1757 W Park Ter GSRS20-0050OWNER:ADDRESS:CITY:STATE:ZIP:
PETERSON BLAINE I 1757 PARK TER W ATLANTIC BEACH FL 32233-5611
COMPANY:ADDRESS:CITY:STATE:ZIP:
AEI INTERNATIONAL CORP.7709 ALTON AVE JACKSONVILLE FL 32211
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
172020 0378 SELVA MARINA UNIT 08
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1757 W PARK TER MECHANICAL RESIDENTIAL GAS
GAS PIPING - 250 GAL TANK ,
WATER HEATER AND 2
OUTLETS
$500.00
FEES
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
TANKS GAS OR LIQUEFIED PETROLEUM 455-0000-322-1000 250 $20.00
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
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.
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.
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.
1 of 2Issued Date: 8/12/2020
PERMIT NUMBER
GSRS20-0050
ISSUED: 8/12/2020
EXPIRES: 2/8/2021
MECHANICAL RESIDENTIAL GAS
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
VENTED WALL FURNACE WATER HEATER UNIT 455-0000-322-1000 1 $5.00
TOTAL: $94.00
2 of 2Issued Date: 8/12/2020
PERMIT NUMBER
GSRS20-0050
ISSUED: 8/12/2020
EXPIRES: 2/8/2021
MECHANICAL RESIDENTIAL GAS
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $94.00
GSRS20-0050 Address: 1757 W PARK TER APN: 172020 0378 $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
TANKS GAS OR LIQUEFIED PETROLEUM 455-0000-322-1000 250 $20.00
VENTED WALL FURNACE WATER HEATER
UNIT 455-0000-322-1000 1 $5.00
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: R12753 $94.00
Printed: Wednesday, August 12, 2020 8:23 AM
Date Paid: Wednesday, August 12, 2020
Paid By: AEI INTERNATIONAL CORP.
Pay Method: CREDIT CARD 352475027
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R12753