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Permits 753 Atlantic Blvd CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247=5826 Application Number . . . . . 06-00033882 Date 9/11/06 Property Address . . . . . . 753 ATLANTIC BLVD Application type description MECHANICAL ONLY Property Zoning . . . . . TO BE UPDATED Application valuation . . . . 0 ------------------------- --------------------------------------------------- Application desc j 6 CU-1 CU-4 CU ------------------------J--------------------------------------------------- 1 Owner Contractor ---------- BAILEYS GYM ( R. G. WALLACE MECHANICAL i ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32259 ---------------------------------------------------------------------------- Permit . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 211 . 00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 3/10/07 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 211 . 00 211 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 211 . 00 211 . 00 . 00 . 00 1 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH MECHANICAL PERMIT APPLICATION Date: Property Address: 752-) i d b s yr>~. Owner: Telephone#• Contractor:—R- to. W a'0A t:{ AA ec,�avr►1 c-Q, Telephone#: 2O` - Contractor Address: O j V aXL OAC s Fax#: '90q- 1&H -0517 Contractor Signature: In consideration of permit given for doing 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 ordinances and standards of good practice listed therein. Type of Heating Fuel: If other construction is being done on this building ❑ Electric or site,list the building permit number: ❑ Gas: _LP _Natural _Central Utility ❑ Oil ❑ Other—Specify MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK ❑ eat _Space _Recessed _Central _Floor ❑ Residential UX Air Conditioning: Room _Central ❑ Duct System: Material Thickness 4 Commercial Maximum capacity cfm L] Refrigeration ❑ New Building ❑ Cooling Tower: Capacity gm 13 Fire Sprinklers:Number of Heads ❑ Existing Building ❑ Elevator: Manlift Escalator (Number) LlReplacement of Existing System ❑ Gasoline Pumps (Number) ❑ Tanks (Number) ❑ New Installation ❑ LPG Containers (Number) (No system previously installed) ❑ Unfired Pressure Vessel ❑ Boilers ❑ Extension or Add-on to Existing System ❑ Gas Piping ❑ Other-Specify ❑ Other—Specify LIST ALL EQUIPMENT AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Approving Number Units Description Model# Manufacturer Ton's Agency C� f? f/z � to HEATING—FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving Number Units Description Model# Manufacturer BTU's Agency TANKS Nominal Capacity Type Liquid Serial Approving H—ow.Many &Dimensions Contained Manufacturer No. Agency 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800• Fax: (904)247-5845• http://www.ei.atlantic-beach.fl.us Revised 1/04 µ SS CITY OF ATLANTIC BEACH s) 800 SEMINOLE ROAD :} t; ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . 06-00033893 Date 9/12/06 Property Address . . . . 753 ATLANTIC BLVD Application type decription ELECTRIC ONLY Property Zoning . . . . . TO BE UPDATED Application valuation . . . . 0 ------- --------- -- ---------- - ----- -------- --- --- ------ - ---- - ---------------- Application desc MISCL SWITCHES WALL MOUNTS ETC -------------- ---- -- -- - ---- - --- -- - -- --------- - ---- ---- - --- - ----------------- Owner Contractor ----------- ------- ------ --- -------- ------------- BAILEYS GYM BROOKS & LIMBAUGH ELECTRIC CO 42 WEST 8TH STREET ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 241-9051 ------------ ------------ --- --------- ------------- ----- --------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 3/11/07 ------------------ ----- - - ------- --------------- --- --- ---------------------- 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 ACCORD CE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH ELECTRICAL PERMIT APPLICATION Date: Property Address: _�2 Owner: 05f(; /61 01411-1)c- Telephone#: Contractor: r/�r,U��> ✓-Ltr-r��t/� 4-1 Telephone#: `/l- °s/ Contractor Address: (��E'S ��-7%- 5� /f7Y.�G�� Fax#: �2 41'1 y low Contractor Signature: In consideration 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 standards of good practice listed therein. Building: Building Type: ❑ Trailer Service: if other construction is New ❑ Residence ❑ Temp. ❑ New being done on this building Or site,list the building ❑ Old Commercial ❑ Signs ❑ Increase Permit number: ❑ Re-wire ❑ Addition Sq.Ft. ❑ Repair Conductor Size: AMPS: COPPER ALUMINUM Switch or RACE Breaker AMPS PH W VOLT WAY Existing Service RACE Size AMPS PH W VOLT WAY Meter Number Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Receptacles CONCEALED OPEN Q In AMPq 11 100 AMPS Switches Incandescent Fluorescent & M.V. Fixed 0.100 AMPS OVER BELL Appliances TRANSFER. Air H.P.RATING H.P.RATING CEILING KW-HEAT Conditioning COMP.MOTOR OTHER MOTORS AMPS HEAT Motors 0-1 H.P. VOLTAGE PH NO. OVER 1 H.P. PHS LTNDER600V OVER600V Transformers NO. KVA NO. KVA No.Neon_Transf. Ea. Sign Miscellaneous 800 Seminole Road-Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800- Fax: (904)247-5845- http://www.ci.atlantic-beacb.fl.us Revised 1/04 rrn � xrXmq rom . cam > W W -z'' — m � z� < M —tc zS�_ra<Ho. I-1 — 7vh a > cc > cmyz x0=y�� z m < r r A � � m � K Mc > rnnG) � m m ; ® 90 2 x z 0 > m _ can bQ V = Z A `•� r 'a R to a /z" z �+vmS � Ocz � nm = c0 0 = fir > .qc rn � Om > vo CA) z>- yr- rnX � O0 omm � -,� > zVOL X zn � '° ? r' m O )U > OXMX r 814; 00m 0 -4 m Z „ v iz �, m rn __4mrMOL cn a CA Z � �■■� G rn � d 0004 > > ■ rs-ts, 00 _Ll rznOF s Oc > r- 0 0 � M 3 ?O O � T r- co 0 Architectural Services Engineering, Inc 24710 State Road 54 (813) 948-2812 Lutz, FI 33559 Fax: (813) 949-2016 Name: General Sign Robert W. Wall, PE Project: Marvin & Floyd Structural Engineer, FI Reg #46021 Wind Speed 150 mph Mean Height 60 ftRN me Wind Pressure (WP) 55.325 psf Shape Factor (SF) 1.5 Total Pressure = WP*SF 82.987 psf Compents and cladding in accordance with Florida Building Code(2004 ed.) Section 1609 WIND ASCE COASTAL EXPOSURE C �i n Letter Height (in) 2 ft 9 in Letter Width (in) 8 ft 9 in Number of Bolts 6 Shear Value 770 lbs Tension Value 400 lbs Area 24.063 sq ft Shear per bolt = Area * 10 psf 40.10 lbs Tension per bolt =Pressure * Area 332.81 lbs Bolt Value=Shear per bolt / Shear Value + Tension per Bolt / Tension Value Bolt Value 0.88 < 1.00 O.K. Use 6- 3/8" dia. Simpson Sleeve-All anchor bolts with a minimum 1-1/2" embedment depth into structural concrete blocking for wall sign attachment to wall. Or use (6) - 3/8" dia. thea bolts with a-minimum`2"( ,` , square washer into structural 2x4 wood blocking b/w studs for wall sign attachment to wall. All wind loads are designed per ASCE 7-02. v � r a F'Co�dl. iZQa, j 1 v,G MARVIN&FLOYD REALTY,INC 753 ATLANTIC BOULEVARD NONE Reanx�!M� Beach Neon&Sign Size: Notes. 1940 Spearing Street Overall S lFt.• ACCEPTED: reproductions drawing and Pity Jacksonville,FL. 32206 9 n Phone:(904)355$630 Date: DATE: of Beach Neoa Signmay not be rpr��v Fax:(904)355 5632 ® Scale: DUE TO TME PHYSICAL LIMITATIONS OF THE PAPER AND W4LMW charged or used in arty way without Ellla� PRKrM PROCEM TWO CUSTOM ART WDRK m NOT KrEMM TO written Consent. PROVIDE AN EXACT MATCH BETWEEN NK,VNVI,OR MINT. G O � -7 I D5`` w►de. ay C�- � CITY OF ATLANTIC BEACH SIGN PERMIT APPLICATION Date: T,z, • o� goo? Please submit(2)complete sets of plans with application. Job Address:--TS,�_ All n f!G 13)Vd• Owner's Name: () (j �/'r�/' �'n � Address:__ fes•V . a, Legal Description: Block Number. ''S - -2,5f of Numt, Zoning District: - C t`3 U- 61nVco ek C,9-5T/4, F4 Q . -- Contractor. l�,•r an.o 5gen sawer rcl ifs n _State License Number. �,• G'Q_� �$ Address:j ay ��j_ _j,06f ��- Phone: gD y 355-66 3 b ~- City: c�t9t✓1CSCk�yi l le. State: rL— Zip:3ZZD41 Fax: LOIN) 355 51032. Electric Permit Required? C'Yes*❑ No *Electrical Contractor ERICY6W Efleci-r'tczl 0 t14ctor5INC- Dimensions IuGDimensions and total square footage of sign: i q}�� 33�� .- Lo rv�-k l�• 106 1/ Please provide two(2)copies of application and the following required information: 1. For all Freestanding Signs, include survey or site plan showing location of proposed sign(s), and all dimensions including height and distance from property lines or right-of-ways. For Wall, Fascia and other types of Signs, include elevation drawing showing location in relation to adjacent signs,mounting detail and type of illumination, if any. 2. Provide linear frontage of office,business or storefront,or entire building,as appropriate. 3. Provide completed owner's authorization form if applicant is other than property owner. 4. Other information as may be required by Chapter 17 of the City of Atlantic Beach Municipal Code. I hereby certify that all information provided with this application is correct. Signature of Owner r r O..w _ ---Date. ..l t 1 I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with,whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances, or laws in any manner, including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Contractor. C4A4 Date: ff 2/i y t&7 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Page 1 Phone: (904)247-5800 • Fax: (904)247-5845 • http://www•ei.atiantic-beach.fLas Revised 1/30/03 Address and contact information of person to receive all correspondence regarding this application(please print). Name: 6/11 Z!G ��I �w�' ( e 34 SO- VlCe Cap, r Mailing Address: 167116 ; spec _ 3d�0e Phone: Dy 3SSi5io3i) Fax 0q) 355-St,3Z- E-Mail: ��nslg19,heltSavjh.net AS TO OWNER: Sworn to and subscribed before me this �� day of t IQ-LL- ,200-7 State of Florida,County of Duval Notary's Signature: \,k Ej-'Personally known Staff of Florida ❑ Produced identificationIN^. Nowy Sonia M mew Type of identification produced n DD506506 a w Eg*.02103/2010 AS TO CONTRACTOR: Sworn to and subscribed before me this I Y ' day o f �� !,r,� 20 07 State of Florida,County of Duval SYBIL E.VINSON Notary's Signature: 1/ MY COhL'MSION#DD343673 a y rxeMrs:a t bst 03.zoos Personally known OF �Y Fl.Namy Disamw A.�c C:- y ❑ Produced identification Type of identification produced 800 Seminole Road .Atlantic Beach,Florida 32233-5445 Page 2 Phone: (904)247-5800 Fax: (904)247-5845 • http://www.ci.atiantic-beach.fLus itev;scd 1/30/03 Z., `, J/ f \S` CITY OF ATLANTIC BEACH SIGN PERMIT APPLICATION Date: Tieh• o? i�00?' Please submit(2) complete sets of plans with application. Job Address:.!' _-..,Otlat7 f/Cy 13JVGi - c3yl `t. t &YalVic Alli f c3';L.Z33 Owner's Name:_ D,(,j 1Z N e Address: 13 c,�_ 3-3 0 L � hone: L Legal Description: Block Number: 3$_26 -211,tot Numb r: Zoning District: Contractor: �t� !�✓.i�n.e S��u�VtC� Ltd✓dare! AEr.__State License Number:�'�• Address:�g51Z)`J�� ,.1/lG -fte�t Phone: goy) 355-61o3 b City: (e- State: 6-- Zip:3'Li z0(o Fax: ) 3J5 Electric Permit Required? 9 Yes* ❑ No *Electrical Contractor: IUAW 1!leP,fi cal CZA fr4dars Isle. Dimensions and total square footage of sign:_p? Il'j fi 5LgA, geAgh+i 3'a" Lo riy�, I C6 Please provide two(2)copies of application and the following required information: 1. For all Freestanding Signs, include survey or site plan showing location of proposed sign(s), and all dimensions including height and distance from property lines or right-of-ways. For Wall, Fascia and other types of Signs, include elevation drawing showing location in relation to adjacent signs, mounting detail and type of illumination, if any. 2. Provide linear frontage of office, business or storefront, or entire building, as appropriate. 3. Provide completed owner's authorization form if applicant is other than property owner. 4. Other information as may be required by Chapter 17 of the City of Atlantic Beach Municipal Code. I hereby certify that all information provided with this application is correct. Signature of Owner: Date: ! �� I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with,whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances, or laws in any manner, including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Contractor: C AA4 Date: 2i►y/Q7 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Page 1 Phone: (904)247-5800 - Fax: (904)247-5845 • http://www.ci.atiantic-beach.fl.as Revised 1/30/03 Address and contact information of person to receive all correspondence regarding this application(please print). Name: . RhNDhU_ 614Zl2 t �. ytar�l �cy►2 soe!y!a C�'p• Mailing Address: 1414/6 5 4rtnq +i.C_%(CV, 3A0(. Phone: ,970 ) 3SS-57030 Fax: .6052 3 555(03-2 E-Mail: gT9r11*qV( �o holl�ouJ�i rle i' AS TO OWNER: Sworn to and subscribed before me this y day of Va-U, — 20 6'7 State of Florida,County of Duval Notary's Signature: 6Y� er-personally known ❑ Produced identification ,r�* Notary Public State of Florida Type of identification produced 'p Soma fission DD506506 AS TO CONTRACTOR: as Expires 0210312010 Sworn to and subscribed before me this / day of r6&o1: /�_ 20 07 V State of Florida, County of Duval w�n�nn Vtvw �JSYSIL.E.VINSON Notary's Signature: MY CONCUSSION#DD343673 ExPKES;August 03,2008 14O „ n,Notary aKa,,,t,s;oa C,,, �Personally known ❑ Produced identification Type of identification produced 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Page 2 Phone: (904)247-5800 Fax: (904)247-5845 • http://www.ei.atiantic-beach.1l.us Revised 1/30/03 LETTER OF AUTHORIZATION To Whom It May Concern: This letter authorizes Beaches Neon& Sign Company(or their Agents or Sub-Contractors)to act as Agent to secure permits or variances required by the local governing body, and to perform sign installations, removals, or maintenance at the property located at 753 Atlantic Blvd., Atlantic Beach, FL 32233. Agent for 67U.1k. PROPERTIES, INC. STATE OF FLORIDA COUNTY OF DUVAL Y� Sworn to and subscribed before me this day of �w�.�( , 2007. 'M' N of State of Florida Seal: _ Dwiiu'State of Flotilla ,;,s+on 00506506 a� r o2/03I2010 CITY OF ATLANTIC BEACH a. r PLAN REVIEW SHEET tetter Building Department Public Works&Public Utilities Departments Derr 800 Seminole Road 1200 Sandpiper Lanef. a rper Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233 D.Kaluzniak (904)247-5800 (904)247-5834 Public Safety (904)247-5845 Fax (904)247-5843 Fax PLAN REVIEW COAVAENTS Permit Application# Property Address2 d ��✓Q` Applicant: / SI-4 -11 Sgevi-e e Project: /Vt-W 54q n r—d1— 9&,,;i-n -S This pe ^t application has been: t Approved as noted by the Department. Final application approval must cte from the Building Department. D Reviewed and the following items need attention: Please re-submit 2-copies of all revisions. Please re-submit your revisions to the Department requesting them. Building Dept, Public Works and Utility information at top of page, failure to notify e c r ct department may delay your er it from beim issued. Reviewed By: Date: 17 Date Contractor Notified: �. ss� CITY OF ATLANTIC BEACH r J E00 SEXHNOLE ROAD _ ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 07-00000143 Date 2/20/07 Property Address . . . . . . 753 ATLANTIC BLVD UNIT 1 Application type description SIGN PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 --------------------------------------------------------- Application desc NEW SIGN ------------------------------ ------------------------- Owner Contractor ------------------------ ------------------------ GENERAL SIGN SERVICE CORP Q/A:GINZIG, RANDALL 1940 SPEARING ST JACKSONVILLE FL 32206 (904) 355-5630 -------------------------------------------------------- Permit . . . . . . SIGN PERMIT Additional desc . . Permit Fee . . . . 65 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 8/19/07 ------------------------------------------------------------ Fee summary Charged Paid Credited Due ---------- ---------- ---------- --- ------- ---------- Permit Fee Total 65 . 00 65 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 65 . 00 65 . 00 . 00 . 00 PERMIT IS APPROVED D ON1LY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ®1 DIN-ANC1ES AND THE FLORIDA BUILDING CODES. SI, CITY OF ATLANTIC BEACH * r PLAN REVIEW SHEET etler r� t Building Department Public Works&Public Utilities Departments :Doe!rr800 Seminole Road 1200 Sandpiper Lane per Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233 D. Kaluzniak (904)247-5800 (904)247-5834 Public Safety (904)247-5845 Fax (904)247-5843 Fax PLAN REVIEW COMMENTS Permit Application# Q 7 - 0,61f'3 Property Address �2,S 4rA,-1 A 6 P�✓ Applicant: -r} } Q,/ - --n e Project: IvetJ 1� �D,G BlC� SES$ T�hiispermit application has been: Approved as noted by the Department. Final application approval must come from the Building Department. Reviewed and the following items need attention: ie- Please re-submit 2-copies of all revisions. Please re-submit your revisions to the Department requesting them. Building Dept, Public Works and Utility information at top of page, failure to notif he correct department may delay your permit from . being issued. 7 - / -/- Reviewed By: Date: Date Contractor Notifie : Feb 2. 2007 1 53P _No. 5069 P. 1 ,rI `��......i -- Ser�#�rrcc�i� k. TERMIDDR•. Complete Pest Control Service hyn ��O Certificate of Compliance Location of Property: Street Name: A+( 61 V1 4-1 ,C ( V City and 5tate: ___.__A F-L- Lot# Block# Unit# Date of Treatment: ( ~ 3 C) Chemical Used: CAA Pt,,✓ L The above-referred property has received a complete treatment for the prevention of subterranean termites. This treatment is in accordance with rules and laws established by the Florida Department of Agriculture and Consumer Services. o-� O�rtifi Operator �5Igngturft QPt� Ran . Nader President , Nader's Pest Raiders Inc. fit P.O. Bax:3399, POMNLI VC-dW Be2,h, FL 3200»-3363 70065 SAWgrass OrNe West•Pante Vwdra Smach. Fi nOV•(904)285-0091 Fax GO! 273-0682 2167 Sadler Road•Fernandina Beach. FL 320V.(904►?77.0090•Fax t904)2' 77-'3733 St.Augustine{Q0j)940-PEST(7378)•,1acksor-Ole X90.1)223-4255 Toll Free r866)4MADERS'r866)462-3377 py: `J f sS, CITY OFATLANTIC BEACH Soo SEMINOLE ROAD j ATLANTIC BEACH,PL 32233 v INSPECTION PHONE LINE 247-5526 Application Number . . . . . 07-00000164 Date 2/20/07 Property Address . . . . . . 753 ATLANTIC BLVD UNIT 1 Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc connect sign to existing service ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ ERICKSON ELECTRICAL CONTRACTOR Q/A:ERICKSON, FRANK 12025 BEACH BLVD. JACKSONVILLE FL 32246 (904) 641-9090 ----------------------------.------------------------------------------------ Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 8/19/07 ---------------------------------------------------------------------------- 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 IIPd ACCORDANCE WITH ALL L CYTY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BIIJIlL DIING CODES. a T CITY OF ATLANTIC BEACH ELECTRICAL PERMIT APPLICATION Date: 02 /9 Zo Property Address: 753 Rflti� ` l►�d Swle *�j. -(Qi, � {z, 3as33 Owner 0.U. R, `�w � !IV C Telephone#:��j•//$f Contractor: Spn nfi"GC-fit/J Telephone#: (all-90 got Contractor Address; Fax Contractor Sature: x GQd 0 3 In consideration of permit given for doing the rk described in the above statement, we hereby accordance with the attached lans and �to Perforin said work in P sated t 'ons whidt are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of Practice listed therein. /c Building: Building Type: ❑ Trailer Service: If other construction is New ❑ Residence ❑ Temp. ❑ New being done on this building ❑ Old CommercialOr Signs E3Increase permit l building ❑ Re-wire O Addition Sq.Ft. ❑ Repair Conductor Size; AMPS: COPPER ALUMINUM Switch or Breaker AMPS Py RACE Existing Service W VOLT WAY Size AMPS PHRACE Meter �' VOLT WAY Number Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Receptacles CONCEALED OPEN Switches Incandescent Fluorescent & M.V. Fixed o.too AMPS OVER A liauces f BELL Air H. RATING H.P.RATING TRANSFER. Conditionin COMP.MOTOR p CEILING KW-HEAT OTHER MOTORS AMPS HEAT Motors 0-1 H.P. VOLTAGE PH NO. OVER 1 H.P. PHS LMER600v ovE�t�oov Torrners NO. KVA NO. KVA No.NeNeon_Transf. Ea. Si Miscellaneous C'0/1A2CT Sl 7a e n r - a: U �S rrinx vin r puv , 800 Seminole Road.Atlantic Beach,Florida 32233-5445 Phone:(904)247-5800. Fax: (904)247-5845• httm:;'»sett:€istiantic-cea.R.a.es Revised 1/04