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Permit Folder 87 Forrestal Cir S IS CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00000235 Date 3/03/10 Property Address . . . . . . 87 FORRESTAL CIR Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 500 ---------------------------------------------------------------------------- Application desc WASHER AND KITCHEN SINK ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ RODRIGUEZ BENTON F.W. FAIR PLUMBING CO. 87 FORRESTAL CIRCLE P.O. DRAWER 51558 ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 241-7191 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 69 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 8/30/10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 69 . 00 69 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 69 . 00 69 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904)247-5826 Fax (904)247-5845 JOB ADDRESS: T-M L L) tZ X7 Iq 6 O-L* P.RMIT#10-235 NEW OR REPLACEMENT INSTALLATION: Project Value$ TYPE OF FmTuRE QTY TYPE OF FvcTupx QTY Bathtub Septic Tank&Pit Clothes Washer —7— Shower Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain - Three Compartment Sink Floor Sink Toilet Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures Water Treating System RE-PIPE: TYPE OF FmTuRE QTY TYPE OF FVCTuRE QTY Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures Water Treating System MISCELLANEOUS: Ei Sewer Replacement o Back Flow Preventer Ej Grease Interceptor(Trap) gallons(Requires 3 sets of plans) Ei Lawn Sprinkler System-Number of Heads El Well **&IR WD Well Completion Form. Completed form to be submitted to tWe-—Building Department for final inspection. Ei Other Permit 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=veread this application and know the same to be true and correct. All provisions of laws apd ordinances governing this work will be complied with whether specified or not. The permit does not give authority to violate the provisions of any other st*e or local law regulation construction or the performance of construction. Property Owners Name Phone Number Plumbing Company Office PhonP-;��' Fax Co.Address: city C State ZiD �Rate oql:� OV 7V_57 License Holder(Print): fA Certification/Registration Notarized Signature of Lic VA Af A.WHITE "/--i q ION#DD&10ko and subscribed'��!'me M1 MMIS da f 2VO EXPIRES'M&Y 21.2011 8MM ThrU WAN pftu*U Me ure of Notary Public KK CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00000297 Date 3/17/10 Property Address . . . . . . 87 FORRESTAL CIR Application type description RESIDENTIAL OTHER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 1500 ---------------------------------------------------------------------------- Application desc Insulate and drywall water damage ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ RODRIGUEZ BENTON JAMES & SON BUILDERS, INC 87 FORRESTAL CIRCLE 129 15TH AVENUE SOUTH ATLANTIC BEACH FL 32233 JACKSONVILLE BEACH, FLORIDA JAX BEACH FL 32250 (904) 509-0812 ---------------------------------------------------------------------------- Permit BUILDING PERMIT Additional desc . . Permit Fee . . . . 60 . 00 Plan Check Fee 30 . 00 Issue Date . . . . Valuation . . . . 1500 Expiration Date . . 9/13/10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 60 . 00 60 . 00 . 00 . 00 Plan Check Total 30 . 00 30 . 00 . 00 . 00 Grand Total 90 . 00 90 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach, FL 32233 Office (904) 247-5826 Fax(904)247-5845 Job Address: /4 Permit Number: Legal Description Valuation of Work Class of Work(circle one): New Addition Alteration e Move Demolition pool/spa window/door Use of existing/pro osed structure(�) circle one): Comma�Residential If an existing strucriure,is a flre sprm=system installed? (Circle one): Yes No N/A Florida Product Approval# For multiple products use product approval form Describe in detail the type lof w�ork Ito performed: Property Owner Information: Name: Address: 0-T-e5- city ip-2 ?24L(4Phone /01 E-Mai or ax#(Optional Contracto-EInformation; Company N if Address: ame: 5 ev-n Quali,�mg Agent: J --i�Z_51 City- 14_�14_ Orlin —State zip 17 P?5_6 Office Phone f2 Job Site/Contact Number Fax# State Certification/Registration# C tzc_0 qq 0<115 Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address— Bonding Company Name and Address Mortgage Lender Name and Address A tz e eb ade b a na e do 1h work a�d nstallat''�ns as'pdic or installation has commencedprior to the 8 nc i h m to e Ic r it i f P' a 0 r r i y to 0 r P be e or ed to m an a a �w thisjurisdiction. This permit becomes null i Ps a e a e a ha a k m r k i s a period of s�xJ6,)months at any time after t, ch n r 0 0 1 r c, f " I etrIc W 11s, m t ,or Z ttsseu red Ee e Pools, urnaces,Boileis�Heaiers, n ix 6 n Z ' co k nc 'wo ,w p Oer i s m, t be m a v -d w k s no c m en ed thi s nd i I c w I Z see ed 0 nd, tand t at separate P 0 f Work is'0 T, Ir C n s anflAl on.�htjonen,da WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING9 CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. I hereby certify that I have read and examined th' plication and know the same to be true and correct. Allprovisionis offlaws and ord' e overnin ,I s7zed here- r not. The granting of a permit does not presume to g7ve authority or cance work will be co�nplied with whether eci this '��te,""Io"c'�y '�'Ir'e�Ua stru�tiol n' 0 Fth, st the Provisions of any o�t�herfederal,state, locils, regula c struction or the perfo�mance ofconstruction. Signature of owne Signature of Contractor Print Name ............ Print Name Swo SI-41 nd subscrib before Swo d su b efor e .......... this Day of 20/0 this D of me )ZZL��I_k . 20/6 'Won this Notary Public A.WHITE Notaryrublic .1V I d�, Da er MISSION#DD 63026 My...RES May 21,201 A R evise .2 EXPI 6.10 9onded Thru No"pw*undo DEBORAH A.INHITE 6 My COMMISSION#DD 634126 EXPIRES:May 21,2011 Bm&d Thru Notary PLubk UrRierwr#ers CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 PHONE (904) 247-5800 March 3, 20 10 CERTIFIED MAIL RETURN RECEIPT REQUESTED Benton Rodriguez 1224 Forest Oaks Drive Neptune Beach, Florida 32266 RE: Unpermitted Work-Stop Work Order 87 Forrestal Circle, Atlantic Beach, Florida Dear Mr. Rodriguez: On February 25h, 2010, a stop work order was issued on work in progress on your property referenced. The work included roofmg, general construction, electrical, plumbing, etc, without the required permits in violation of the City of Atlantic Beach, Code of Ordinances Section 6-16, Florida Building Code adopted. Please be advised that all permits are required to be obtained by a State of Florida licensed contractors prior to the continuation of any work on this project. Should you have any questions relative to this matter,please feel free to contact me(904)242-3464. Sincerely, CITY OF ATLANTIC BEACH -pli-U 96-f� Mike Jones BUILDING INSPECTOR 0 - Z STOP WORK Atlantic Beach JURISDICTION OFFICE OF BUILDING OFFICIAL NOTICE W1 V- This buildi has been inspected and CLI VGeneral Construction Concrete, Masonry and Finish Cement Wo k F1 Lathing Plastering NQtd5 Mrv�o-ded ref"-r- Elevators El Plumbing %�,-7 F,,y V-,,3ja-1 CwrtFl Mechanical Work F1 Electric Wiring 7oq-0je? F1 Gas Piping IS NOT ACCEPTED lease correct as noted below before any further work is done. NOTE - 020C91ci-t14 Re % ul ;/-.t % Per M-1 Date 9--A 5-1 C) Do Not Remove This Notice inspector- ------------------------------------------------------------------------------------------------ DETACH and Bring this Portion of Card With You Location: 5?,-7 Fby'y'v--5-)-Q1 o:four -t– 44/qP1//z fjrqcA,--� Date -- ,;L-aLs--to ��l=10N INSPKCTOR —2�� –J� M 0 V4ej . Uj Compliance Investigation Form Investigation# Date of Request: A) Time of Request: Name of Person Making Request: 4V/ 477-) Address: -7 62 f Phone# Investigation Type: Location (Address) of Violation: Phone Number: Property Owner/Manager: Request Taken by: Investigator: - Action Taken: /,4 Aky A", .�/ 10 ep*710(Ile r-144�_P / Ov A ox Compliance: Z c,-* e0l cl-0 4 7'�a Legal Description: —RE#: FACode Enforcement\Compliance Investigation Form.doc Oct 9 2009 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00000291 Date 3/16/10 Property Address . . . . . . 87 FORRESTAL CIR Application type description MECHANICAL HVAC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 1 cu 1 ahu ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ RODRIGUEZ BENTON MCCORMICK HEATING & AIR 87 FORRESTAL CIRCLE 1620 S . EVANS DR. ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 247-9S36 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL HVAC PERMIT Additional desc . . Permit Fee . . . . 95 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 9/12/10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 95 . 00 95 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 95 . 00 95 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. MECHANICAL PERMIT APPLICATION CITY OF ATLANric BEAcig 800 Seminole Rd Atlantic Beach,FL 32233 Ph(904)247-5826 Fax(904)247-5845 JOB ADDRESS: PROJECT VALUE$ NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity Tons Per Unit Heat: Unit Quantity BTUs Per Unit Seer Rating Duct Systems: Total CFM REQUIRED REPLACEMENT AIR CONDITIONING Sk HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity Tons Per Unit ARI# . 11 1 1� Heat: Unit Quantity BTIJ's Per Unit Seer Ratin Duct Systems: Total CFM Jqj!�6 REQ t�:QU#R—ED FIRE PREVENTION Fire Sprinkler System Quantity (Requires 3 sets of plans) Fire Standpipe Quantity (Requires 3 sets of plans) 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) Fire Suppression Systems Quantity (Requires 3 sets of plans) FIRE PLACES MISCELLANEOUS: Prefabricated Fireplace Qty_ Automobile Lifts Goo Piping Outlets Boilers BTU'—.g Elevators—IE-scalators ALL OTHER GAS PIPING Heat Exchanger Quantity of Outlets Pumps #Vented Wall Furnaces Refrigemor Condenser B—TU-;s Water Heaters Solar Collection Systems Tanks(gallons) Wells OTHER: Permit becomes void if work does not commence witbin a six monffi period or work is suspended or abandoned for six month&I hereby certify t-b—at-1have�read this application and know the same to be true and correct. All provisions of law and ordinances governing this work will be cmWfled with whether specified or not The permit does not give authoribr to violate t ,�e provisions of any othcr state or local law regulation construction or the performance of consiruction. Property Owners Name A w'� (7 Phone Number 7 Y-1 Mechanical Company- Office Phone'2q7 q�� Co.Address:1/,/, -2 6 -1,--tj Fax City 22hi 0't'- State r-7 'pa��'50 License Holder(Print); aL State Certification/Registration L�94—PJA—hi- L Notarized Signature ofLicense Molder Sworn and subscribed before me this day of 20 Signature of Notary Public CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00000269 Date 3/11/10 Property Address . . . . . . 87 FORRESTAL CIR Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 4000 ---------------------------------------------------------------------------- Application desc reroof ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ RODRIGUEZ BENTON ROMANO ROOFING SERVICES 87 FORRESTAL CIRCLE P.O. BOX 33037 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 246-5649 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 4000 Expiration Date . . 9/07/10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Permit No. NOTICE OF COMMENCEMENT Tax Folio No. State of Florida, County of Duval THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Descri tion property(legal descMr­on of property --d address if available): /r,7 -71 2. General Description of improvements: C_ 5� I 3. Owner Information.' a)Name and Addre s: 'I ell A A s —a-- b)Interest in property: . L,9,4jjj,#_A c)Name and address of simple titleholder other than owner ;y Al � 4. Contractor Information: v�/n e-S, e1v a)Name and Address: _!�_6 a T7_ T-1Y b)Phone Number:_ 0 rl 5. Surety Information: T- 4 a)Name and Address: b) Phone Number: c)Amount of Bond: $ 6. Lender Information: a)Name and Address: b)Phone Number: 7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as provided by 713.13 (1)(a) 7, Florida Statutes: a)Name and Address: b)Phone Numbers of Designated Person: 8. in addition to himself/herself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes. a)Name and Address: b) Phone Number of person or entity designated by owner: 9 Expiration date of Notice of Commencement(The expiration date is one (1)year from the date of Recording unless a different date is specified: WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN 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 YOU ', OVTR_�)R AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING OMR� LE� YOUR NWICE OF C CE T. s4l�ure of Owner or Ok4er(s A-u-tho���fcer/Pit�c—tor/Partner/Manager Signatory's Printed Naine Title/Office Ir-qj— The foregoing instrument was acknowledged before me this 0 ' day of_kA4,0_ 20 by as for Fa,, 4, t7 (Name of Person) (Authority Type,le. Offi*er/Attorney) (Name of Party instrument was EUcuted for) CITY OF ATLANTIC BEACH "",OAL A 1;AN Tt' ,�',f 09 0 rAK*3 f90`1j1_'4�,T"IL45 I JOH ANDRE-SS BUILDING PERMIT APPLICATION DUVAL COUNTY 2 VAL7ATION -AX)RK S Fi UNDER pfy,)F VDOC) 4 I.F GAL,DESCR jr,;10f,4 _577-1,17)"tz_1111R, 13 NEW BUDiNG "-)N 11 AUIDITIII"t 0 DEMDLITI�1�4 ' 4 11 r�_)NVET,T!NG, C1 At,It R A 1,Y4 0"C'Ci ssop 8 FIRE SPRINKI.ER 119 r- El Rf FAIR Lli'�Jlo' 'Sf'�� 70 1� z 31-25-OF f-I C9.—o T t' I,,, E)rin PROPERTY OWNER: (;UNTRACTX04'R"'(:F AKCHITECT I ENGINEER: L In Rod rntAt Z_ 24 --J t,'CRES'� /1?3-), 3 ot Pei /Ze P41 6-1 Or 6 Y A I f :'L, H,L"'K)r'"Ici nre ACDR!��,S N, A1-11�i*_S��, q10 2 FA�W-'� 1 -----T------------ j:A7,W73'77:33-- 'E pt,)r, PW 2 8 ',A K _k U N4,'1114F I tELL PI�Lork 21� CELL PL­V_)NE 7,4q- 1PY 6,119-OV76 I t E MAL-A E 22 ENWL 6,10RES' 7,0 E M A I L_ R E —————— rgim kb h 1:111 i:: ITTLE HOLDER: Yt;.* icok* OF OTi-TR TIIAN()Mrm BONDING COARrAINY:' MORTGAGE LENDER: NAME 75NAAA F 'I'Mit to (10 Ole Wofi� arid installations as indicated I certify that no worj� or installation has Applicatk)n is hereby made to obtain Ei Pf �,onlmenced prior to the issuance of a perrnit and that all work will be per!ormed to meet the standards Of all IaWS regulating construct'Or)it,t1jis jurisdiction, This perniij becomes null and void if work is not commenced within six (6)months, or if construction orwork is suspendefJ w abandoned for a period of six (6) months at any time after wo(i( is commenced I understand that separate permits mu,,;l be securiw""'I fo, Electrical Work.Plumbing,Signs,Wells.Pools.Furnaces,Boilers,Heaters,Tanks, Air Conditionem etc, OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with aft applicaNe iaw';FegUlating construction and zoning. I willnOt Occupy or use the referenced building or any part therof, until all inspections are finaled wv, pnor 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 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, CONSULTWITH YOUR -LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. 9 ,MR or AGENT CONTRACTOR (If Agem PO y Of Agren't,Letter Reir.ned) )are 'jay c. 2040n the county of B fore me this _A 2CAI�On the counly "�rate of FIrinda,has personalty appeared Dijval Statecif"londa haspersonallyA)Reafed nt'IM�Yhtrrlsuff"heisd!arid affirms Ihat all staterrients and declarations are henn by himself 1 herself and affirms that ail statement and declarations are ifue arId aC.'_UN)fP rrue and accurate Nota,y Public at raigp stwe of ('ourify of Nrfary Public at L arge,State of courity0f C3 PeMII�30-j ary- .t Ir4 _�Z)/2 7,?� AS 'Norar,, r' If L-visEu, DANKL4.ROMANO my COMMISS #DD 126 EXPIARCE:sq: 21 t *my Pok-$0111 at AN ffkc Un 00 Iffm CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00000258 Date 3/09/10 Property Address . . . . . . 87 FORRESTAL CIR Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc ADD DRYER CIRCUIT AND REWIRE AS NEEDED ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ RODRIGUEZ BENTON MCCLURE ELECTRICAL CONTRACTORS 87 FORRESTAL CIRCLE PO BOX 51368 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 237-4701 ---------------------------------------------------------------------------- Permit * ' ' * * * ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 90 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 9/05/10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 90 . 00 90 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 90 . 00 90 . 00 . 00 . 00 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 10 OFFICE:(904)247-5826*FAX NO.:(904)247-5845 WWW.COAB.US ELECTRICAL PERMIT APPLICATION DUVAL COUNTY Rtit,l'.�-JMADDRESS44 0!lii�� g. GKO OYES PERMITM �,ffv� PER 4.NAME: OWNEWW" MO 5.ADDRESS IF IFFERENT FROM JOB ADDRESS: 6.PHO K 7.NAME OF COMP Y: 8.ADDRESS.: tA 9.STATE OF FLORIDA LICENSE NO: V-\-v C- 10.CELL PHONE: 12.EMAIL AYDRESS: 4\-,-(J"i 14. 15.Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be perfi 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 an t time after work'is co CONTRACTORS SIGNATOqRE: RE: ,7i i5i Viii ..... ..... in, 13 1 FAMILY-*OF ESIDENTIAL P 4,0"Mmi SINGLE FAMILY 11 TEMP�ERVIcE 0 COMMERCIAL 0 ADDITION 0 TRAILOR 191:EI .......... 0 ALTERATION 11 SIGN LID 0 NEW El-0 ION L 5UD—E 0 REPAIR 0 POOL SPA 0 REWIRE THEIR: LIIST� 20.TYPE OF SERVI E: VEERHEAD 0 UNDERGROUND 0 UNDERGROUND UP POLE 21.NEW SERVICE: COND ',TOR PER PHASE: 0 POWER IS ON 11 POW R IS—OFF 22.SIZE OF CONDUCTOR: — AMPACITY: EICOPPER 0 ALUMIN M 23.SWITCH OR BREAKER SIZE: AMPS: PH- VOLT: RACEWAY SIZE: 24.EXISTING SERVICE SIZE: AMPS: PH: W::: VOLT: Z'S 0 CEWAY SIZE: 25.FEEDERS: #OF— AMPS:_ #OF_ AMPS: #OF AMPS: 26.LIGHTING FIXTURES: INCAND :SCENT:— FLUORESCENT&M.V.: 27. FIXED APPLIANCES: 0-30 AMPS: — 31-100AMPS: OVER 100 AMPS: 28. FIRE ALARM: 11 YES 11 NO 29-31 DO NOT APPLY UNEW—nimru P vlui� 1. 11 1 1 1, 61 !C 011111 Ill Ll )I I IONS 29.SMOKE DETECTORS: NUMBER: 30.RECEPTACLES: 0-30AMPS:_ 31-100AMPS: OVER100AMPS: 31.SWITCHES: 0-30 AMPS: .. .. ... ........ 31-100 AM PS: 7177— OVER 100 AMPS. IN #OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: #OF UNITS: COMP. MOTOR HP RATING: AMPS: ..............................!,, HEAT KW: ........................... NUMBER: VOLTAGE: HP: KVA: NUMBER: VOLTAGE: HP: KVA: 34.T UNDER 60OV: NUMBER: KVA: OVER 60OV: NUMBER: KVA: 11 5 l��:1::1 1 �1 119 1 I=1:11.1k!its. DESCRIBE IN DETAIL: Elect Permit Application 2010