230 10th St GSRS19-0062 Piping rt MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
4111
GSRS19-0062
s, PERMIT
�r ISSUED: 7/24/2019
WI ,; CITY OF ATLANTIC BEACH EXPIRES: 2/5/2020
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 - 2 OUTLETS
230 10TH ST MECHANICAL RESIDENTIAL GAS AND ONE 250 GAL LP $1300.00
CONTAINER
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170357 0000 ATLANTIC BEACH
PARKWAY
COMPANY: ADDRESS: I CITY: STATE: ZIP:
AEI INTERNATIONAL CORP. 7709 ALTON AVE JACKSONVILLE FL 32211
OWNER: I ADDRESS: CITY: STATE: ZIP:
FRANCIS JAMES D 230 10TH ST ATLANTIC BEACH FL 32233-5750
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 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
Issued Date: 7/24/2019 1 of 2
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❑Revision to Issued Permit OR El Corrections to Comments Date:01/30/2020
Project Address: 230 10th St Atlantic Beach Fl.32233
Contractor/Contact Name: Aei Gas Services!Belinda Spradlin
Contact Phone: (904)724-9771 Email: contact@aeigas.com
Description of Proposed Revision/Corrections:
Please add on our permit (1)250 Gal LP Container. When the builder signed our contract to do this work back in july, he,
advised that the homeowner did not want us to provide and install the LP container. Builder called this morning to advise
his client decided not to go with the previous LP Gas supplier and decided to use us instead.
Thank you for your help on this!
lAei Gas Services/Belinda Spradlin affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
• Will proposed revision/corrections add additional square footage to original submittal?
EINo Q Yes(additional s.f.to be added: )
• ill proposed revision/corrections add additional increase in building value to original submittal?
d
No a*Yes(additional increase in building value: $$ 350.00 )(Contractor must sign if increase in valuation)
"Signature of Contractor/Agent: ,L C.L. ;-rZ:/-di _ 4 Ze/I-1
(Office Use Only)
❑ Approved ❑ Denied ❑ Not Applicable to Department Permit Fee Due$
Revision/Plan Review Comments
Department Review Required:
Building
Planning&Zoning Reviewed By
Tree Administrator
Public Works
Public Utilities
Public Safety Date
Fire Services Updated 10/17/18
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Cash Register Receipt Receipt Number
City of Atlantic Beach R11613
DESCRIPTION I ACCOUNT QTY PAID
PermitTRAK $20.00
GSRS19-0062 Address: 230 10TH ST APN: 170357 0000 $20.00
MECHANICAL $20.00
TANKS GAS OR LIQUEFIED PETROLEUM 455-0000-322-1000 250 $20.00
TOTAL FEES PAID BY RECEIPT: R11613 $20.00
Date Paid: Friday, January 31, 2020
Paid By: AEI INTERNATIONAL CORP.
Cashier: CT
Pay Method: CREDIT CARD 3
Printed: Friday,January 31, 2020 9:45 AM 1 of 1