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Permit Folder 5508 Rigel Court % J'kv - , CITY OF ATLANTIC BEACH SS 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 -5826 INSPECTION PHONE LINE 247 Application Number . . . . . 09-00001926 Date 2/03/10 Property Address . . . . . . 5508 RIGEL CT Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2400---------------------- ------- ---------------------------------------------- Application desc renovate bath/shower ----------------------- ---------------------------------------------------- Owner Contractor-------------- ---------- ------------------------ PRESTIGE BUILDERS & REMODELERS 229 MARGARET ST NEPTUNE BEACH FL 32266 (904) 662-1528 - ------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc RENOVATE BATHS / SHOWERS 32 . 50 65 . 00 Plan Check Fee Permit Fee . . . . 2400 Issue Date . . . . 11/25/09 Valuation . . . . Expiration Date . - 6/05/10 ------------------------ --------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/ 105- ' 06 SUPPLEMENTS . 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. ------- -------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 65 . 00 65 . 00 . 00 . 00 Plan Check Total 32 . 50 32 . 50 . 00 . 00 Grand Total 97 . 50 97 . 50 . 00 . 00 J ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 -5826 INSPECTION PHONE LINE 247 Application Number . . . . . 09-00001926 Date 2/03/10 Property Address . . . . . . 5508 RIGEL CT Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2400 ---------------------------------------------------------------------------- Application desc renovate bath/shower ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ PRESTIGE BUILDERS & REMODELERS 229 MARGARET ST NEPTUNE BEACH FL 32266 (904) 662-1528 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc - . RENOVATE BATHS / SHOWERS Permit Fee . . . . 65 . 00 Plan Check Fee 32 . 50 Issue Date . . . . 11/25/09 Valuation . . . . 2400 Expiration Date . . 6/05/10 ---------------------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 65 . 00 65 . 00 . 00 . 00 Plan Check Total 32 . 50 32 . 50 . 00 . 00 Grand Total 97 . 50 97 . 50 . 00 . 00 PERMIT IS APPROVED ONLV IN ACCORDANCE WITH ALL CITV OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. City of Atlantic Beach APPLICATIO,N NUMBER -the Bu . D (To be as ilding sl�artmerit' Building Department signed by 800 Seminole Road Atlantic Beach, Flodda 3"33-5445 Phone(904)247-5826 Fax(904)247-5845 Date rdute E-mail: building-dept@coab.us City web-site: hftp://Www.coab.us APPLICATION REVIEW AND TRAC ING FORM A tr L"-Dilvi Iroperty Address: -D=aftent review required Yeq� No Building-) V I kpplicant: _Prg'!!�n a<r� IA8 rs 151—anning &Zoning Tree Administrator 1'roject: 'Pf A1,0 X/n SAW)fAS Public Works Public Utilities Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept of Environmental Protection Florida Dept of Transportation St Johns River Water Management Distdct Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other APPLICATION STATUS Zeviewing Department First RevielA f: Approved. FDenied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date:_L- el-0'4 4 TREE ADMIN. V Second Review: FApproved as revised. FDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: FApproved as revised. EDenied. Comments: Rev�avvred by: Date: evised 05114109 11/23/2009 10:17 8659087710 PRESTIGE BUILDERS PAGE 01 900 SEMINOLE ROAD.ATLANTIC SEACH,FL WAS CITY OF ATLAWrIC REACH 09-; OFFj0E:(904AC4M*FAX NO.;(M)R41-11*0 QUUNG-DEPYGDOWILIS BUILDING PERMIT APPLICATION DUVAL COUNTY 595n kl&(;f LL 01). 00 =0 Cl New lFiftnime 0 DEMOLITION W11115SIDENTIAL LOC LOT BLOCK 13 13 coNvEitim uiiE Cm MAL11'ON 13 ACCR3WRY BLM - . 13 REPAIR opo"19PA 13 YES OrNIA RFLND,Jn-Tf� Ow 9 Amam H"O- 9.NAME ?4 C r F '15.COMIRANY NAME Z&COMPAW NAME &V0 PRF-5 70&-F- 'Q)(A1LbC-jZ'5 A --- ON F- FLEt l,,P0%ltXr+ NAME 24,LICENSW RAW h-fL-fTr4TlC- lbep�cm IF L 1)41"TR (-30) 10.ADDRESS.' IT.STATE OF FLORIDA LICBM NO.: 2r.sw'E OF FLWI-D-A LICENSE NO.: ob C'0,5 fog L4 X 2%ADOPISa- 5.T NEPTIANt %E±04 I f-L- it OFFICE PHONE: 12.FAX 1`40-- IIII.-OFFICE PHON& 120.FAX NOL: V.OFFICE PHONE .25.FAX 140,; �62 - 1,50U 1 1 I&CELL PROW, V, PHONE 20.Ulu PHONE- -tiI;L .-15a,8 i4l emloil.AmfREW. V-EAWL ADDFAS& 30.EMAIL ADDRESS: V15 IZ)NC-'7 @ OLD 1 RAW we. NONE S&NAME 32.ADORES& X ADDRESS' 38.AIDDRESSr. Application m hwWY nude to obtain a Pam* to do the work and installations as indicilited. I cerbry that no wo*or installation hu commenced priorto ft inuance of a perniff and OW all wo*vvill be perlonned to mast to standards of all Imm regulaling construction in this juriediction, This pemft bewmes rwAl end void if vmik Is not commenced vwe*i sk(6)morift or If oanstmwkn or work is suspended or abandoned for a pwW of six(5)morift at any fine after work is cormonced. I undwetand that separate pennits muot be ilicailred for Rigaricad work RM40%Signs,VV6"16 Pools,Furnaces,BoNm%Hasum,Tanks. Air Condftionere,etc. 0WIMERS AFFIDAVIT-I cubly that all the foregoing iryformation is accurate and that of wock will be dorm in wnplance with ad applicable lavvIii regulating constrLiction and ming.I will rot occupy or use the referanoed budding or any part therol,until all inspections,we Ineled and prior to obtaimog a certificate of occupancy or complefon"Jed by the butilling 015ft,as required by low. *** WARNING TO OWNER: *** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A N0110E 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... A: D9 8410" �"YOFNON)rmbk&A 12009ift"Coulty0f SIM.0 F1 t: Duval,3ec*�FkRW�&,has perwwMf amal"S& P-n-fHq Fjng j Lt j-'rA Pj C. r'12 A-Qq tmM W oneWl"rW^rW aftne"all stalammft and declar0we am mm"111mw I r~WW afkm"on"Wftnft And ftcwa&ms are lifull am socureft ho wid m=rmiim. untrof P\ 09 N;rPublic at Lasg pbli..1 Lw,sul. jj__ Pdr Pw3"Iy Known F.—MYlow" Ex rmaumd owwwom E3 Pn4mmi k1wirmi No"stpumm JUZMEYH TESKE EU -SIM of FWM 44 x, 1"moarr pu ---a—a.20113 DFORCODE ""fy v Como" OF ATLANIT PERMITS FOR ADDITIONAL Pvt. REQUIREMENTS AND CONDITIONS. 44 41� e4' REVIEWED BY: DATE: CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD AT LANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00001877 Date 11/16/09 Property Address . . . . . . 5508 RIGEL CT Application type description RESIDENTIAL OTHER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2400 ---------------------------------------------------- ------------------------ Application desc increase opeining w/new header ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ PRESTIGE BUILDERS & REMODELERS 229 MARGARET ST NEPTUNE BEACH FL 32266 (904) 662-1528 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . NEW HEADER Permit Fee . . . . 65 . 00 Plan Check Fee 32 . 50 Issue Date . . . . Valuation . . . . 2400 Expiration Date . . 5/15/10 ---------------------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE . *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 65 . 00 65 . 00 . 00 . 00 Plan Check Total 32 . 50 32 . 50 . 00 . 00 Grand Total 97 . 50 97 . 50 . 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 OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845 BUILDING-DEPTGCOAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY WXY 15 506 .............. W G60ESQR ION. IP,T 8-E� 0 NEW BUILDING 0 DEMOLITION UrRESIDENTLAL LOT_BLOCK—SUB DIVISION []�PDITION 11 CONVERTING USE 1:1 COMMERCIAL -F RALTERATiON 13 ACCESSORY BLDG. At. fZr=A,-3!F (L) IE tA I N fk)/NIE�Lo 14 13 REPAIR 11 POOL/SPA 13 YES 13 MOVE 0 OTHER 0 No PROPER JY PVVREM�2, 9.NAME' NCLRF I�_COMPANY NAME: 23.COMPANY NAME: cr�c-' f--Lr-c--T L--RtAb11A& 16 NAME: 24 LICENSEE NAME: P%-f L4AR�l I(- 5E-nL4A I rL- JU-1-TA 00� 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: C e) 6 C),!5( 0243 18.ADDRESS: 26.ADDRESS: -Z3L9 '5T MEl?TQNF- J;�Ek(-14 , FL 11.OFFICE PHONE: 12,FAX NO.._ 19.OFFICE PHONE: 20.FAX NO.:— 27.OFFICE PHONE: 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE- 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: iZ I Nc-7 6 a 1 -to rn -TIT ,:FEE;:SIMPL9, hE.HOLQER,��., vl"W �9,THMTHA BONR"M""i;' E LENDEk- (If N 31.NAME, N 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I cer* that no work or installation h 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 t C= judsdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended r abandoned for a period of six(6) months at any time after work is commenced. I understand that separate permits must be secured, Q* Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNEWS AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applica laws regulating construction and zoning.I will not occupy or use the referenced building or any part therof,unfit all inspections are finaled a d M-i prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: LAW P YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR kz. 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 OR AN ATTORNEY BEFORERECORDING YOUR NOTICE OF COMMENCEMENT V PON f d) V) gency etterRequire Sign Date: Signed,,_ Date: Z C) re Before me this N-7 Y of N D� bfj'� 2009inthecountyof Before e is 9-11"dayof M1)\)ETM,5 f�.2aoqinthecoun of 'v Duval,State of Florida,has personally appeared Duval,S of Florida,has personally appeara�!-/ C) R U 114\[ 1:�--I-,--)��, -j U-f'� 120 1::� herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations true and accurate. true and accurate. 0< Notary Public at Large,State of unty of 1'�) L Notary Public at Large,State o County of 13'personally Known Erpersonally Known 13 Produced Identification- 0 Produced Identification- Note Signature: Notary Signature: 44 -U — — — — — — — — — CY "I"P.8y pj"1, ELIZABETH TESKE ELIZABETH TESKE y pgi Notary Public-State of Florida Notary Public-State Of Florida MY COMM.Expires Apr 5,2013 BLDG01 P Ii MytGamrmftifilies Apr 5.2013 �"T Commission it DD 867829 TF' Commission#DD 867829 F f Bonded Through National Notary Assn Bonded Through National Notary Assn. -5508 F�-T L I C 1 -7 P- )( IS -T ) N 6- 10 0 EA I E- LEN F c, i i ;\i T ,3 — c) x4 a- I N-T V)A L L�S 1\1,�s—I P� t-t- P� L i L N City of Atlantic Beach APPLIPATION NUMBER (To be assigned by the Building De0artment) Building Department 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 Date routed: E-mail: building-dept@coab.us City web-site: hftp://vn".wab.us APPLICATION REVIEW AND TRACKING FORM Property Address: _Dt ent review req l(red44 Ye No Bui in V anning Zoning f _,S g Applicant: Tree Administrator Public Works Project: —T\Q- --P-u—blicUtirities Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: [Approved. F]Denied. (Circle one.) Comments: PLANNING &ZONING Reviewed by: 17*7 �V Date:_��30 2� TREE ADMIN. Second Review: DApproved as revised. El enied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: DApproved as revised. FIDenied. Comments: Reviewed by: Date: Revised 05114/09 alj CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00001926 Date 11/25/09 Property Address . . . . . . 5508 RIGEL CT Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2400 ---------------------------------------------------------------------------- Application desc renovate bath/shower ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ PRESTIGE BUILDERS & REMODELERS 229 MARGARET ST NEPTUNE BEACH FL 32266 (904) 662-1528 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . RENOVATE BATHS / SHOWERS Permit Fee . . . . 65 . 00 Plan Check Fee 32 . 50 Issue Date . . . . Valuation . . . . 2400 Expiration Date . . 5/24/10 ---------------------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 65 . 00 65 . 00 . 00 . 00 Plan Check Total 32 . 50 32 . 50 . 00 . 00 Grand Total 97 . 50 97 . 50 . 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 -5826 INSPECTION PHONE LINE 247 Application Number 09-00001923 Date 11/23/09 Property Address . . . . . . 5508 RIGEL CT Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ------ --------------------------------------------------------------------- Application desc 2 FIXTURES ---------------------------------------------------- Owner Contractor ------------------------ ------------------------ DAVID GRAY PLUMBING INC. 8850 CORPORATE SQUARE CT. JACKSONVILLE FL 32216 (904) 744-7255 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . - Plan Check Fee . 00 Permit Fee . . . . 69 . 00 Valuation . . . . 0 Issue Date . . . . Expiration Date . . 5/22/10 ---------------- ------------------------------------------------------------ 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. Nov 23 09 10:108 DAVID GRAY PLUMBING 904 723 5668 P.1 0, CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION Date: Property Address- Telephone#: Olwuer: V Contractor: David Gray Plumbing, Inc. Telephon.elig- 8850 L;crpnrale Square Court Contractor Address: Jachsonvifle,Rarida 32216 Fax#- Contractor Signature: CFC 022586 :n cortsidemdon of permit given for 6oing the wofic as described in th�above statement,wt hereby so-0 perform aid work in accordance with the attached plans and specifications which are a panhereof and in accordancewith the City of AtJazaic Beitch c.Tdinmce and standards of good practice listed therein. lay.allatioa of plumbring and &,tures must be ir accordanc:with the most recent edition of the Southen, Standard Plumbing Code. Plumbing T�pe- If other construction is bein- done on t:-As bLilding or;Ae, C1 New list zhe building pemikaurnber. P/Re-Pipe Number of Fixtures: Bath Tubs Showers Closets 7,' Shower Pans Dishwashers Sinks Disposals �Urinals Floor Drains Washing, Machine Lavatory Water Sewf,-r 'Water Heaters Sprii�eer System Other Fees Permit Issuing Fee: S35.00 Total Fixt-ures: — e2e'� X $7.00 + S60o 800 Seminole Road -Atlantic Beach,Florida 32233-WS Phone: (904)247-5800- Fax: (904)247-SU-5 - http:ilwww.clattantic-beach.ft.us Revised VO4 CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION . ......... ' —Irsilu` Property Address: Date: Of Owner: Telephone#: V Contractor: David Gray Plumbing, Inc. Telephone#: 8850 Corporate Square Court Contractor Address: Jacksnr,,vfl.Je, Florida 32216 Fax#- Contractor Signature: CFC 022586 In consideration of permit given for doing the work as described in the above statement,we hereby a-00 p - erform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type: If other construction is being done on this building or site, C3 New list the building pennit munber: IVRe- 1pe (P Number offii—tures: Bath Tubs Showers Closets Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains Washing Machine Lavatory Water Sewer Water Heaters Sprinkler System Other Fees Permit Issuing Fee: $35.00 Total Fixtures: X$7.00 + 400 800 Seminole Road -Atlantic Beach, Florida 32233-&U5 Phone: (904) 247-5800 . Fax: (904) 247-5845 - http:iiwww.ei.atiantic-beach.fl.us Revised 1/04 SS CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 19 Application Number . . . . . 09-00001892 Date 11/17/09 Property Address . . . . . . 5508 RIGEL CT Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc reclocate outlets ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ BARKOSKIE ELECTRICAL SERVICE, INC. 48 S . PENMAN ROAD JAX BEACH FL 32250 (904) 246-4731 ---------------------------------------------------------------------------- Permit ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 90 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 5/16/10 ---------------------------------------------------------------------------- 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 III INANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH ELECTRICAL PERMIT APPLICATION Date: Property Address: Owner. I t,�C4 Telephone#: Contractor. j+-,zVc)5V,(e; E-Lf-C-TR(C Telephone#: 3 Contractor Address: Fax#: In considowion of permit given for doing the work as described in the above statement, 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 City of Atlantic Beach ordinance and suuWards of gootl practice listed therein. Building: B�tjding Type: 0 Trailer Service: if Other constructim is a New IR Residence, (3 Temp. a New being done on this building Or sitc6 list the building ar"Old Q Commercial a Sips a Increase Pernik nianber. 13 Re-wire 13 Addition Sq.Ft. 0 Repair 104— /19-7 -7 Conductor Size: AheS: COPPER E1_ ALUMINUM n Switch or RACE Breaker AWS PH W VOLT WAY Existing Service RACE Size AMPS PH W VOLT WAY Feeders: NO. SIZE NO SUE NO SIZE Lighting Outlets CONCEALED OPEN Receptacles CONCEALED OPEN 11 IQQ AMPS Switches Incandescent Fluorescent & M.V. Fixed 0.100 AMPS OVER BELL Appliances TRANSFEPL Air H.P.RATING ILP.RATING CEILING KW-BEAT Conditioning COMP.MOTOR OTHER MOTORS AMPS HEAT Motors 0-1 FLP. VOLTAGE PH I NO. OVER I H.P. PHS U14DER600V OVER600V Transformers NO. KVA NO. KVA No.Neon TransL Ea.—Sig�— Miscellaneous Z- 800 Seminole Road&Atlantic Beach,Florida 32233-5445 Phone:(904)247-5800- Fax: (904)247-5845* http://www.cLatiantic-beach.iLus CHECK REQUEST DATE 11/20/09 VENDOR NO. 6000 PAYEE Barkoskie Electrical service ADDRESS 48 S. Penman Road CITY Jacksonville Beach STATE Florida ZIP CODE 32250 A COUNT DESCRIPTION ACCOUNT NUMBER PROJECT NO. AMOUN permit fees 455-0000-322-10-00 $33.20 Subtotal from Page 2 TOTAL $33.20 DESCRIPTION OF ITEM DR SERVICE. refund permit fees(permit#09-1892)overcharged due to contractor not being specific on electrical permit applica ton. SPECIAL INSTRUCTIONS: mail check to contractor To expedite processing,p/ease attach adequate documentation to support payment ADDITIONAL APPROVALS ONLY REQUIRED WHEN CHECK REQUEST IS OVER$500 -�E FINANCE DIR/DATE CITY M—GR/DATE R:;EED BY I DATE DEPT HEA I DAT EQU Effective: 5/10/04 Revised: 5/19/04 ----------------