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Permits Renovations 2010 Ot." ‘3.44,r 4 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 Application Number 10- 00000889 Date 8/09/10 Property Address 380 5TH ST Application type description RESIDENTIAL ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 75000 Application desc interior renavation Owner Contractor HILLIS GENESIS BUILDING CORP 380 5TH STREET 2158 MAYPORT RD. ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 241 -0320 Permit PLUMBING PERMIT Additional desc . 17 FIXTURES Sub Contractor . TDG PLUMBING Permit Fee . . . 174.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 2/05/11 Special Notes and Comments NEED NOC *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONALELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. Fee summary Charged Paid Credited Due Permit Fee Total 174.00 174.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 174.00 174.00 .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 r JOB ADDRESS: 7 v S - r PERMIT # 10 —d )000 $' NEW OR REPLACEMENT INSTALLATION: Project Value $ TYPE OF FIXTURE QTY TYPE OF FIXTURE 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 RE -PIPE: TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub 7.— Septic Tank & Pit Clothes Washer 1 Shower 1 Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet 3 Hose Bibs Urinal Kitchen Sink 1 Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory 4 Water Heater 1 0 Other Fixtures Water Treating System ' LLANEi�: . Sewer Replacement JJ❑ Back Flow Preventer ❑ Grease Interceptor (Trap) gallons (Requires 3 sets of plans) 4 ❑ awn Sprinkler System - Number of Heads ❑ Well ** ** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection. ** ❑ 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 have read this application and know the same to be true and correct. All provisions of laws and 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 state or local law regulation construction or the performance of construction. Property Owners Name � O V .A tile t d 0 00.... le✓� is i �`� S Phone Number Sti x 'lumbing Company 1 , O .0 e i_ ....,'a: ,^ c Office Phone FaxC (.4 4 'S ;o. Address: L "I 4 L . 1- o• s 2 CitySA00' State i L Zip 2447 License Holder (Print) QA V+ S 0 G R , 'ne _ State Certifi ation/Registration # C, � C- ?,'�di? Totarize � P , -N, , S �� ` , l .; . 1 , \1 i ; ' ' L MY COMMISSION II QO ' � " EXPIRE rya ' , 0 sv 1 and subscribed before me this day of 20 /"' =�' S of Notary Public terx x CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J = ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 Application Number 10- 00000889 Date 8/09/10 Property Address 380 5TH ST Application type description RESIDENTIAL ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 75000 Application desc interior renavation Owner Contractor HILLIS GENESIS BUILDING CORP 380 5TH STREET 2158 MAYPORT RD. ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 241 -0320 Permit ELECTRICAL PERMIT Additional desc . Sub Contractor . LORE ELECTRICAL CONTRACTORS Permit Fee . . . 125.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 2/05/11 Special Notes and Comments NEED NOC *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONALELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. Fee summary Charged Paid Credited Due Permit Fee Total 125.00 125.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 125.00 125.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PERMIT APPLICATION (f 5 CITY OF ATLANTIC BEACH : ! I 0 800 Seminole Rd, Atlantic Beach, FL 32233 Ph (904)47 -5826 Fax (904) 247 -5845 JOB ADDRESS: J �� °" T PERMIT # NEW SERVICE D Overhead E1Underground D Underground up Pole . ❑Residential (Main) Service ❑ 0 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ G amps # of Meters ❑ Commercial (Main) Service 0 0 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps OCT Service amps Conductor Type Size ❑Multi- Family (Main) Service 0 0 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps # of Unit Meters OTemporary Pole ❑ amps SERVICE UPGRADE ❑ amps ❑ CT Service amps NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.) ❑ 100 amps ❑ 150amps ❑ 200amps ❑ amps ❑ CT Service amps ADDITIONS, REMODELS, REPAIRS, BUILD -OUTS, ACCESSORY STRUCTURES, ETC. Outlets/Switches: ____ 7 0- 30amps 31- 100amps 101- 200amps Appliances: Ce 0- 30amps 31- 100amps 101- 200amps A/C Circuits: Z- 0- 60amps 61- 100amps Heat Circuits: z.-- # circuits @ kw Number of Lighting Outlets, Including Fixtures: 2 OTHER ELECTRICAL PROJECTS ❑Swimming Pool ❑ Sign ❑Smoke Detectors Qty ❑Transformers KVA ❑Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist) Qty volts/amps VALUE OF WORK $ REPAIRS/MISCELLANEOUS ❑Replace Burnt/Damaged Meter Can ❑ afety Inspection OPanel Change H to UG ❑Other: Jaetc).-vz ( h (+/�' 2 -n M----, Permit becomes void if work does not commence within a six month period or work is susended or abandoned for six months. I hereby certify that I have read this application and know the same to be true and correct. All provisions of laws and 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 state or local law regulation construction or the performance of construction. / / Property Owners Name /7 /1 Phone Number Electrical Company L-),(E / 7 i %� Office Phone 2.2 ?—/ /vy Fax ,?7- 7/,r Co. Address: 2/() /I / S (- d C 6/Vci City #),7(..;,- t -z -.rte State ?/ Zip j Z c' f2— License Holder (Print): /1/4,16:- 6 Le 2 G � -; tate Certification/Registration #7/._ 2 /3d /J Notarized Signature of License Holder 2 -- __„ �" - Sworn and subscribed before me this day of 20 ' Signature of Notary Public