1551 Ocean Blvd GSRS18-0131 Mechanical Permit Application
city of Atlantic Beach Building Department
800 Seminole Rd,Atlantic Beach, FL 32233
Phone: (904) 247-5826 Ema 1: Iding-De (&coab.us PERMIT 41�IK
% �1=li � ,I I — I I— ��
JOB ADDRESS: PROJECT VALUE$W
171 NEW AIR CONDITIONING&HEATING SYSTEM INSTALLATION ARI#(REQUIRED)-
0 Air Handling Equipment OnlY 13 condenser Only 13 Air Handling Unit& Condenser
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#IREQUIRED)
[3 Air Handling Equipment Only a Condenser Only M 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-setsof plans)
MFIRE PLACES Fj MISCELLANEOUS:
Prefabricated Fireplace(Qty)_ Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escaflators
[:]ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets DL Pumps
#Vented Wall Furnaces Refrigerator Condenser STUs
#Water Heaters Solar Collection Systems
Tanks(gallons)
r-jOTHER: 022L�,g,i-\q jf2 ��, 5 WWL`AZf \AL(�-4c
Permit becomes vold if work does not ccurnmence 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 carrem All provisions of laws and ordinances goveming this
work will be mmplied with whether specified or not The pemilt does not Rive authority to violate the provisions of any other state or
local law regulation construction or the performajoe of wristrtictio.n
Owner Name Phone Number:
Mechanical Company: M11
Offic-Phone: Fast
Co.Address: city 49�State:*zip-A"
License Holde.. I=St,teCertifiotion/Registntion#mmm�11111
NotarizedSignature of License Holder'
The foregol instr in nt was ac nowledged before me thlsl�bla f�)—k� 20R,1 the S4te of Florida,
county of
---- griature of Notary Public 'r
luf/Personaily Known OR I I Prciduced Identification
mvicc"=Tg,,G 2,9425 Type o!lclentific�atlon:
Cash Register Receipt Receipt Number
City of Atlantic Beach R7633
111 111111111111p�111111 1111111111111
DESCRIPTION 11 11 IBM
PermitTRAK $69.00
GSRS18-0131 Address: 1551 OCEAN BLVD APN: 171874 0000 $69.00
MECHANICAL $65.00
MECHANICAL BASE FEE 455-0000-322-ION 0 $55.00
GAS PIPING OUTLETS 455-0000-322-1000 2 $10.00
STATE SURCHARGES $4.00
STATE DEEP SURCHARGE 455-0000-208-0700 0 $200
STATE DCA SURCHARGE $2.00
TOTAL FEES PAID BY RECEIPT: R7633 $69.00
Date Paid: Friday, December 14, 2018
Paid By: AEl INTERNATIONAL CORP.
Cashier: BA
Pay Method: CREDIT CARD 7
Printed:Friday,Deminber 14,2018 2:51 PM 1 of 1
MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
GSRS18-0131
PERMIT ISSUED: 12/14/2018
CITY OF ATLANTIC BEACH EXPIRES: 6/12/2019
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.1.addition to the requirements of this permit,there may be additional restrications applicable to this ro e
t t tm. 'f.Em from other
hat may be found in the public records of this county,and there may be additional permit,required
t.l.mrt'
governmental entities such as water management districts,state agencies,or federal agencies.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
1551 OCEAN BLVD MECHANICAL RESIDENTIAL GAS Piping to Water Heater& $745.00
Grill
TYPE OF REALESTATE BUILDING USE
CONSTRUCTION: NUMBER: ZONING: GROUP SUBDIVISION:
1718740000 MANDALAY
COMPANY: ADDRESS: CITY: STATE: ZIP:
AEI INTERNATIONAL CORP. 7709 ALTON AVE JACKSONVILLE FL 32211
OWNER: ADDRESS: CITY: STATE: ZIP:
Kenneth Denbesten 7084 CANYON DR PARK CITY LIT 84098
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 ORAN
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.
DE'C 'PTIO ACCO NT NTITY PAID AMOUNT
�2 10
GA�11117o XINTs 45� 3U2 00 QUA2
ECHANICAL BASE�FE 0 $55.00
R__ 2 — $2.W
EC 21M.� 0 —
STATE DCA SURCHARGE 45S 0000 709 0600 0 52.00
TOTAL:$69.00
issued Date:12/14/2018 1 of 2