390 Plaza GSRS19-0028 Install Outlets, H20 Heater, Tank MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
r PERMIT GSRS19-0028
u ISSUED:3/29/2019
Urs,, CITY OF ATLANTIC BEACH EXPIRES:9/25/2019
INSPECTIONMUST CALL • r • FOR DAY INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITIONt OF • BUILDING
CODE, AND CITY OF • • OF ORDINANCES .
ALL CONDITIONS OF
NOTICE:In addition to the requirements of this permit,there maybe additional restrictions applicable to this property
that maybe 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:
install 2 gas-piping outlets,
390 PLAZA MECHANICAL RESIDENTIAL GAS water heater&250 GAL $2260.00
TANK
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1699810000 ATLANTIC BEACH
COMPANY: rr •
AEI INTERNATIONAL CORP. 7709 ALTON AVE JACKSONVILLE FL 32211
• ADDRESS: CITY: STATE: ZIP:
WEBER JULIEANNE 12414TH ST 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.
UST OF CONDITIONS
Roll off container company must be on Cityapproved list. Container cannot be placed on City right-of-way.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
GASPIPINGOUTLEIS 455-0000-322-1000 2 $10,00
MECHANICAL BASE FEE 455"10-322-1000 0 $55.00
STATE OBPR SURCHARGE 455-0000.208-0700 0 $2.00
STATE DCASURCHARGE 455-05301 0 $2.00
TANKS GAS OR LIQUEFIED PETROLEUM 455-0000-322-I000 250 $20.00
Issued Date:3/29/2019 1 of 2
MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
PERMIT GSRS19-0028
CITY OF ATLANTIC BEACH ISSUED: 3/29/2019
EXPIRES:9/25/2019
VEMED WALL FURNACE WATER HEATER UNIT 655-000P322-10DD
TOTAL•594.00
Issued Date:3/29/2019 2 of 2
Cash Register Receipt Receipt Number19
•rLu
DESCRIPTION ACCOUNT CITY PAID
PermitTRAK $20.00
GSRS19-0028 Address: 390 PLAZA APN: 169981 0000 $20.00
MECHANICAL $20.00
TANKSGASOR LIQUEFIED PETROLEUM 455-0000-322-1000 250 $20.00
• $20.00
Date Paid:Tuesday,April 16,2019
Paid By:AEI INTERNATIONAL CORP.
Cashier: Ci
Pay Method:CREDIT CARD 016230 4
Printed:Tuesday,April 16,2019 3:35 PM 1 of 1 e
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