Permit 271 Belvedere St 0002
DEPARTMENT OF RUIWING
CITYOF�ATLANTIC BEACH
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'NOTICE--ALLCONCREtE FORMSAND FOOTINGS MUST 13E INSPECTED BEFORE POURtNG
PERMIT VOIDSIX MONTHS'AFTER,DATE,OF'IS8,UE"
f.BUILDING MATERIAL,RUBBISH AND DI5BRI$FROM THIS WORK MUST NOT BE,PLACED,IN PUBLIC SPACE,�AND MUST BE
CLEARED UP AND HAULED,AWAY BY EITHER CONTRACTOR OR,OWNER.
"FAILURE TO'COM-PLY WITH THE MECHANICS' LIEN ,LAW,CAKRESULT�
THE PROPERTY OWNER PAYING TWICE FOR,BUILD'ING;IMPROVEMENTS
TKi-W47 R4
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS,P'ItRMIT,AND SUBJECT TCMEVOCATION FIM"I" ,
VIOLATION OF APPLICABLE PROVISIONS OF LAW. TOWD $ef#
ATLANTIC BEACH BUILDING DEPAjRTMENT
By:
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWINGo WE
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,
WHICH ARE A PART HEREOF, AND IN:ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
61vitas P_Jgr.�CiQ pmid tcam6ck '
ELICTRICALFIISM: t4EIJS F-52 ffiqMn, RE 22-S& JOURNEYMM
NAME-1- onn C-c-pkniz. ADDRESS. Q71 &J\l&_fACmCZ ais RFQ_____BOX
BLDG.SIZE BETWEEN:
RE&X APT. ( I COMM.( PUBLIC I INDUS.f NEW OLDY4 REW.
ADDITION TRAILER TEMP.t SIGNS I -SQ. FT.
SERVICE: NEW INCREASE(, REPAIR I FEE
'AMPS I SO COPPER i ALUM.
CON R SIZE oh*10 C4
VMTCH OR BRg6KER AMPS i PH 3 W Q+Q_VOLT C&le_RAC9W_AY
0XIST'-s9fly.im '�fm .440 VOLT RACEWAY
kUDERS SIZE SIZE NO. �slz
TS � TOTAL
OPEN"
RECEPTACLES OPEN TOTAL
3 1�400 AMPt
*0
INCANDESCENT
FLUORESCENT&M.V.
FiXE0 0.100 AMPIS OVER,
APPLIANCgS SELL TRAN$Fo'
AIR H.P.RATING H.P.RATING
CONDITIO14ING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAP. KW-14EAT
0.1 OVER
MOTORS M.P. VOLTAGE, PH$ NO. I H.P. VOLTAGE PHS
MIMLEXREOUS
TRANSFORMERS: UNDER 800 V. OVER 600 V.
NO. KVA
NO 'lKVA
NO.NEON TRANSF. No. _lVA. __ MOTOR -SIZE *LASHEF
EACH SIGN
F
FORWARDED 10.,OD
TOTAL FEES
�z 00' '1'
0
DEPARTMENT OSUILDIN
CITY OF ATLANTIC BEACH
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NOTES:
ETE
NOTICE—ALL CONCR, FORM4,00 TINGS MUStSE INSPECTED BEPORE POURING
PERMIT V010,SIX.K40NTHS AFTER DATE OF ISSUE
BUILDING MATE RIA'Ll'R U BBISH A,NQ-Di OM THIS WORK MUST NOT 5EPLACED IN.PUSLtC.SPACE,AND MUSTSE
CLEARED UP AND HAULED AwAy BY:ElTHER CONTRACTOR OR,OWNER.
Ali
FAILUR LY,V '.H -'JL'ai MIECHANICS .' LIEN:
t�vl' -'�tomol. AAW"CAN REWLT,
THE PROP 'N EA TWICE FOR SUILDIN&IMPROVEMENTS.
e RTY OW,
ISSUED AC A 3'LANS WHICH-ARE PAR IT'A
CO DING TO APPROVEDIP T OF,THIS PERM ISIDSUBJECT TO REYOCATION FOR
VIOLATION OFAPPUCABLF S r:
PROVISION 0, LAW,
E�
ATLANTIC BEACH 8UIL'Dt-N -DEPAMMENT
By:
--'. '— --Lp- V—.. — —.— — . P— '-- .— "' -"" -- —y V'U-Gn'�05 syanuarus
of good practice listed therein,
Name of Mechanical Contractors
Contractor (Print) McCall Central Air Master RA0015176
Name of
Property Owner T gm—er,�tn t z
Signature of O*nor Signature of
or Amtkorized Ag*nt Architect or Engineer
Ill. GENERAL INFORMATION
A, Type of 6ating fuel: B. IS OTHER CONSTRUCTION BEING DONE On
Xy ElloctAc THIS BUILDING OR SITE? NO
0 Goa—C3 LP 0 Natural 0 Central Utility
IF YES. GIVE NUMBER OF CONSTRUCTION
13 Oil PERMIT
13 Offier — Specify
IV. MWK�NIC-AL I*UIPMINT TO N INSTAUJIM NATURE OF WORK
(Provide complete,lkt of comporainh on back of this form I M Residential or 11 Commercial
[I. Host 0 Space 0 Reces"d V Control a ROW 13 Now Building
a Air Conditioning: 13 Room 0 Control M Existing Building
C3 Duct Syftm: Material Thicknou— 12 Replacement of existing system
M*ximurn capacity Cho. C3 Now Installation(No system previously Installed)
0 Refrigeration 0 Extension or add-on to existing system
0 Cooling tower. Capacity othcr — Specify
E) Fire spoinklers: Number of hea
0 Elevator 0 Monlift [3 EwAlato "u"Iber) THIS SPACE OOR OFFICII USI OKY
0 Gasoline ourn (number)
0 TerAt--(number)
Remorks
0 LPG containiii (number)
C) Unfired pmsuro v~
E3 lodeni Perinii Approved Dots
0 044W — Specify Permit
LIST ALL EQUIPMENT
AIR CONDITIONING AND REFRIGERATION EQUIPMENT
CMdtY Apnitift
Number Units Description X*"Number Manufalobver (T111111111111Y ACOMy
Condenser HP19-261 Lennox 3 UL
Hgat..$trip ECB19-10 Lennox 101-
'W UL
HEATING - FURNACESt BOILERS, F11REPLACES
Capedty A
NUmber Units Deserliptim No"Number I (&M i -Ail�
Air Handler CBH19-31 Lennox 25,200 UL
TANKS
ROW X"y NOMOW Cap"lly T�r" tAquid Nall"ot saw Approyme
and DInksomims contairAd No.