791 PARADISE LN GSRS19-0009 GAS PERMIT MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
PERMIT GSRS19-0009
ISSUED: 1/22/2019
CITY OF ATLANTIC BEACH EXPIRES: 7/21/2019
MUST CALL INSPECTION • i • / 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
CODE,ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
• OF • OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, 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:
791 PARADISE LN MECHANICAL RESIDENTIAL GAS install 3 gas-piping outlets, $0.00
120-gal. buried tank
TYPE OF
CONSTRUCTION: GROUP:
172376 0170 PARADISE PRESERVE
COMPANY: ADDRESS:
AEI INTERNATIONAL CORP. 7709 ALTON AVE JACKSONVILLE FL 32211
• ADDRESS:
SPRINGFIELD BUILDERS LLC 1881 BEACH AVE ATLANTIC BEACH FL 32233
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 • .
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 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
TANKS GAS OR LIQUEFIED PETROLEUM 455-0000-322-1000 120 $20.00
TOTAL: $89.00
Issued Date: 1/22/2019 1 of 2
ION
Mechanical Permit Application "ALL LIGHTED IN
pp HIGHLIGHTED IN
City of Atlantic Beach Building Department GRXas IduIQ, w
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: C"ISQSIq
JOB ADDRESS: �I9I /�l.Ll'Gd.-1 �r' h/ ' PROJECT VALUE$
❑NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
13 Air Handling Equipment Only 0 Condenser Only [3 Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTUs per Unit Seer Rating (REQUIRED)
Duct Systems: Total CFM
17 REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
❑Air Handling Equipment Only 0 Condenser Only ❑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 r7 MISCELLANEOUS:
Prefabricated Fireplace (Qty) Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
❑ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets 3 Pumps
#Vented Wall Furnaces Refrigerator Condenser BTUs
#Water Heaters Solar Collection Systems
Tanks (gallons) i Zy
n Wells
V1 q IV t r-'1041
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: rP-hone Number:
Mechanical Company: Off ice
JJPhone: ` 0Y- 7.211177hax
Co.Address: city: 1l.(CkO') VI IP-- State: F- --Zip: r�
License Holder: State Certification/Registration# � �
Notarized Signature of License Holder'<
The foregoing instrument was acknowledged before me this- ay o 20�, in they Stat of Florida,
County of�;, Y;�`�
Sigr}ature of Notary Public
=Nolary
tatepersonally Known OR [ ] Produced Identification
arter CiG 139425Type of Identification:
022
OF TVUpdated 10/9/18
ri'A'lri�
s
RegisterCash
City of Beach R790•
DESCRIPTION
• QTY PAID
PermitTRAK $89.00
GSRS19-0009 Address: 791 PARADISE LN APN: 172376 0170 $89.00
MECHANICAL $85.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
GAS PIPING OUTLETS 455-0000-322-1000 3 $10.00
TANKS GAS OR LIQUEFIED PETROLEUM 455-0000-322-1000 120 $20.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL91 : $89.00
Date Paid:Tuesday, January 22, 2019
Paid By: AEI INTERNATIONAL CORP.
Cashier: LE
Pay Method: CREDIT CARD 12
Printed:Tuesday,January 22,2019 4:16 PM 1 of 1 Ir