BEACHSIDE CT 1954 .CITY OF ATLANTIC BEACH, FLORIDA
Apwo"dbv APPLICATION FOR ILKTRICAL_*RMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:, /0 -_17
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS.
WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS,CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
ELECTRICAL FIRM: 70issfig iLiciraidiks siamaugE &URN]EYMAN
NAME_ ADDRESII:..� f -RFD. Box-
BLDG IZE BETWEEN: ��Xl 1 4
REJ. I APT.I I COMM.I I FU .1 1 INDUS.I I NIEW OLD( I REW.
Mp.7ADDITION TRAILER TE I SIGNS _SM FT.
SERVICE: NEW INCREASE I REPAIR FEE
CONDUCTOR SIZE AMPS(�(__.). COPPERf ALUM.lij
MTCN OR BREA PH W --"'-�ovo
KIN Nn Ly _RMEWAY
EXIST.SERV.SIZE AMPS [ I" W VoLir RACEWAY
FEEDERS NO. SIZE INO. size NO. SIZE
LIGHTING OUTLETS CONCEALEDI OPEN TOTAL
RECEPTACLES CONCEALEDI OPEN TOTAL
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
FIXED I oven
APPLIANCES I I I BELL TRANSF.
AIR M.P.RATING MY.RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT:l KW-HEAT
. I I I ! I
0-1 OVER
MOTORS M.P. VOLTAGE PHII NO. I ILF. VOLTAGE PHsi
7 0
MISCELEANEOUS'
NTIC ..BEACII
CITY OF ATLA
APPLICATION. FOR PLUMBING PERMIT
J OB LOCATION
No
ING CONTRACTOR
PLUMB
LICENSE NUMBERS
OWNER
1A11
�UILDlNG CONTRACTOR
�. TYPE OF BUILDING
SINKS
SHOWERS
WATER HEATERS '::%
LAVATORY
BATH TUBS DIS1114ASIIERS
URINALS DISPOSALS *
CLOSETS MACHINE
WASHING
FLOOR DRAINS
OTHER
—o"T
4
I)
TOTAL FIXTURE COUNT
C)
Qv
'�;�'INSTALLATION OF PLUMBING AND ' FLXTURE,S MUST'i BE IN ACCORDANCE W I T11
-js
-'%-,!1n.T11E MOST RECENT-EDITION OF THE SOUTHERN ,STANDARD PLUMBING CODE ,
44 8
40
CIT!eOP ATLANTIC BEACH
MMIt INFORMATION ------�'WCATION INFORMATION
`4 B9ACHSIDE COURT
Oor*it Number f Addr*s*,,t,,'l, 47
' INS FLORIDA 32233
,mit Typei PLO 8 .ATLANTIC BEACH#
P*r
'GAL DESCRIPTION ------
LE
*on of wo"r tv, �
Cl
c
po
Ty WWD VRA�MZ
G tr Lott alloolt t So tion:
Tqvinabip�v RNG:
iPi�apaeod ,Ummi 1SINdLt FAMILY,: :
"jovol 10,90 Codit I Subdivjmlorii:��,BiACXSIDS COURT
UwiWk*t*dN*lu*%
laprov. Cost 1,, 00
050*00
*5o,no
Dat
SINGLE PA41LYI ReSIDERCE
rk Do OnG in NEW
ATIOM�, APPLICATION FEES
PERMIT $50.00
Mgt
WATER-XMP CT FEE
A
009
FLORIDA �4�32 IMPACT,,,FEE: h-p 00. 00,t
Pb #1*
41
RADOWSAS 'H - S.
40.00
RADOM $AS
WATER TAP, #0600
ROL": It.
00
A-
........ SEW
"ST "T
A
'00,00:
HYDRA I SHARE
JlAcx� LLZ,*, 11FL. ' 32211
CO2 ly'�v: 0 RE-INSPECT FEE
SEC.,ff JMPACT� FEE Q;O
1061
NOTES: ,
dONCOOR FORf;S AND FOOTINGS MUST OWE,INSPICTED SSFORE POURING,
PIERMI'T VOID,SIX MONTHS AFTER DATE OF ISSUE
OUILOING-MATIERIAL,RUBBISH AND DEBRIS FROM THIS,WORK MUST
NOT BF,PLACED IN PUBLIC SPACE,AND MUST BE
4AU 154 -0
CLEARED: A' ITkER CONTRACTOR A OWNER.
Of)NO H L D AWAY BY 15
FAILURE TO"COMPLY.WIT TRE MECHANICS�:�'L.I�EN',.LAWCAN,,�RESULTI IN '
Mit
THE P" im ONG IMPAOV�. N
E' -O"APAYING TWICE FOR 13UI
VXTIATIM ) XIM
-:ISSjJIE0 ACCORDING TO APPROVED,PLANS WHICH ARE PART OF THIS PERMIT AND SUBJJ&jfi RF-VOCATI
"VIOLATION APPLIC E PROVISIONS OF LAW.
OP
AYLANtf 'BEACk 13UILDIN DE
C NT , :
y
BY'
DATE c)
PRE-SERVICE DIVISION
JACKSONVILLE ELECTRIC AUTHORITY
233 WEST DUVAL STREET
JACKSONVILLE, FLORIDA 32202
THE FOLLOWING FINAL INSPECTION(S) HAVE BEEN MADE AND ARE
SATISFACTORY:
Z_"2'
-------------
------ ---------------- -------------------------------
-------------------------------------------------
-------------------------------------------------
-------------------------------------------------
SINCERELY,
BUILDING INSPECTION DIVISION
cc:FILE
5-7
CITY OF ATLANTIC BEACH,. FLORIDA 14 1 r-t
Approwd by --] APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 13 1991
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,
WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
ELECTRICAL FIRM:
MQfjR ELECTRICIAN ATURV JOURNEYMAN
NAME-q; W-91 2f)I)dq(n ADDRESS: 14418CM�o id- (ZT RFD-BOX
BLDG.SIZE BETWEEN::�>��I r)o le?fx�rh 'Acl +7&lc4'b.lclrz
RES.(z APT.( COMM.( I PUBLIC INDUS. NEW( ) OLD( REW.
ADDITION TRAILER ( TEMP. ( SIGNS ( I _SQ. FT.
SERVICE: NEW(\41' INCREASE ( REPAIR FEE
CONDUCTOR SIZE AMPS CQ00 COPPER ALUM.
SWITCH OR BREAKER c::Q0 0 AMPS PH 5_W a3JVOLT CX�bl RACEWAY
EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY
FEEDERS NO. SIZE INO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
0.30 AMPS. 31-100 AMPS.
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
FIXED 0-100AMPS. F_0VE_R __
APPLIANCES BELL TRANSF.
AIR H.P.RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
0-1 OVER
MOTORS -H.P. I VOLTAGE PHS NO. I H.P. VOLTAGE PHS ,
MISCELLANEOUS
CITY OF N2 4778
ATLANTIC BEACH
FLORIDA
NAME
ADDRESS -7
32 2 3�3
CITY— �2t Ae 4 t Z/,L
/I(':evax) 7- 0 —,3 d� 9— 0 66
When Signed, Dated and Numbered, This Becomes an Official Receipt
MAKE CHECKS PAYABLE TO Received Payment
CITY OF ATLANTIC BEACH, FLORIDA TREASURER
CITY OF
?ROPERTY DESCRIPTION
l*(4oMc Ve"*lf - 5�ejaa
7160CEAN BOULEVARD
.at *--Iy...Block #........Section #........ P.0.BOX 25
ATLA?MC BEACH.FLORIDA 32233
;ubdivision: TFI
-----------------
t tP
;treet Hame
. DESCRIPTION CW,�yo x -
)r Address I
If in a FLOOD HAZARD
*load Zone:....x--------area complete page 3. Brief jUj
lu Zoning
Descriptions..................
Class of Works
(Now/Remodel/Add i t ion)
:ONING INFORMATION
Typo of
Constructions__-Z-L Z!�--------
:oning Proposed
listrict:.........Uses.................... Estimated Value $--
_L
:xceptions or Matorialas
ariances Granted&................
So 1�id)o r
0
------------------------------------------ ad
Grounds-------------Roofs
OWNER INFORMATION
Mothad of Heatings_Z�6f7
Property Owner ------------- P h a n 9--:--1 22L_
Hailing__P0 ?v
Address ------E ni 06 ----------------------------
--- ----------------------- Z i p 3 -------
CONTRACTOR INFORMATION
----------- Phonesc
Contractor
Hailing --------------
-- ------------------------
Address I
z----------- Zips
Expiratio
License N u a b a r --------------- Dates
2�
I HEREBY CCRTIFY TUAT I MATZ READ AND EXAMINED THIS APPLICATION AND KNOW THC SAME TO BE TRUE
AND CORRECT. ALL P*ovIzzoxw or THE LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE
COMPLICD WITH, WHETHER SPECIFIED M9RCXU OR NOT. THE GRANTING or A PCRMIT DOES NOT PRESUME TO
GIVX AurmonITY TO VZOLATS On CANCEL THE P*ovissous or AMY FEDERAL. STATC OR LOCAL RULES.
RCOULATIONS, ORDINANCES, Olt LAWS IN AMY MANNER, INCLUDING TNC GOVERNING OF CONSTRUCTION OR THE
PERFORMANCE OF CONSTRUCTION DIP TUC PROJCCT. I UNDERSTAND THAT THC
ISSUANCE Or THIS PERMIT IS
CONTINGENT UPON THC ADOVC INFORMATION 11ZINO TRUC AND CORRCCT AND THAT THC PLANS AND SUPPORTING
DATA HAVC SCCN ON SMALL- 89 PROVIDED AV REQUXREO.
I Owner Signature ................................Date............
'to
Contractor Signature _91'L10
Address. t F-A<-(t jQ IL
Lt 7
rL er sq ft = $
Heated Squarp Footage @ $
Garage/Shed -J. 0 (2-:)_per sq ft = $ 3
Carport/Porch $ 4 per sq ft - $ 61.5 2-
Deck @ $ 6 per sq ft - $ q
Patio per sq ft = $
TOTAL VALUATION:
6
41 7j.
Total Valuation ist $ 211 G,
Panainder Valuation �,3. per thousand or
portion thereof
------- ----
Total Building Fee 6, 01
ADDITIONAL PERMITS and/or FEES + 3k Filing Fee $ 0
Fireplaces @ 15.00 $
Mechanical BLmDiNr, PERMIT mm $
Plunbing
Electric/NeKq
Electric/Temp
Septic T&+ BUILDING PERMIT $
WATER. MOM CHARGE $
Well
S,.dmTdmg Pool SEWER IMPACT FEE $
Sign WATER DTACT FEE $ ��-C
MISCELLANEOUS $
Water Connection //:3
Sewer Connection
Water Meter
Elevation gertificate GRAND TOIAL DUE $
----------------------------------------------------------------------------------------------
CALCLILATIONS and/or NO=
WA
V.krrtif iratr of
CITY OF
Man& &OA- Ma"
Nuilbing 3napprtion
This Certificate isstied pursuant to the requirements of Section 109 of the Southern Standard
Building Code certifying that at the time of issuance this structure was in compliance with the
various ordinances regulating building construction or use. For the followin,".
Use Classification 4-",uO
Bldg.Permit No.
w/frav,iAt
Group Type Construction j
____Fir� District I i_�l J C C 11
C e a C I
Owner of Building
dt Liu ir
Build��dress (�A_l C 11 "i
By. F!'u r d
19,
Date:
POST IN A CONSPICUOUS P"Ca
1W