1829 SEMINOLE RD GSRS18-0135 RESIDENTIAL GAS PERMIT MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
GSRS18-0135
PERMIT
ISSUED: 1/11/2019
CITY OF ATLANTIC BEACH EXPIRES: 7/10/2019
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:
1829 SEMINOLE RD MECHANICAL RESIDENTIAL GAS GAS PIPING -TO FIREPIT $1300.00
TYPE OF REALESTATE BUILDING USE
ZONING: i SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1696320000 OCEAN GROVE UNIT 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
AEI INTERNATIONAL CORP. 7709 ALTON AVE JACKSONVILLE FL 32211
OWNER: ADDRESS: CITY: STATE: ZIP:
WATERS JANICE B &JAMES C/O MARTINA BLYTHE ATLANTIC BEACH FL 32233-5915
DEZMOND ETAL
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 4SS-0000-322-1000 1 $10.00
MECHANICAL BASE FEE 4SS-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 4SS-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 4S5-0000-208-0600 0 $2040
TOTAL: $69.00
Issued Date: 1/11/2019 1 of 2
Sj.
MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
GSRS18-0135
PERMIT
ISSUED: 1/11/2019
CITY OF ATLANTIC BEACH EXPIRES: 7/10/2019
Issued Date: 1/11/2019 2 of 2
MECHANICAL PEMT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph (904)247-5826 Fax (904)247-5845
N I& PERMU
M ADDRESS: 8 2-q -e I
—SE-MiJn
PROJECT VALUE AN# REQUIRED
Air Handling Unit & Condenser Condenser Only
Air Handling Equipment Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air conditioning: Unit Quantity Tons Per Unit Seer Ratin
Heat: Unit Quantity BTU's Per Unit REQUIRED
Duct Systems: Total CFM
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit Seer Ratin
Heat: Unit Quantity BTU's Per Unit REQUIRED
Duct Systems: Total CFM
FIRE PREVENTION Quantity (Requires 3 sets of plans)
- Sprinkler System
Fire Quantity (Requires 3 sets of plans)
Fire Standpipe (Requires 3 sets of plans)
Underground Fire Main Value (Requires 3 sets Of Dlans)
Fire Hose Cabinets Quantity (Requires 3 sets of ilans)
Commercial Hoods Quantity (Requires 3 sets of Plans)
Fire Suppression Systems Quaiitity
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
JTHER: -He- �#q+b -exi.,s 41-r-) VVI 4— 4--D yt-p I
'ermit b=mes 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
iis application and know the surne to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or
ot. The permit does not give authority to violate the provisions of any other state or local lav regulation construction or the performance of construction.
)r0perty Owners Name Jame-5 wok-+Cy�s Phone Number '303- 9 5q - 044(
/lechanical Company -A 6 k Office Phone 1 q-1-1 7(F,,.,--
.0. Address: -1 City � aLACS g��y; 1"tate-F—zip -2—2-11
,icense Holder(Print): State Certificatioji/Registration#
<11
Votarized Signature of License Holder
9,40ft,4%. Notary Put*cStawof nomdu. efore me t.his day of 0,-U� ?_0
1P Stephanie E Carter
il- IjMY Commission GG 23S"425
Expires 07/1812022 ignature of Notary Public
A A EA9
Cash Register Receipt Receipt Number
V
City of Atlantic Beach R7819
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $69.00
GSRS18-0135 Address: 1829 SEMINOLE RD APN: 169632 0000 $69.00
MECHANICAL $65.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
GAS PIPING OUTLETS 455-0000-322-1000 1 $10.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R7819 $69.00
Date Paid: Friday, January 11, 2019
Paid By: AEI INTERNATIONAL CORP.
Cashier: CB
Pay Method: CREDIT CARD 1169c
op
Printed: Friday,January 11, 2019 3:08 PIVI I of 1 0