1802 Seminole Rd GSRS19-0050 Install MECHANICAL RESIDENTIAL GAS PERMITNUMBER
GSRS19-0050
PERMIT ISSUED: 5/24/2019
CITY OF AT L ANTIC B EACH EXPIRES: 11/20/2019
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, IPIVIC, 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
from
's
that may be found in the public records of this county,and there may be additional permits required from other
I
governmental entities such as water management districts,state agencies,or federal agencies.
F�
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
1802 SEMINOLE RD MECHANICAL RESIDENTIAL GAS install 3 gas-piping outlets, $1500.00
water heater, 120-gal. tank
TYPE OF REALESTATE BUILDING USE
CONSTRUCTION: NUMBER: ZONING: GROUP: SUBDIVISION:
1720200502 SELVA MARINA UNIT 09
COMPANY: ADDRESS: CITY: STATE: ZIP: —
AEI INTERNATIONAL CORP. 7709 ALTON AVE JACKSONVILLE FL 32211
OWNER: ADDRESS: CITY: STATE: ZIP:
PILLAR LLC 3167 STJOHNS BLUFF ROAD JACKSONVILLE FL 32246
WARNING TO OWNER: YOUR F %ILURE 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.
FEES
DESCRIPTION ACCOU DILI
GAS PIPING OUTLETS 455-0003 322-1000 3 Slow
MECHANICAL BASE FEE 455-000&322-1000 0 $55,00
$2.00
STATE DEER SURCHARGE 4S5 00DE208 07M 0
STATE DCA SURCHARGE 455 OCKNO 209�0600 0 $2.00
TANKS GAS OR LIQUEFIED PETROLEUM 455 CCKQ 322-1000 120 $2000
VENTED WALL FURNACE WATER HEATER UNIT 455 CONE-322-1000 1
issued Date:5/24/2019 1 of 2
MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
GSRS19-0050
PERMIT
ISSUED: 5/24/2019
CITY OF ATLANTIC BEACH EXPIRES: ll/ZO/2019
issued Date: 5/24/2019 2 of 2
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
pit 1 909 247-5826 Fint(904)247-5945 sf�� [,�-oos
OB ADDRFSS: Ifim I NJL PA - P 6 N
PROJECTVALUES — APJ# REQUIRED
--.Air Handling Equipment Only _.Air Handling Unit& Condenser —Condenser Only
CEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: UaitQuentity— TonsPerUnit
Heat: Unit Quantity— BTU's Per Unit Seer Ratine
Duct Systems: Total CFM REQUIPED
tEPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat; Unit Quantity BTU's Per Unit Seer Ratmg—
Duct Systems: Total CFM REQULKED
IRE PREVENTION
Fire Sprinkler System Quantity Requires 3 sets of plans)
Fire Standpipe Quantity R Zuj�es 3 sets of plans)
Value
Underground Fire Main (R es 3 sets of plans)
Fire Hose Cabinets Quantity R q 'a 3 sets of plans)
CommerciW Hoods Quantity
Fire Suppression Systems Quantity (Requires 3 sets of plans)
(P�quires 3 sets of plans)
MPLACES MISCELLANEOUS:
Prefabricated Fireplace Qty— Automobile Lift
Gas Piping Outlets Boilers BTU's
Elevators/Escalators
1,1, OTHER GAS PIPING Heat ExchanM
"*Quantity of Outlets . --15 Pumps
9 Vented Wall Furnaces Refrigerator Condenser BTU's
Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
MR: G'-jUW%Ly4 U4o44,5>
i ( Iclviou
-nit becomes void if work does not ememence within a Mx month period or work is suspended or abaridonnad for months.T hereby certify that I haw read
application and know the mov"o be true and COrratN. All Provisions,of laws and Ordinso0o governing this work will be complied with whether specified or
The permit does not give authority to violet Provisjow of my other"a or moal law mgulmion consametion or the performanne,of onstructim.
gwrty Owners Name V
la( Phone Number
chemical Company OrAs, 5::;q4tr i Ck-3 Office Ph,-=-Pq-q=t
Address:
A- City,-T<
ense Holder(Print): qt�m r��
I on/Registraflon#
wrized Signature of Liceme Holder. I k\�aDaPD
11"%��cforc m,e this��IA7�,day of
�!2%�. Public
W C—n1—Go 230�25 gnature of Notary
3%7/
Cash Register Receipt Receipt Number
0 City of Atlantic Beach R9145
DESCRIPTION ACCOUNT CITY PAID
$200.00
GSRS19-0047 Address: 1937 BEACH AVE APN: 169692 0100 $106.00
MECHANICAL $102.00
MECHANICAL BASE FEE 4b�-uvvu 322-1D00 0 $55.00
GAS PIPING OUTLETS 455-OOW322-1000 5 $1200
VENTED WALL FURNACE WATER HEATER 455-0000-322-1000 3 $15.W
UNIT
TAN KS GAS OR LIQUEFIED PETROLEUM 455-ODW-322-1000 500 $20.DD
STATE SURCHARGES S4.00
STATE DBPR SURCHARGE 455-0000-208-0700 $2.00
STATE DCA SURCHARGE 455 0000-208-0600 00 52.00
GSRS19-0050 Address: 1802 SEMINOLE RD APN: 172020 OS02 $94.00
MECHANICAL $90.00
MECHANICAL BASE FEE 455-000D-322-1000 0 555..
GAS PIPING OUTLETS ---�SSHDE00.322 1000 3 $10.00
TANKS GASOR LIQUEFIED PETROLEUM ---W55-0000 322-1000 120 $20.00
VENTED WALL FURNACE WATER HEATER 455-0000-322-1000 1 $5.00
UNIT
S4.W
STATE SURCHARGES
STATE DBPR SURCHARGE 455-DOOO 208-0700 0
STATE DCA SURCHARGE 455-0000.2a8-oAnn 1 0 1 1H. 11
TOTAL FEES PAID BY RECEIPT: R9145 $200.00
Date Paid: Friday, May 24, 2019
Paid By:AEI INTERNATIONAL CORP.
Cashier: CT
Pay Method:CREDIT CARD 024974
10%
Printed:Friday,May 24,2019 12:43 PM 1 of 1 '1