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Permit 14001 Atlantic Blvd CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number 09-00001814 Date 10/27/09 Property Address 14001 ATLANTIC BLVD Application type description ELECTRIC ONLY Property Zoning TO BE UPDATED Application valuation 0 ---------------------------------------------------------------------------- Application desc TEMP POLE Owner Contractor ELECTRICAL CONTRACTING TECH. 6695 COLRAY CT STE 303 JACKSONVILLE FL 32256 (904) 292-2221 ---------------------------------------------------------------------------- Permit ELECTRICAL PERMIT Additional desc . Permit Fee 90.00 Plan Check Fee .00 Issue Date Valuation 0 Expiration Date 4/25/10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total Plan Check Total Grand Total 1 ~~Y,~~o ~~ 90.00 90.00 .00 .00 .00 .00 .00 .00 90.00 90.00 .00 .00 ~~~ alq~1~~ PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 Y OFFICE: (904)247-5826 ~ FAX NO.:(904)247-5845 BUILDING-DEPT~COAB. US ELECTRICAL PERMIT APPLICATION 09-; 1 (_ I L - ~ DUVAL COUNTY g /) f q _ p ~bQ ~ ,>'TI 'Lr1.N~~rL /J~vD 2. I THiS~SUB,PE 17 ~y ~:~_;~~" x: ~~'`a oNO bq -13s1 C~'~IES PERMIT#: 4. NAME: 5. ADDRESS IF DIFFERENT FROM JOB ADDRESS. 8. PHONE: ~~'0 GC TEn~ DAR S L:t~/~.L'TCD qb y~ - ~l 2 -68 y 3 L A N ACT ~ ,~_,~~` ~='' ".:" 7. NAME OF COMPANY: ~ 8 ADDRESS. ~r~re~ L'dNrhrtcTrn~~ r~/tN~°i;o6~ES ~G9S' Ca.-2~-r C'vv,2r ,T~c~(so,~ v~cc~ l=~ 3s ~-s~ 8. STATE OF FLORIDA LICENSE NO: .C Dot? 2a 6S tO.,CELL PHONE: ~~'04`-2/9-2~/N 1 FAX N .: ~b~i-~-`~2--1~'~~! 12.E 'IIjDDRE~Crg~~•,,~~~ ,~y 13QOi~ P~~~ LL//ii ~- Z ~- ( 14. 15. Appli ation is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six ((i) months at agy ti after ork is commenced. CONTRACTORS SIGNATURE: ,f/~J'</ T~~ S (5F W ~ ~ 17. SERYIGE: ~ ~ ~ 18. METER NUMI~ER;_ ^ MULTI FAMILY - # OF UNITS: ^ SINGLE FAMILY ^ TEMP SERVICE ^ RESIDENTIAL ^ COMMERCIAL ^ ADDITION ^ TRAILOR 19. [3UILD(N4'i: ~' ='" ~'';' 19'.'CURI~ENT CODE: ^ ALTERATION ^ SIGN ^ REPAIR ^ POOL /SPA ^ OLD ^ NEW ^ REWIRE ^ '08 NATIONAL ELECTRICAL CODE ^ OTHER: LI ST ALL ELECTRICAL WORK: 20. TYPE OF SERVICE: ^ OVERHEAD ^ UNDERGROUND UNDERGROUND UP POLE 21. NEW SERVICE: CONDUCTORS PER PHASE: 1 ^ POWER IS ON POWER IS OFF 22. SIZE OF CONDUCTOR: ~ AMPACITY: /©G OPPER ^ ALUMINUM 23. SWITCH OR BREAKER SIZE: AMPS:1 PH: ~ W: Z VOLT: /2~' 23~~ RACEWAY SIZE: I. S 24. EXISTING SERVICE SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE: 25. FEEDERS: # OF AMPS: # OF AMPS: # OF AMPS: 26. LIGHTING FIXTURES: INCANDESCENT: FLUORESCENT & M.V.: 27. FIXED APPLIANCES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 28. FIRE ALARM: ^ YES ^ NO 29-31 DO NOT APPLY TO NEW SINGLE FAMILY, MULTI-FAMILY AND ROOM ADDITIONS 29. SMOKE DETECTORS: NUMBER: 30. RECEPTACLES: 0-30 AMPS: Z 31-100 AMPS: OVER 100 AMPS: 31. SWITCHES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 32. AIR CONDITIgNING: # OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: # OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: 33. MOTgRS: NUMBER: VOLTAGE: HP: KVA: NUMBER: VOLTAGE: HP: KVA: 34. TRANSFORMERS: UNDER 600V: NUMBER: KVA: OVER 600V: NUMBER: KVA: 35. MISCELANEQUS REPAI 5: DESCRIBE IN DETAIL BLDG02 Permit Application Elec :REVISED: 07I20l2009 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number 09-00001381 Date 10/06/09 Property Address 14001 ATLANTIC BLVD Application type description DEMOLITION (ENTIRE BUILDING) Property Zoning TO BE UPDATED Application valuation 0 ---------------------------------------------------------------------------- Application desc DEMO STRUCTURE JOHNSTON ISLE ---------------------------------------------------------------------------- Owner Contractor OWNER ---------------------------------------------------------------------------- Permit DEMOLITION PERMIT Additional desc . Permit Fee 100.00 Plan Check Fee .00 Issue Date Valuation 0 Expiration Date 4/04/10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total Plan Check Total Grand Total 100.00 100.00 .00 .00 .00 .00 .00 .00 100.00 100.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. t- "" CITY OF ATLANTIC BEACH B00 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 ~ .;~ " L=~~~~~~~ OFFICE: (904)247-5826 ~ FAX NO.:(904)247-5845 BUILDING-DEPT(81COAB.US BUILDING PERMIT APPLICATION DUVALCOUNTY 1. JOB ADDRESS 2:VALUATION OF WORK 3. 50. FT. UNDER ROOF 4. LEGAL DESCRIPTION: 5. CLASSOF':WORK: 6,.USE.OF.STRUCTURE'. ~ 7~ ~ L ^ NEW BUILDING EMOLITION ^ RESIDENTIAL ~ j ~ LOT BLOCK SUB DIVISION ~ ~ S '~ `7 _ ^ ADDITION ^ CONVERTING USE ^ COMMERCIAL Z DESCRIPTION OF WORK: ^ ALTERATION ^ ACCESSORY BLDG. 8-FIRE:SPRINKLER: t+ ~ r~ y ` ~ ! ^ REPAIR ^ POOL /SPA ^ YES ^ N/A I D {~~ ` ~ ^ MOVE ^ OTHER ^-+C6 PROPERTY OWNER: CONTRACTOR: ARCHITECT I ENGINEER: 9. NAME: 15. COMPANY NAME: 23. COMPANY NAME: 16. NA 24. LI SEE NAME: 10. ADDRE/S,S: ~r~n~j;( ~ /J /~ ~'V V~~ ~lJe V 17. STATE O LORIDA LICENSE NO.: 25. STATE OF RIDA LICENSE NO.: 18. ADDRESS: 26. ADDRESS: J ~~ <i ~~- ~~~~ X11. OFFICE PHONE: " Xn II II 12. FAX O.: ~~~ 19. OFFICE PHONE: .FAX NO.: 27. OFFICE PHONE: 28. FAX NO.: 13. O L PJ~QNE: ~ ~, / E L `/} 21. CELL PHONE: 29. CELL PHONE: 14. EMAIL ADDRES ' ~r ,~/~ ~ ~ ' C~ ~ 22. EMAIL ADDRESS: 30. EMAIL ADDRESS: ' 1 ' ~ Mr LO 1C FE 51 PIE TITLE H LD (IF OTHER7HAN OWNER} BONDING COMPANY: MORTGAGE LENDER: 31 AME: 33. NAME: 35. E: 32. ADDRESS: 34. ADDRESS: 36. ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters, Tanks, Air Conditioners, etc. OWNER'S AFFIDAVIT - I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until aft inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official, as required by law. ~ WARNING TO OWNER: ~ YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT !N 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. - OWNER or AGENT CONTRACTOR ( K A ent, Power of Attorney or Agency Letter Raq tl) (pua{ifier Only) g -- ,,..~~---- Signed:S~_~~ /~ ~ Si Date: / Before me this 6 day of d~ 6 009 in the county of Before met day of , 2009 in the county of Duval, State of Florida, has personally appeared Duval, State of Flo ,hasp ally geared herin by himself /herself and affirms that ail statements and declarations are herin by himself /herself and a s at st tements and declarations are true and accurate. / ~CL ( "7~ ~l~~~ true and accurate. - I Notary ublic at Large, State of ounty of Notary Public at Large, State of unty of ersonally Known ^ Personally Known \. ^ Produced Identification - ^ Produced Identification - \ Notary Signature: ~t Notary Signature: \ r~ ~"~ °s ,. ALLISON M. HUTCHESON ?+E~ ~' MY COMMISSION # DD 618608 BLDG01 Permit Application Bldg: REVISED: 12/t8/2008 '~~ < EXPIRES: DeceP ~ruodererlters ~~~: gondedThruNoN+rY ~~k~.G~' Date: , ~ 1(Q ~ ~ To Whom It May Concern: I / We the current property owners of: ATLANTIC BEACH BUILDING DEPT. DEMOLITION -PROPERTY OWNER RELEASE FORM Block ~~ ~-} Q ' I //rr~~ ~/~ j, ~e Legal Description of Property ;~-~,- I, a ~ I ~o~ AKA ~ `~ y ~ , ~ l ~ lrC<~ ~• C ~~ (V~~ have co~nCtr~actedClw,ith to have (Address of Property) ~~~ ~t~ U~~l e~ to remove the _ (Company Name) (Single Family, Duplex, Commercial, etc.) Prior to the construction of : (,~ ~ ~ (,(~ 5~1..T ~ Gj`~` (,~~~~t V ~5 As a condition of issuing the permit we agree to the following: 1. All utilities are to be located and clearly marked. 2. Once house is removed, lot is to be graded and leveled. 3. All construction debris is to be removed from the property. 4. Affected area is to have grass or seed in place. 5. Erosion control devices will be pu in place and will remain in place until grass has covered affected area or ne structure is completed and landscaping is in place. ~hce.rr~~s ~. C~~t~~r ~u~r~~ Signature THIS SPACE FOR RECORDER'S USE ONLY " "°'''• ALLISON M. HUTCHESON ~.; ~~ MY COMMISSION # GD ~ ~ R608 ~• . • • ' .= EXPIRES: December 2$, 2ii12 '~,~~~~ Bonded Thru Notary Publk Underwriters OWNER ~ ~ /! /' Signed: (ii.~---~ Date: to l b / ~ 9 Before me this ~ day of Oc - ~` in the County of Duval, State Of Florida, has personally appeared C ~ccr'~eS O _ ~/{ L.,,.,~p Notary Public at Large, State of Florida, County of Duval. My commission expires: ~$C • ~~~ ~fl ( Z Personally Known: ~/ or Produced Identification: