM INSTALLATION ARI#(REQUIRED) G5 t5I d
E3 Air Handling Equipment Only p Condenser Only 0 Air Handling Unit&Condenser 1
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTUs per Unit Seer Rating(REQUIRED)
Duct Systems: Total CFM
❑REPLACEMENT AIR CONDITIONING&HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
Air Handling Equipment Only O Condenser Only O Air Handling Unit&Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating(REQUIRED)
Duct Systems: Total CFM
[]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)
❑FIRE PLACES ❑MISCELLANEOUS:
Prefabricated Fireplace(Qty) Automobile Lifts
Gas Piping Outlets T— Boilers BTUs
Elevators/Escalators
❑ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTUs
#Water HeatersSolar Collection Systems
Tanks(gallons)
Well
MOTHER:
Permit 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 this 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 not. The permit does not give authority to violate the provisions of any other state or
local law regulation construction or the performance of construction.
Owner Name• Phone Number:
Mechanical Company: PMP"2812�frice Phone:�Faz
Co.Address:. „t. OryState:�Zlp:�
License Holder:f _`,;�\/� � State Certification/Registration#�
Noturizedslgnature of License HolderL-�f�t�'a" J� q
The forego' instrum nt was acknowledged before me thikLday ofNt•trv� 20 V oIn the state of Florida,
CoC'—
Signature of Notary Publica'`rLu� 0 )—
p� na. Pue swarnma
Stephanb E Certs [ Perf(deny xnown OR[ ]Produced Identification
aaaxs Type of Identification:
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