162 S Oceanwalk Dr GSRS19-0059 Piping MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
GSRS19-0059
PERMIT
ISSUED: 7/17/2019
CITY OF ATLANTIC BEACH
EXPIRES: 1/13/2020
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:
GAS PIPING - FIREPLACE, 3
162 S OCEANWALK DR MECHANICAL RESIDENTIAL GAS OUTLETS , WATER HEATER & $1700.00
250 GAL
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1694630032 OCEANWALK U NIT 01
COMPANY: ADDRESS: CITY: STATE: ZIP:
AEI INTERNATIONAL CORP. 7709 ALTON AVE JACKSONVILLE FL 32211
ADDRESS: CITY: STATE: ZIP:
BRIAN W TAYLOR 162 OCEANWALK DR S ATLANTIC BEACH FL 32233-4678
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 4S5-0000-322-1000 3 $10.00
MECHANICAL BASE FEE 4SS-0000-322-1000 0 $SS.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 4S5-0000-322-1000 $20.00
Issued Date: 7/17/2019 1 of 2
PERMIT NUMBER
MECHANICAL RESIDENTIAL GAS
GSRS19-0059
PERMIT
ISSUED: 7/17/2019
CITY OF ATLANTIC BEACH EXPIRES: 1/13/2020
VENTED WALL FURNACE WATER HEATER UNIT 4SS-0000-322-1000 $1000
TOTAL: $99.00
Issued Date:7/17/2019 2 of 2
Mechanical Permit Application "ALL INFORMATION
41:�\ HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: 162 Ocean Walk Dr S PROJECT VALUE $1,700-00
F-1 NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
11 Air Handling Equipment Only 0 Condenser Only El Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTUs per Unit Seer Rating (REQUIRED)
Duct Systems: Total CFM
El REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIREi))
[I Air Handling Equipment Only 0 Condenser Only 0 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
FIFIRE 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)
7v FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace (Qty)_ Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
FIALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets 3 Pumps
#Vented Wall Furnaces Refrigerator Condenser BTUs
#Water Heaters 1 Solar Collection Systems
Tanks (gallons)
Wells
tsss water heater,fireplace,grill. �L-50 G C-,A 0 C,I-\
Permit becomes void if work does not commence within a six month perica 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:Bosco Builders Phone Number:
-�4 Mechanical Company: AE-l-Gas Services Office Phone7T —9�11 Fax
Co. Address: 7709 Alton Ave City: Jacksonville State: F1 Zip: 32211
License Holder: Belinda Spradlin State Certification/Registration# 9917
Notarized Signature of License Holder
The foregoiMinstrument was acknowledged before me this I I day of 20 in the State of Florida,
County of—VA��
Signature of Notary Public Ac,0,�,a'-\,
�—Z— /- X
[*VrPersonally Known OR Produced Identification
Notary PublIC Statt of Florida
tepnani!E arie'
Type of Identification:
Stepnanie E Carter
_23.A25
GG 23"25
p�res 070812022
E Updoted 1019118
Cash Register Receipt Receipt Number
City of Atlantic Beach R9600
DESCRIPTION ACCOUNT
PermitTRAK $193.00
GSRS19-0058 Address: 2343 BEACHCOMBER TR APN: 169463 0145 $94.00
MECHANICAL $90.00
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 I
TANKS GAS OR LIQUEFIED PETROLEUM 455-0000-322-1000 1 250 $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
GSRS19-0059 Address: 162 S OCEANWALK DR APN: 169463 0032 $99.00
MECHANICAL $95.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
VENTED WALL FURNACE WATER HEATER 455-0000-322-1000 2 $10.00
UNIT
GAS PIPING OUTLETS 455-0000-322-1000 3 $10.00
TANKS GAS OR LIQUEFIED PETROLEUM 455-0000-322-1000 $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
TOTAL FEES PAID BY RECEIPT: R9600 $193.00
Date Paid: Wednesday, July 17, 2019
Paid By: AEI INTERNATIONAL CORP.
Cashier: CB
Pay Method: CREDIT CARD 1
Printed:Wednesday,July 17, 2019 1:55 PIVI 1 of 1