1549 Beach Ave GSRS19-0083 �fc-- MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
�, , _. " GSRS19-0083
Ir. : ,a s PERMIT
�r ,� ISSUED: 10/18/2019
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CITY OF ATLANTIC BEACH EXPIRES: 4/15/2020
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 WATER
1549 BEACH AVE MECHANICAL RESIDENTIAL GAS HEATERS, FIREPLACE , $3550.00
RANGE & 250 GAL TA
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: i NUMBER: GROUP:
170311 0000 ATLANTIC BEACH
COMPANY: ADDRESS: CITY: STATE: ZIP:
AEI INTERNATIONAL CORP. 7709 ALTON AVE JACKSONVILLE FL 32211
OWNER: ADDRESS: CITY: STATE: ZIP:
CELLAR WILLIAM J 1549 BEACH AVE 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.
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I 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 1 $10.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
PREFABRICATED FIREPLACES 455-0000-322-1000 1 $30.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
Issued Date: 10/18/2019 1 of 2
(1-LA r , MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
PERMITtit
GSRS19-0083
\'gidISSUED: 10/18/2019
�-rill ,/ CITY OF ATLANTIC BEACH EXPIRES: 4/15/2020
TANKS GAS OR LIQUEFIED PETROLEUM 455-0000-322-1000 250 $20.00
VENTED WALL FURNACE WATER HEATER UNIT 455-0000-322-1000 2 $10.00
TOTAL:$129.00
Issued Date: 10/18/2019 2 of 2
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Cash Register Receipt Receipt Number
City of Atlantic Beach R10783
DESCRIPTION I ACCOUNT I QTY I PAID
PermitTRAK $129.00
GSRS19-0083 Address: 1549 BEACH AVE APN: 170311 0000 $129.00
MECHANICAL $125.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
PREFABRICATED FIREPLACES 455-0000-322-1000 1 $30.00
GAS PIPING OUTLETS 455-0000-322-1000 1 $10.00
TANKS GAS OR LIQUEFIED PETROLEUM 455-0000-322-1000 250 $20.00
VENTED WALL FURNACE WATER HEATER
455-0000-322-1000 2 $10.00
UNIT
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: R10783 $129.00
Date Paid: Friday, October 18, 2019
Paid By: AEI INTERNATIONAL CORP.
Cashier: CT
Pay Method: CREDIT CARD 018184
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Printed: Friday,October 18,2019 12:42 PM 1 of 1
M
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904)247-5826 Fax (904) 247-5845 6
OB ADDRESS: q e __1= A s R S I - D d 8
PERMIT#
PROJECT VALUE $ 5 _Oz' ARI 14
_Air Handling Equipment OnlySQUIRED
Air Handling Unit & Condenser Condenser Only
EW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit—'—
Duct Systems: Total CFM Seer Rating
R
EPLACEENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION M
Air Conditioning: Unit QuantityINSTALLATION
Heat: Tons Per Unit
Unit Quantity BTU's Per Unit
Duct Systems: Total CFM Seer Rating
REQUIRED
RE PREVENTION
Fire Sprinkler System Quanti
Fire Standpipe uanti (Requires 3 sets of plans)
Q
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)
(Requires 3 sets of plans)
Fire Suppression Systems Quantity
(Requires 3 sets of plans)
RE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts
Gas Piping Outlets Boilers
BTU's
L OTHER GAS PIPING Elevators/Escalators
Quantity of Outlets Heat Exchanger
m Vented Wall Furnaces Pumps
#
Vented
Heaters Refrigerator Condenser BTU's
Solar Collection Systems
Tanks(gallons) 1 260 60-A
Wells
HER: TC) 0_,UCliak.C5153 5 \_-, aL 4Qaiti
I
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•becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.I hereby certify that I have read
plication 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
he permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
..rty Owners Name C(LA LC R WSC,V:-\,.\r\ hA- • !
Phone Number 1 1
ianical Company (A[—:' Cat5�j4.,(V;cA.5
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Office Phone l�-9q 1 I Fax -D.;36-13ddress: fl C M t- City-3S(jNi A\'L- State F-'1 Zip -X)-I\
lise Holder(Print): 6e.„11 6 d Ct, Sprad/i r State Certification/Registration# "lC 1
'Z e •' , '- - - • 'I'der U dier
j� Nptary Puotic State of Ftwide
' Stephanie E Carter Before me this \
My Commission GO 238425 r1day of Com— 70 `r'1
b�er+�1 Esoires 07,1612022 —r `�
♦ignatttrF, of Notary Publi���\` _ (:),0
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