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390 Plaza GSRS19-0028 gas permit MECHANICAL RESIDENTIAL GAS PERMIT NUMBER PERMIT GSRS19-0028 ISSUED: 3/29/2019 CITY OF ATLANTIC BEACH EXPIRES: 9/25/2019 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: a 390 PLAZA MECHANICAL RESIDENTIAL GAS install 2 gas-piping outlets $2260.00 water heater TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 1699810000 ATLANTIC BEACH COMPANY: ADDRESS: CITY: STATE: ZIP: AEI INTERNATIONAL CORP. 7709 ALTON AVE JACKSONVILLE FIL 32211 OWNER: ADDRESS: CITY: STATE: ZIP: WEBER JULIEANN E 124 14TH ST ATLANTIC BEACH FIL 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 CONDITIONS Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. IMP W, DESCRIPTION ACCOUNT QUANTITY PAIDAMOUNT GAS PIPING OUTLETS 455-0000-322-1000 2 $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 VENTED WALL FURNACE WATER HEATER UNIT 45S-0000-322-1000 1 $5.00 TOTAL:$74.00 Issued Date: 3/29/2019 1 of 2 MECHANICAL RESIDENTIAL GAS PERMIT NUMBER GSRS19-0028 PERMIT ISSUED: 3/29/2019 Usti,, CITY OF ATLANTIC BEACH EXPIRES: 9/25/2019 Issued Date:3/29/2019 2 of 2 Mechanical Permit Application City of Atlantic Beach Building Department 800 Seminole Rd,Atlantic Beach, FL 32233 -Ak Phone:(904)247-5826 Email: Building-Dept@coab.w, PERMIT#: JOB ADDRESS: PROJECT VALUE L]NEW AIR CONUITIONING&HEATING SYSTEM INSTALLATION ARI#fREQUIRED) 0 Air Handling Equipment Only E3 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 ED REPLACEMENT AIR CONDITIONING&HEATING SYSTEM INSTALLATION ARI#(REQUIRED) [3 Air Handling Equipment Only E3 Condenser Only 0 Air Handling Unit&Condenser Air Conditioning: Unit Quantity Tons per Unit Heat: Unit Quzntity— BTU's Per Unit Seer Rating(REQUIRED) Duct Systems: Total CFM OFIRE PREVENT!ON 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) 1--IFIRE PLACES MMISCELLANEOUS: Prefabricated Fireplace(Qty)___ Automobile Lifts Gas Piping Outlets Boilers BTUs Elevato(s/Escalators EIALL OTHER GAS PIPING Heat Exchanger Quantity of Outlets Pumps #Vented Wall Furnaces Refrigerator Condenser _BTUS #Water Heaters Solar Collection Systems Tanks(gallons) C Wells -JOTHE L(.�') C- F R: _ ni�� Permit becomes void if work does ri�t comme nce within a six month period or work is suspended or abandoned for six months. I hereby certify that I have read this app:;,-ation and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether-.pecified or not, The permit does not give authority to violate the provisions of any other state or local law regulation construction or the rf ance of construction. Owner Name: k Phone Numbe r: Mechanical Company: Office Phone: Fax C I o.Address: city:"HwampoState: ip:�, rtification/Registra License Holder: State Ce tion#I L-71- -ww 1�.' Notarized Signature of License Holder The foregoing instrument was acknowledged before me this�eday of 201 County of -�j in th st te of Florida, �Zgnar ure of Notary Public,::��,�- P1 -6�� k �,,WNNlftry P.bl-C Stsb�of Flords Pe I Produced Identification step"nse E Carter Personally Known OR 'A Co—,—w GG 23"25 Type of Identification: Vpdrec/1019118 Cash Register Receipt Receipt Number v City of Atlantic Beach R8606 DESCRIPTION ACCOUNT CITY PAID PermitTRAK $143.00 GSRS19-0028 Address: 390 PLAZA APN: 1699810000 $74.00 MECHANICAL $70.00 MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00 GAS PIPING OUTLETS 455-0000-322-1000 2 $10.00 VENTED WALL FURNACE WATER HEATER 455-0000-322-1000 1 $5.00 UNIT STATE SURCHARGES $4.00 STATE DBPR SURCHARGE 4S5-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 GSRS19-0029 Address: 971 AMBERJACK LN APN: 171173 0000 $69.00 MECHANICAL $65.00 MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00 GAS PIPING OUTLETS 45S-0000-322-1000 $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: R8606 $143.00 Date Paid: Friday, March 29, 2019 Paid By: AEI INTERNATIONAL CORP. Cashier: LE Pay Method: CREDIT CARD 2 Printed: Friday, March 29,2019 10:28 AM 1 of 1 TPmT