Permit 250 Jasmine Street - CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 Seminole Road - Atlantic Beach, EL 32233 - Tel: 247 -5826 - Fax: 247 -5877
ELECTRICAL PERMIT
PERMIT INFORMATION
Permit Number: 23451 LOCATION INFORMATION
Permit Type: ELECTRICAL Address: 250 JASMINE STREET
Class of Work: INCREASE ATLANTIC BEACH, FL 32233
Proposed Use: SINGLE FAMILY Township: Range: Book:
Square Feet: Lot(s): Block: Section:
Est. Value: Subdivision: SECTION H
Improv. Cost; , Parcel Number:
Date Issued: 2/08/2002 OWNER INFORMATION
Total Fees:. K RKS REALTY SERVICES, INC. i
30 ■ �
Amount Paid: ' ° . ± TLANT!
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Date Paid: 2/08 s } ' BEACH, FLORIDA 32233
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_ Work Des ..: ESS6 - ' Y; ��,
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LIBERTY ELECTRIC Q a x 'EASE
T� ORS �
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MIT FEE
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NOTICE - INSPE F � , -- r''''''''''''..1.: � . 4,', ` ' � `
�.4.� ; : ` . .. , -� RS a : : , : + R T INSPECTION
BUILDING MATERIAL, RUBBI r
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MUST BE CLEARED UP AND HAUL - �� r CED IN PUBLIC SPACE, AND
"FAILURE TO COMPLY WITH THE CO
PROPERTY OWNER PAYING TWICE FOR BUILDING IMPR VEM NTRESULT IN THE
S
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCA
FOR V I O OF APPLICABLE PROVISIONS OF LAW. TION
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( _. [ , 8P B1 Receipt no.
ATLANTIC I ACH BUILDING DEPT. Total tende
Total payeent
1 i2P4e
CITY OF ATLANTIC BEACH, FLORIDA
Approved by APPLICATION FOR ELECTRICAL PERMIT
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TO THE CHIEF ELECTRICAL INSPECTOR: DATE..ve.. la . . 1 )
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 CTRIC REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
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ELECTRICAL FIRM: 1 MASTER EL CTRICIAN SIGNATURE �� JOURNEYMAN
NAME Po ! � \ . 04 - -e JO
ADDRESS: 0-g - )1'41 IN' • JI ... , RFD BOX
BLDG. SIZE BETWEEN:
RES. (Vi APT. ( 1 COMM. ( ') PUBLIC ( ) INDUS. ( 1 NEW ( ) OLD (. REW. ( )
ADDITION ( 1 TRAILER ( ) TEMP. ( 1 SIGNS ( 1 SO. FT.
SERVICE: NEW ( ) INCREASE (i REPAIR ( ) FEE
CONDUCTOR SIZE �. AMPS 1 00 COPPER ( 1 ALUM. (V l
0
SWITCH OR BREAKER 100 AMPS 1 PH 3 w a_oVOLT d- /,1 RACEWAY
EXIST. SERV. SIZE (QO AMPS 1 PH 3 w ay VOLT _ ,'0/p , RACEWAY
FEEDERS NO. SIZE NO. SIZE NO. SIZ
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
0.30 AMPS. 31.100 AMPS.
SWITCHES
INCANDESCENT
FLUORESCENT & M. V.
FIXED ' 0.100 AMPS. OVER
APPLIANCES BELL TRANSF.
AIR H.P. RATING N.P. RATING
CONDITIONING COMP. MOTOR OTHER MOTORS AMPS CEIL HEAT: KW -HEAT
0-1 ( OVER
MOTORS H.P. VOLTAGE PHS NO. 1 N.P. VOLTAGE PHS
MISCELLANEOUS
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CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
JOB LOCATION: oZ 5-0 �f/ -.5//) / v S
OWNER OF PROPERTY: A 5/9-P-
PLUMBING CONTRACTOR: /� ,� 1
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CES
CONTRACTOR'S ADDRESS: ,2 75 7 2F/4/W5-7--- :Tv 17-2-°5'
STATE LICENSE NUMBER: (_-F 03.5-7er/ TELEPHONE: 3 OE.y2- 4)
HOW MA PY OF THE FOLLOWING FIXTURES INSTALLED
ii SINKS
OF--"" SHOWERS
LAVATORIES WATER HEATERS
BATH TUBS DISHWASHERS
URINALS DISPOSALS
CLOSETS WASHING MACHINES
FLOOR DRAINS SHOWER PANS
OTHERSEWeia d- 14/A /E12
TOTAL FIXTURES: X 3.50 + $15.00
MINIMUM PERMIT FEE = $25.00
SIGNATURE OF OWNER:
SIGNATURE OF CONTRACTOR:
/C2Z- ;tip
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE 1994
STANDARD PLUMBING CODE.
CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247 -5826
SEWER CONNECTIONS MUST BE CALLED IN TO PUBLIC WORKS FOR INSPECTION PRIOR
TO COVERING UP - (904) 247 -5834.
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CITY OF •,
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TICLIPSIONE 4 fts mo Nmum
Date: / /_ -9 ‘
7 / o S 0
Dear Property Owner:
The costs to connect your building to the City sewer and /or
water system are as follows:
Sewer Tap - Labor and Materials to_tap -- -into,
sewer main $
Water Tap - Labor and Materials to tap into
water main $
Water Meter - Cost of Meter $
Cross Connection Inspection - Inspection by
Public Works to ensure backflow
prevention $ Ss- .0
Sewer Impact Fees - Funds future expansion
of the sewer plant $
Water Impact Fee - Funds future expansion
of the water plant $ ' 6°
Capital Improvement - Funds for improvements,
expansion or replacement to
water system $ 2Sc"'
TOTAL COSTS $
If you have any questions concerning these charges please call
the building department at 247 -5826.
Sincerely,
Don C. Ford
Building Official
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