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Permits 527 Atlantic Blvd CITY OF ATLANTIC BEACH, FLORIDA P Dov"by APPLICATION ICOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE:__- Q 14 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. 2TF &.4 JOURNEYMAN ELECTRICAL FIRM: MASTERE ECTRICI T NAME ADDRESS: .-Z 7 RFD BOX BLDG.SIZE BETWEEN: RES.( ) APT.( ) COMM. 'L PUBLIC l 1 INDUS.1 1 NEW l 1 OLD( 1 REW.( ) ADDITION( ) TRAILER ( ) TEMP.I 1 SIGNS ( ) SQ.FT. SERVICE: NEW( 1. INCREASEyiQ_ REPAIR ( ' 1 FEE CONDUCTOR SIZE AMPS. S CO ER ! A UM.`64 SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE IND. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL r RECEPTACLES CONCEALED OPEN TOTAL �4 O- AMPS. ;1.100 AMPS SWITCHES 62 INCANDESCENT FLUORESCENT&M.V. F1)CEt!` 0-t00 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P.RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-MEAT 0.1 OVIR MOTORS. H.P. VOI.TAG:f PHS NO. H.P. VOLTAGE PHS m MISCELLANEOUS Tnwwr�nef,utoc. 111►11 vp RAA V OVER 600 V. t` DEPARTMENT OF BUILDING t CITY`OP`ATLANTIC BEACH,FLORIDA PERMIT NO. �F—� j PERMIT TO BUILD 1 4 14 1 /t/ ? THIS PERMIT MUST BE POSTED ON JOB AZil s OOCAC Date 10/19 19 83 1 c�j4 I t� IU/19/83 1 OU0 Valuation$ 61 700-DO Fee$ This permit not valid until above fee has been paid to City Treasurer,and is J 7 ' 0 subject to revocation for violation of applicable provisions of law. i This is to certify that 1101,MBDRG CONSTRUCTION CO. 9-145 T)F'NVIS ST JACKSOisVILII FL i has permission to b,"" R-EMODR1 AS PER PLANS — I Classification C0111URC IAL Zone CG Owned by C3B V.V jq N T r.OT Lot 906 Block S/D q AT M ATR 1 House No. 527 ATLANTIC BLVD. iAccording to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS j AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS iAFTER DATE OF ISSUE No�--� r---- O Building material, rubbish and debris Zi from this work must not be placed in public space, and must be cleared up and hauled away by either con- tractor or owner. Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING i ELECTRICAL SEWER WATER i i i i I I I i w' ELECI R I CAT.: - BUILDING PEK:iI'I t:Uia'.SHEET HEATED SQUARE FOOTAGE: ------- - - @ $ _ _ ------ --- Per sq. ft. _ $ - --- CARTAGE (PRIVATE/SHED) : ------ --- -- @ $ - -- - ---- - - --- ---- p e r sq. ft. _ $ -------- - - - per sq. ft. _ $- ---- - -- _ CARPORT: ------_-------- @ $ ------------------ PORCHES: @ $ _ per sq. ft. _ DECK: @ $ per sq. ft. _ PATIO: @ $ per sq. ft. _ $- --- TOTAL VALUATION: $-- - -- - - - PERMIT FEES / 01D $ --- --- -- - - - ON D TOTAL VALUATIATA----- 1st $ _--- ------_-_ _ lV-,_� �s er thousand S RI�:-��A \DER VALUATION @ $ 3 •QIP d or portion thereof f J TOTAL BUILDING PER:11T FEE. . . . . . . 1 PLUS z THE BUILDING PERMIT FOR PLAN FILING FEE. . . . . . . . . . . $ TOTAL FEE DUE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ ,3.__ /,-- PLUMBING PERMIT FEE: $ -----— --- m CP.ANICAL PERMIT FEE: $------_-_------_-__-- ELECTRICAL RESIDENTIAL• $ _ _ ELECTRICAL TE�IPORARY: WATER METER SIZE: FEE: $-_ _ — SEWER CONNECTION CHARGE: SQUARE FOOTAGE: FEE $ WATER CONNECTION CIIARGE: FIXTURE UNITS _ @ $10.00 PER UNIT: -- ACCOUNT NO. : APPROVED BY: TOTAL BUILDING/PLAAN FILING FEES: TOTAL WATER :•1ETER CHARGE: TOTAL WATER CO.�:NECTION CRRRGE: TOTAL SEWER CO"VECTION CHARGE: $ GRAND TOTAL DUE: i ()T.; :c 11.',N 1 CAL: 71,1 CAI,: L'U1 LDJ NG 111-AC-11T b:()i:}:SHEET 06 _ per sq. ft. M:A'J FD SQUARE FOOTAGE: 6-J�Qo s_ @ $ GARAGE (1'R1VA7'E/SHED) : _ _- @ $ --- -- - - - -------- Per sq. ft. _ _------ - q. - . - ----- per - -- s f t - C:'•.};FURY: -- - @ $ -- - ------ ----- @ $ per sq. ft. _ - --- @ $ per sq. ft. _ --- @ P' $ er sq. it $ -- - PATIO: -- ------- -------- --- TOTAL VALUAT $---- -" -- _ PF-R?•1IT FEES � .a ZUTAL�V.ALL'AT1ON DATA Ist DER VALUATIO @ $ p thousand or $orti thereof TOTAL BUILDlNl ERMIT FEE. . . . . . . . . . U - PLUS z THE BUILDING PERMIT FOR PLAN FILING FEE. . . ' . .� TOTAL FEE DUE. . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . p�-. .�v. . - • PLC-'BING PERMIT FEE: $__ — --- }iECr�NICAL PERMIT FEE: $ _----_--____-- ELECIRICAL RESIDENTIAL: $_—_ E1-EC'TRICAL TE?'l-'ORARY: WATER :METER SIZE: _ FEE: $_ SEI'ER CONNECTION CH_4RGE: SQUARE FOOTAGE: _ FEE $ WATER CONNECTION CPARGE: FIXTURE L'NITS _ @ $10.00 PER UNIT: ACCOUNT NO. : nPPRO\'ED BY: TOTAL BUILDING/PLAN FILING FEES: ROVED TOTAL WATER '.,E-!ER CHARGE: %'d T iC BEACH' . GD- TOTAL t.ATER CONNECTION CY!,RGE; TOTAL SEWER CO`:':ECTION C,->RGE: CjLe_-�V . GR?'\D TOTAL DUE: �^ FOr, OFFICE USE ONLY Date .......... ..... ...............19 ...-.- CITY OF ATLANTIC BEACH Permit #----------------------•-Fee $........................ Valuationb...................................-.... FLORIDA House #. ----------•-•---------- ............................ ......... APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the .City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. Dat_eL------!-v---T--�5C,0- 7_0X-------1 Owner__JD.*94 ._ , ZL✓4 ..Vl^.'---VA--.L C .Address. 2 Architect..... � '-.M� t� ---- 7 � r - -.� �Address....7D -�ksT ----- .� Contractor Builder..._ - 4c.2 ----�,JI_ Address.. -.__rTelephone No .� 3 _-7X77 Lot No..----- -8©6---- ....................Block No.-.-_--.------_.......... ....Sub Division... G7�/9LfZ_�-- T1 v� - --------- �h _----- •--•-..............Zone_......... ---- �`.7_ Street.._A/Pd2.4_--- Side Between_.SUL.Y r-�..--1!cr�{ and.. / G� Stx. T •--------------- Valuation --_-- � n �"f--� -.... For what purpose will building be used_-,[J4}k-.V7U4( 4>-Type of construction.!� lorL. 'E iE2 r � Dimensions of Building-31-- C&Q--------------------Dimensions of..L..o. t. -.....- ---------------- _._.-- ----Size of Footings.-----N - ---------- --- Size of Piers....... N. /.__---_--_--__-. .... Greatest Sill Span in ft.-- /k4- --- Type Roof--/- 4i-Z- ....... How will Building be Heated?---.4�LOC?Xjt- ,4C G�/_- ------ ---Will Building be on Solid or Filled Ground?......._� F ._.................. Size of Ceiling Joists_----.-.._.. �/ ----------------- Distance on Centers._..----------------------------------., Greatest Span.---------------.._----------...---_.-•--• to Size of Floor Joists---------------/I/ ----_------ ---- Distance on Centers. _ _... -------------------- Greatest Greatest Span-----------------.----------_--- " ----------- Size of Rafters.... _ N-/,1.-- -. _..--- .- , Distance on Centers ........... Greatest Span_..................• " This rectangle is to represent the lot. `/ E D- Locate the building or buildings in the C BEACH right position. Give distance in feet from -,-IC4 all lot-lines and existing buildings. REAR LOT LINE Tyro copies of plans and specifications shall - 1 �-) be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. W W 2. When steel is in place and ready to pour columns and/or lintel. 3. When steel is in place and ready to pour beam. ►a j 4. When framing is completed. O H 5. When rough plumbing is completed,and ready to cover up. $ .7 6. When septic tank drain field or sewer is laid but before it is covered. W W A q 7. Electrical inspection by City of JacksOLville. M 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. FRONT OF LOT In consideration of permit given for doing ork as described in the above statement, we hereby agree to perform said work in accordance with the attached 1 d specifications, which are a part hereof, and in accordance with the building regulations of the City of Atl t�'a Bea �^ n (� Signature of Builder--- ------ - ----'-- --- -------------- ---•--- -- --•--- ••. Address--_-2.3.41 _-.�Cl!`�WA4$.._ 4.. '.._.... Signature of Owner.. ._. . - . .- ... _. ........ Address-----cSiXXl--R'/-F.-.�`-.--.-- -------•---. ------ . --------....... ..........- CITY OF - - ----- 716 OCEAN BOULEVARD P.O.BOX 26 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2396 Pre-Service Section 3rd Floor Jacksonville Electric Authority 233 West Duval S ereet Jacksonville , FL 32202 Dear Sirs : The following final inspection has been made and is satisfactory : Permit #3794 - 527 Atlantic Blvd. , Atlantic Beach Permit issued to Bill Thompson Electric Company , Inc . :Sincerely , 1J h' M. �Wibddows --� B ` ding Inspection Supervisor JMW/ra Cl 7Y OF ATI-ANTI C )',EACH APPLICAT701: FOR 1•'A'IER CUT—INS. . . . �. APPLICATION IS HEREBY d1ADE FOR WATER CUT—IN AT I HE FOLLOWING ADDRESS FOR-- UNITS. --- -- UNITS. CUT—IN CHARGE STREET NO. LOT BLOCK SUBDIVISION ACCOUNT NU.'-IBER :TASTER PLUIMER MAILING ADDRESS DATE METER NO. DATE I`:STALLED CITY OF t t�°custic Sead - 57&vW4 716 OCEAN BOULEVARD __----_- ------- ------------ P.O.BOX 25 ATLANTIC BEACH,FLORIDA 32233 h TELEPHONE(904)249-2395 INSPECTION LOG BUILDING PERMIT # ELECTRICAL PERMIT #C51 -1� PLUMBING PERMIT # MECHANICAL PERMIT # JOB ADDRESS CONTRACTOR P -NER CALLED IN INSPECTED INSPECTED JEA foundation APPROVED REJECTED AWooting Slab Plumbing (R) Top-Out Electrical (R) Electrical (F) � �_ (z Q Temp-Pole Plumbing Final Framing Sewer Lintel/Beam Other FINAL INSPECTION ;.N-10, BEACH __,ird� cry-tc� 10-83 PLUMBING WORKSHEET ULCN INKS SHOWERS DISHWASHERS CLOSETS BATH TUBS FLOOR DRAINS t.JIASHING MACHINE 4:ATER HEATERS DISPOSALS LAVATORY URINALS OTHER TOTAL FIXTURE COUNT FIXTURE UNIT BREAKDOWN FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH t•IATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT $10.00 PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. _ BATHROOM GROUP CONSISTING OF LAVATORY (1 UNIT) WATER CLOSET, LAVATORY, AND BATH TUB OR SHOWER STALL SERVICE SINK TRAP STAND (6 UNITS) (3 UNITS) _ DRINKING FOUNTAIN (2 UNIT) URINAL, WALL LIP (4 UNITS) FLOOR DRAIN (1 UNIT) WASHING MACHINE RES. URINAL, PEDESTAL, SYPHON (3 UNITS) JET BLOWOUT (8 UNITS) WATER CLOSETS, VALVE OPERATED WATER CLOSETS, TANK-OPERATED (8 UNITS) (4UNITS) SHOWER STALL, DOMESTIC o� BATHTUB (W./OR W/O OVERHEAD (2 UNITS) SHOWER) (2UNITS) _ LAUNDRY TRAY BIDGET (3 UNITS) (2 UNITS) DISHWASHER (2 UNITS) KITCHEN SINK (2 UNITS) _ KITCHEN SINK/WASTE GRINDER (3 UNITS) TOTAL FIXTURE UNITS @ $10.,00 EACH- li DEPARTMENT PARTMENT OF BUILDING PERMIT NO. ORIDA CITY OF ATLANTIC SEACBVILD II PERMIT TO U THIS PERMIT MUST BE POSTED ON JOB 19_a3 Date 4�, VL, II&NtlCAL Fee$ Valuation$ and is •00 I3CKIT bove fee has been Paid to City Treasurer, I This permit not valid until a revocation for violation of applicable provisions of law subject to . 1 61 1 t1/05/8 This is to certify that 41 10 c,,T 6TH STTINEr DITIOgI 1G 1 C'IC1fJ I SII r IT�II�CAtI= � ZICS , t' ` has permission to b � Zone i Classification CE 9111DIO �I Owned by Block_------5� Lot Ic House No. According to approved plans which aie part of this permitNOTICE—ALL CONCRETE FORMS GS MUST BE IN AND FOOTIN SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 't rubbish and debris �-► O Building material, ]aced z from this work must not be p in public space, and must bbe he=e�on- up and h led away y rac r wner.. Building Official ' CONTRACTOR PERMIT DATE FOR OFFICE NUMBER USE ONLY it PLUMBING i �I ELECTRICAL SEWER WATER I , 3 ? !f!_.DI14G AND -01,11UG INS�� -C.. � IC J DIVISION ~� CITY OF ITLANITIC BEACH, rLORIDA APPLICATION FOR MECHANICAL PERMIT 1 1YAnRTAKT-!,p p1;aunt fo c��p( itoms in scciiorrs 1. 11, III, end IV. �r - St. a-' St. )• On _-Silo of_ t �� � ({ntrrs+tt wq Strash) 1LOCA,TION (t:orM, Soutti, Ettt. Writ) (/.ddreu) >12OF 5arrdi.��:on 6 ort N o U(LDiltiG LNti --tackjal ds:criplior. d>*d in dvpS�uta if n� wry (State porioorta �l -- - It. Tl"rc OF F'0F05ED {�LNIGAL `YO►.6C - /VI ems, l;ccr?t core. is?• Pant !� - D A. USE OF SUILDING 1 OWNEpivilp 15. ❑ /r-vata (inef�.,;.rwl, c,-.r-,yont:<,w, RESIDENTIAL n�n,r'�fit ;nititvt;oR, etc.) t. ❑ Ona family 11. ❑ Utility 16 ❑ rYb'K (Fa1-era•l. Veto or "I gwir'�-e+rt) 2. O T.->or rr.ore Lmify - 12. ❑ Scbof. rtwry. !�ATUkE OF WORK En4a+ rumba.• of rao+ns others:Ycot aral C U 3. ❑ Transient, wel, motel. 17. ❑ New 6"'Krn9 / rxminq trouts -- 13. ❑ Ston. r,z:errt-1e Enter numbar of unit- Oti..r It. $ Esi►tiny 1 vwu" 4. ❑ OtF.ar res;dent;a! 14. ❑ OT S?ECIFY ❑ Re��+ce nt of arfiny siiFa++r M 20. ❑ Nr. ;nsfei of on (No.rrste�a pc:*o:iy +: ._ NON-kES�D"tNTiAL 21. ❑ Eztz^:z^+,of .dd on h cs rtir.4 ry:x�• S. ❑ lvnvsa ant, ncraationsl 22. ❑ Othor-SP-cify d. ❑ Cb;;rtt' 04ar .►;igiout f _ 7. ❑ Irda!nal t. ❑ GN.ya, s;rv;ca stetson i--- ---- L T`t`+c OF !U I LCf r*1G 9. ❑ 3d. O Numb-%r of itorwt 10. ❑ Ofl'ce. ✓ank, prr(ess;cnal 370 Vi�od fro me, D. MECHANICkl. E-QUIPME-17 TO CE IF?STA LM 39. ❑ Pascnry and rod (prow;ds car:,ptata list of compan►nh on L*ck of this form) 34. ❑ Reir.fomed concrete 23. ❑ Furnace: ❑ Space ❑ R6.-essed O Central 0 Fow 40. ❑ Structural stool 24. 60'�;r Condif;onin4' ❑ Roo tral �.. A.841. C3 CttF+ar 25. uct $ys'.am: Material 'sem/+--ji- /��AG1' c.f ns MA-;mum capacity 2e. ❑ Rafr;yarai;on Tr;ls SIACE FOR oFfiCf usF ai4lr q /"f� 27. ❑ Cooiir,q tcrsr. Capacity v 2l. ❑ F+re spri. lers' Nvm,6*r of ksadt 29. ❑ Elevator ❑ Map"'" ❑ Es s'•ator_-_ _(numbs►) 30. ❑ Ces :na per*: -(nY'i4'ar) 3t. ❑ Tank- (nurs!vr) Remarks r 32. ❑ !ham confa;n&n (nu"-b1kP P R © V E 0 BEACH r 33. ❑ Unf;rsd prvuura r:uel '.'ILDING rIF ICE Permit Appro+ed 6y at'a-- 34. ❑ Lo"�Iara re-mit Fea III. GENT AL IN�ORIA4710N ' G A. B. T3'ps of S.sat n9 = IS OTHER COMSTa'UCTIOM SEIMG DOME ON 42. 0 Eb t^c THIS BUILDING OR CITY OF ATLANTIC BEACH r, s� 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . 08-00001363 Date 9/30/08 Property Address . . . . . . 527 ATLANTIC BLVD Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ------------------------------------------------- Application desc SAFETY WALK THRU -------------------------------------- Owner Contractor ------------------------ ------------------------ CRAWFORD ELECTRIC P.O. BOX 51045 JAX BEACH FL 32240 (904) 241-5591 ---------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date Valuation 0 Expiration Date . . 3/29/09 ---------------------- ------------------------ 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. CITY OF ATLANTIC BEACH R_ 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 O�+ 'st OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-D E PT@ COAB.U S 11� ELECTRICAL PERMIT APPLICATION DUVAL COUNTY j�;11 �ADDRESs �°�"� .�. , .,.'��, w�a�r<ar><{„:"�=��F �' ,d�.,,..r. .�,�,: ` � L e ERMIT: 7 f 1� 'K"° 52 A j Z D YES PERMIT . 'N �'g ...,r;�5?edt4,a a§r.J.: e' APER w N r~y a;... a r,.t t,i • ,ii Sfr is 4R , ? x Q c TY, w► 4.NAME: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: r,14$ .y,.,„ Rx 1, r. ELEG.TRIGAI: G rr f 9NTRA. 7.NAMt?F COMPANY' �� ����� 8.ADDRESS.: � 9.STATE OFF IDA LIC13 NO(((� 10.CELL PHON �3 ��7 11.FAX NO.: 12.EMIL ADDRESS: 6 13.OFFICE PHO E: 14, rl. 15.Application 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(6)months at any time after work is commenced. CONTRACTORS SIGNATURE: _x1s.CIJlSS C1F. pR . . , 77 t8' , . . .s S7777777,7 77g ❑MULTI FAMILY-#OF UNITS: ❑RESIDENTIAL ❑SINGLE FAMILY ❑TEMP SERVICE ❑COMMERCIAL ❑ADDITION ❑TRAILOR "'1110 15101*s`a >... ❑ALTERATION ❑SIGN ❑OLD ❑NEW 13'05 NATIONAL ELECTRICAL CODE ❑REPAIR ❑POOL/SPA I❑REWIRE 113 OTHER: 20.TYPE OF SERVICE: ❑OVERHEAD ❑ UNDERGROUND ❑ UNDERGROUND UP POLE 21.NEW SERVICE: CONDUCTORS PER PHASE: ❑ POWER IS ON ❑ POWER IS OFF 22.SIZE OF CONDUCTOR: AMPACITY: ❑COPPER ❑ALUMINUM 23.SWITCH OR BREAKER SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE: 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: 31-100 AMPS: OVER 100 AMPS: 31.SWITCHES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: # '�csd' Ea %'?f 1 32:.AIR�jd�aul W}*ITn�1.� fr ey°}r§`•u 3=rsrl F'$�' r P r sry wn 3"sf irc r1" ,`k uft.>}'p 1'.. h y ...,. .. r #OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: #OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: NUMBER: VOLTAGE: HP: KVA: NUMBER: VOLTAGE: HP: KVA: i s 34Y'TRAN$FpRMERS UNDER 60OV: NUMBER: KVA: OVER 60OV: NUMBER: KVA: 6JJ 1' Al, �, a,^,ter+�=rYz">4t�'w.nr�,x` .� {',�.r„o'•. r,. „r,”,ar`,',35..Ml.Si,,+ELAI'atJ$REP.,#,11'Z,�,.5e,i. ,�.,:. ,.u�' x«;,:ls* o-4s?'t>A `n�"Mr,"i,. %.' " .` .s;tzG�„er,�A;�z^:3 DESCRIBE IN DETAIL: COAB FORM BLDG02:REVISED:1/10/2008 HP'Of6cejet 7410 Log for Personal Printer/Fax/Copier/Scanner Information Systems 904-247-5845 May 18 2008 4:31 PM Last Transaction Date Time Type Identification Duration Passes Result May 18 4:29PM Fax Sent 96657372 1:10 2 OK CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FI 32233-Tel. (904) 247-5826 ROOFING PERMIT PERMIT INE)RMATION - LOCATION INFORMATION —�- Permit Number: 23326 Address: 527 ATLANTIC BOULEVARD Permit Type: RE-ROOF ATLANTIC BEACH, FL 32233 Class of Work: NEW Township: Range: Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: Square Feet: Subdivision: ATLANTIC BEACH a Est. Value: Parcel Number: — Improv. Cost: 1,850.00 C1WNhR INFORMATION Date Issued: 1/16/2002 Name: NICOL, WILLIAM Total Fees: 30.00 Address: 527 ATLANTIC BOULEVARD Amount Paid: 30.00 ATLANTIC BEACH, FL 32233 j Date Paid: 1/16/2002 Phone: (904)247-5408 Work Desc: REPAIRS ON FLAT RON I__-__� CONTRI�C70R S �` � �=�` � �- -� _°�� PLICf►TiO1V FEES ___._.. j KIMBERLY M. HOUSTON ROOFI y NOTICE- IN ECT fi0V SPECT ON BUILDING MATERIAL, IS FROM WORK AAtJST NOT ItCEE3 UBLIC SPACE, AND MUST BE CLEARED UP A tt�I3 TTOR .FAILURE TO COMPLY ULT IN THE PROPERTY OWNER PAYING ISSUED ACCORDING TO APPROVED PLANa P PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF Dpere CHERYLE Type: OC Drawer: i ` Date: 4/15/82 81 Receipt no: 49978 14 PERMITS-BUILDING 1 $38.88 CITY OF ATLANTIC BEACH Trans number: 884695 -- ------ 527 All RU CK CHECKS 1486 $38.00 Trans data: 4/15/822 Time: 16:89:24 CITY OF ATLANTIC BEACH ROOFING PERMIT APPLICATION 3 9-x-19 JOB LOCATION: S-2`7 XWNER OF PROPERTY: 1 l 11 --t, vA L2)- L TELEPHONE:: o2q 7—SVC& CONTRACTOR: CONTRACTOR'S ADDRESS: ZIP: . ?Z Z) STATE LICENSE NUMBER: C C TELEPHONE: DESCRIBE WORK TO BE PERFORMED: 1G� VALUATION OF PROPOSED CONSTRUCTION MATERIALS TO BE USED: H[ I T41 Z-- `/ ��'k—' PAO "Vqp SIGNATURE OF OWNER: C.� SIGNATURE OF CONTRACTOR: z Vol SWORN TO THIS �'-fDAY Eded MY COMMISSION#DD 032804 EXPIRES:June 11,2005AS TO OWNBonThruNotary Public underwriters NOTA PUBLJC SWORN T E THIS DAY OF PVV ,1'g Y t DONNA G.HAMBY MY COMMISSION#CC 961872 AS TO CO R EXPIRES:August 2g,2004 „pf 'Bonded Thru Notary Public Underwriters t NOTARY P BLIC Liability Insurance Supplied Workers Compensation Insurance Supplied Contractor License Information Supplied Occupational License Information Supplied 1