Permit 75 Forrestal Circle CITY OF ATLANTIC BEACH
PERMIT APPLICATION! ROOFING
Owner(s):
-te rra: __gi _C - -1 Phone: _..._____.
Lot # Block or Unit # Subdivision
Contractor: �G"�'�riY1 � r,.� � -
Address : �C
0.,. Phane: - �
State License No. f , _
Describe work to be done:
Materials to be used:
Signature OWNER:
Signature CONTRACTOR: l%
41,
•
7 i
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
JOB LOCATION: 75
OWNER OF PROPERTY:
BUILDING CONTRACTOR:
. .
...-
PLUMBING CONTRACTOR
AND ADDRESS:
F2
TELEPHONE NUMBER: 2-1 ee "7
STATE LICENSE NO:
TYPE OF OF BUILDING: C Qe
SINKS
SHOWERS
LAVATORY j2rieeeckele-ev7-1ATER HEATERS
BATH TUBS
DISHWASHERS
URINALS
DISPOSALS
CLOSETS
WASHING MACHINE
FLOOR DRAINS
SHOWER PANS
OTHER
TOTAL FIXTURE JUNT: x 53.50 + 515.00 = $
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH
THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE.
CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826
CITY OF
(
ATLANTIC BEACH, FLORIDA
APPov�d by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: -G
IMPORTANT NOTICE: 19
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.
c * .4 61
ELECTRICAL FIRM: , IF
MASTER EL 41111M SIGNATURE
II
NAME .� ct . I Y `' (Life ADDRESS: C' `�es416 ,
RFD BOX
BLDG. SIZE
BETWEEN:
RES. ( ) APT. ( ) COMM. ( 1 PUBLIC ( ) INDUS. ( 1 NEW ( 1 OLD ( ) REW. (
ADDITION ( ) TRAILER ( ) TEMP. ( ) SIGNS (
SO. FT.
SERVICE: NEW ( ) INCREASE ( ) REPAIR ( ) FEE
CONDUCTOR SIZE AMPS COPPER ( ) ALUM. (
SWITCH OR BREAKER AMPS PH W VOLT
RACEWAY
EXIST. SERV. SIZE c- AMPS 1
PH W `t -VOLT ' ACEWAY
FEEDERS NO. SIZE NO. SIZE
NO. SIZ
LIGHTING OUTLETS CONCEALED
OPEN TOTAL
RECEPTACLES CONCEALED
0.30 AMPS OPEN TOTAL
31.100 AMPS
SWITCHES
INCANDESCENT
FLUORESCENT & M. V.
FIXED 0.100 AMPS. r OVER
APPLIANCES Jr BELL TRANSF.
AIR I N.P. RATING H.P. RATING
CONDITIONING COMP. MOTOR OTHER MOTORS AMPS CEIL HEAT: KW -HEAT
0 -1
MOTORS N.P. VOLTAGE PHS NO 0 CE
. 1 VOLTAGE PHS
M I SC L LA N .0 I AI ripmemmix aigiyffai ate
id
II II
CITY OF ATLANTIC BEACH, FLORIDA
Approved by l APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 11 N D°
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.
642-- N
EL CTRICAL FIRM: MASTER ELECTRICIAN SIG ATU; E
•
NAME 1 ADDRESS: 75 -R6t *7(n S •
RFD BOX
BLDG. SIZE
BETWEEN:
RES. (o APT. ( ) COMM. ( ) PUBLIC ( ) INDUS. ( ) NEW ( ) OLD ( 1 REW. ( )
ADDITION ( ) TRAILER ( ► TEMP. ( 1 SIGNS ( ►
SO. FT.
SERVICE: NEW ( ► INCREASE ( 1 REPAIR ICI FEE
CONDUCTOR SIZE ta• O AMPS 4120 COPPER ( ALUM.
SWITCH OR BREAKER >> AMPS / PH 3W c O VOLT
RACEWAY
EXIST. SERV. SIZE a AMPS PH W VOLT
RACEWAY
FEEDERS NO. SIZE NO. SIZE
NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN
TOTAL
RECEPTACLES CONCEALED OPEN
0.30 AMPS. TOTAL
31 -100 AMPS.
SWITCHES
INCANDESCENT
FLUORESCENT & M. V.
FIXED 0-10 OVER
APPLIANCES BELL TRANSF.
AIR H.P. RATING H.P. RATING
CONDITIONING COMP. MOTOR OTHER MOTORS AMPS CEIL HEAT: KW -HEAT
0-1 OVER
MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS
MISCELLANEOUS
ik •Qtiel iiJ'lIOR Le }e-4-4.s7
TRANSFORMERS: UNDER 600 V. OVER 600 V.
NO. KVA ' NO. KVA
NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHE •
—
EACH SIGN
« FORWARDED
S
TOTAL FEES