Permits 1509 Jordan Street CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
;"69
Application Number . . . . . 05-00029909 Date 3/24/05
Property Address . . . . . . 1509 JORDAN ST
Tenant nbr, name . . . . . . REROOF BUILDING 1509
Application description . . . ROOF
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 1200
Owner Contractor
----------------------- -
------------------------
ALBERTSON, DOVER CNR ROOFING
1509 JORDAN STREET 10393 ARROWHEAD DR
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32257
(904) 721-5048 (904) 880-1753
--------------------------------------------- --- ------- -- - --- - - -- ---- - ----- -
Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 60 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 1200
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- -------
Permit Fee Total 60 . 00 60 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 60 . 00 60 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC REACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING OFFICIAL
CITY OF ATLANTIC BEACH
ROOFING PERMIT APPLICATION
Date: 3-& -os'
Job Addre- 'Z eltdeP
5
Owner of Property:-h,,.1".,-- At i&,C:4;2�44Z
-&�E"
Address: Telephone:
6 4:z :Tuv
Contractor�- I P- leo 04"tia State License Number:
Contractor's Address:qw-7 KD--,t H ILL
Telephone: 2b 622- 9ci Fax:
Scope of Work:
Deck Slope: Greater than 2:12 Less than 1:12
Valuation of work: MM 17 205
Product Name(Example: Timberline)* e"p-ir
Manufacturer (Example: GAF): C'nip
ASTM Designation(s):—�L)--1�4(,D,
Required Inspections: Sheathing and Final
Sign2uare of Owner: zcl Date:
Signature of Contractor: Date:
AS TO OWNER:
Sworn to and subscribed before me this day of 20_p
State of Florida,County of Duval Notary's Signature:
,fly Personally known
19. PHILLIP B. GURR F�Kroduced identification
My COMMISSION 4 DD327163
1* Type of identification produced
EXPIRES:SePtmtw 14,2008
1-ftt-3- ARY Fl.Notary Dis000nt Awoc,Co.
ASK :0
Sworn to and subscribed before me this day of
200S
State of Florida,County of Duval
Notary's Signature:
Ir4
PHILLIP B.GURR lepersonally known
* MY COMMISSION#DD327163 El Produced identification
j EXPIRES:Septenfor If,2008 Type of identification produced
Fl.Notary Disoount A�m Co.
i-ma-3-NOTARY
ln==
800 Seminole Road Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 Fax: (904)247-5845 - http://www.ci.a t1a n tic-beach.fl.us
Page I Revisod 2/21/03
90tice of Commmemmt
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property,and in
accordance with section 713.13 of Florida Statues,the following information is stated in this NOTICE OF
COMMENCEMENT.
Description of Property:
ZA?X 1-5M ZVI
General description of improvements:Re-Roof
A 2
Owner:—hoy"P—A jk7 WAI
Address: U�j
Owner's interest in site of improvement: 140 44�e;q, ne,
Fee Simple Title holder(if other than owner):
Name:
Address:
Contractor:CNR Roofina Company Jacksonville,Florida
Address:8947 Rose Hill Drive North 32221
Surety(if any):
Address:
Name and address of an erson making'A Than for the construction of improvements.
Name:
Address:
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or
other documents piav be served.
Name:
Addtess:
In addition to himself,owner designates the following person to receive a copy of the Lienbr's Notice as
provide
Name:
Address:
wrier
Doc#2005090257,OR BK 12356 Page 901,
Number Pages:1 ubscribed before me this
swo to and s
Filed&Recorded 03/17/2005 at 02:05 PM, day of__hldfCA -, 24a-",
JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING$10.00
/Notary Public
PHILLT J3.GURR
My COMMISSION#DD31-716-1
f.,xi-IRES.Septpbr 1412008
Aky Ft.%ciary Discount Assm Co.
CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET
Address 0 T
Date
Heated Square Footage @ $ U� per sq ft= $
\J
Garage Shed t1-1 $ per sq ft= $
Carport Porch tq $ per sq ft= $
Deck @$ per sq ft= $
Patio @ $ per sq ft= $
TOTAL VALUATION: $
gs $ 00
Total Valuation $ /a 01b
,7,00 $ 15> -
Remaining Value $-!�-Per thousand
or portion thereof
CONSTRUCTION TYPE: TOTAL BUILDING FEE $
ZONING: + 1/2 Filing Fee $
FLOOD ZONE: )Fireplaces@ $35.00 $
IMPERVIOUS SURFACE:
BUILDING PERMIT FEE $
WATER INTACT FEE $
SEWERIMPACTFEE $
WATER METER/TAP $
CAPITAL IMPROVEMENT$
SEWER TAP $
C ( ) RADON .0050 $
SECTION H PAVING ( ) $
HYDRAULIC SHARES $
CROSS CONNECTION $
ST( ) SURCHARGE $
OTHER $
GRAND TOTAL DUE: $
CITY OF ATLANTIC BEACH Cc:
D. Ford
BUILDING / ZONING DEPARTMENT C—r.-R2 ins
800 Seminole Road Doerr—
Atlantic Beach,Florida 32233
-5800
(904)247
(904)247-5845 Fax
www.coab.us
PLAN REVIEW COMMENTS
Permit Application #
Property Address: - 1 "5 0 9 -,-.�r 0
Applicant: C
Project:
This permit application has been:
Approved
Reviewed and the following items need attention:
Please re-submit your application when these items have been completed.
Reviewed By: Date:
Date Contractor Notified:
CITY OF ATLANTIC HACH, FLORIDA
Approved by APPLICATION FOR ELECTRICAL PERMIT q
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:_d4/)-
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.
ELECTRICAL FIRM; TER ELEC, ICIAN SIGNATURE JOURNEYMAN
�#&� 145-0
NAME —ADDRESS: 44�����RFD__BOX_
BLDG.SIZE BETWEEN:
RES.;P"'i APT. ( I COMMA I PUBLIC INDUS. NEW ( OLD ( REW.
ADDITION TRAILER ( I TEMP. SIGNS SQ. FT.
SE I RVICE: NEW ( INCREASE ( REPAIR FEE—
CONDUCTOR SIZE AMPS CO ALUMJ I
SWITCH bn 13REAKER AMPS PH W VOLT FIAC.EWAY
EXIST.SERV.SIZE IL9 0 AMPS �r PIZ& 70,?) VOLT RACEWAY
FEEDERS NO. SIZE INO. SIZE NO. SIZE
LIGHTING OUTLETS I CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
SWITCHE! 0.30 AMN5,
INCANDESCENT
FLUORESCENT &M. V.
FIXED b io OVEn
APPLIANCES =1 I BELLTR NSF.
AIR H.P. RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEILHEAT: KW-HEAT
0-1 OVIR
MOTORS H.P. VOLTAGE PHS NO. VOLTAGE PHS
MISCELLANEOUS 4
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 Seminole Road -Atlantic Beach, FL 32233 -Tel: 247-5826 - Fax: 247-5877
ELECTRICAL PERMIT
PERMIT.INFORMATION-' LOCATION.INFORMATION
Permit Number: 18804 Address: 1507 JORDAN STREET
Permit Type: ELECTRICAL ATLANTIC BEACH, FL 32233
Class of Work: REPAIR Township: Range: Book:
Proposed Use: APTS/CONDOS Lot(s): Block: Section:
Square Feet: Subdivision: ATLANTIC BEACH
Est. Value: Parcel Number:
Improv. Cost: OWNER INFORMATIONL
Date Issued: 9/08/1999 Name: DOVER J. ALBERT
Total Fees: 25.00 Address: 1503 JORDAN STREET
Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233
Date Paid: 9/08/1999 Phone: (904)783-0230
Work Desc: REPL A/C 2.5HP, 16AMP, 1 CH 5W
APPUCATION FEES.
JOHNS ELECTRIC SERVICE OF N. FLA PERMIT 2-5.00
-ILWAPections,Required
ROUGH ELECTRIC FINAL ELECTRIC
NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
BUILDING MATERIAL, RUBBISH AND DEBRIS 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 COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY
OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
Date: 9/08/99 01 Receipt; 0085153
A -TIC BEACH BUILfDING DEPT. CHECKS
TLAN 00189803221890 5097
CITY OF ATLANTIC BEACH, FLORIDA ,
Appr ved by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:---I —1911
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.
c zlz- ,
ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE 1061114EYM N
'/s-o
NAMISP- 4") ADDRESS: RFD—BOX
BLDG.SIZE– BETWEEN:
RES.P-4- APT. ( comm. I PUBLIC INDUS. I NEW ( OLD ( REW.
ADDITION ( ) TRAILER ( TEMP. ( ) SIGNS I ) SQ. FT.
SERVICE: NEW INCREASE ( ) REPAIR FEE
CONDUCTOR SIZE AMPS COPPER ALUMJ
SWITCH OR BREAKER AMPS PH W VOLT RACEWAY
EXIST.SERV.SIZE AMPS PH W 2-lfJVOLT RACEWAY_
FEEDERS NO. SIZE INO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES - CONCEALED - OPEN TOTAL
.30 AMPS. 00-AM
SWITCHES T�il--1
INCANDESCENT
FLUORESCENT &M.V.
FIXED 0.100 A OVER
APPLIANCES JSF.
AIR H.P. RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
Z'
0-1 OVER
MOTORS H.P. I VOLTAGE PHS NO. VOLTAGE PHS
MISCELLANEOUS L
HIITRANSFORMERS: tJNDFR 600 V I nVFP nnn x/
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 Seminole Road -Atlantic Beach, FL 32233 -Tel: 247-5826 - Fax: 247-5877
ELECTRICAL PERMIT
_T7
PERMIT.INFO RMATION�. ... LOCATION INFORMATION
Permit Number: 18805 Address: 1508 JORDAN STREET
Permit Type: ELECTRICAL ATLANTIC BEACH, FL2233
Class of Work: REPAIR Township: Range: Book:
Proposed Use: APTSICONDOS Lot(s): Block: Section:
Square Feet: Subdivision:
Est. Value: Parcel Number:
Improv. Cost: OWNER INFORMATION
Date Issued: 9/08/1999 Name: DOVER J. ALBERT
Total Fees: 25.00 Address: 1503 JORDAN STREET
Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 3223-3
Date Paid: 9/08/1999 Phone: (904)783-0230
Work Desc: REPL A/C 2.5HP, 16AMP, 1 CH 5W
Aa (SI APPLICATION FEES
CONTR
JOHNS ELECTRIC SERVICE OF N. FLA PERMIT 25.00
iiaons Re
quired-`
ROUGH ELECTRIC FINAL ELECTRIC
NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
BUILDING MATERIAL, RUBBISH AND DEBRIS 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 COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY
OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
C— Date: 9/68/99 81 Receipt: 6685153
CHECKS 5097
Ak�N- IC BEACH BUILIJING DEPT. 00180093221000
CITY OF ATLANTIC BEACH, FLORIDA .
Approvoci by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:--�-
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.
kh; -7
�L—�i c U
.ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE J061314EYMAN
'1-5-68 - RFD-BOX
NAMEP-"O ADDRESS:
BLDG.SIZE Ir 77- -BETWEEN:
RES.P-4- APT. ( comm. PUBLIC INDUS. NEW OLD REW.
ADDITION ( TRAILER I TEMP. ( I SIGNS I SQ. FT.
SERVICE: NEW INCREASE ( REPAIR FEE
CONDUCTOR SIZE AMPS COPPER ALUMJ
SWITCH OR BREAKER AMPS PH W VOLT RACEWAY
EXIST.SERV.SIZE AMPS PH W 2-%fJVOLT RACEWAY_
FEEDERS NO. SIZE INO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
1 0.30 AMPS, ]
SWITCHES 31-100 AMPSI
INCANDESCENT
FLUORESCENT & M.V.
FIXED C).100 AMPS. OVER
APPLIANCES I 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. I VOLTAGE PHS NO. If.p. VOLTAGE PHS
-MISCELLANEOUS
TRA.?ql.ql:0RMFRR- twnr-rt F;nn v
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 Seminole Road -Atlantic Beach, FL 32233-Tel: 247-5826 - Fax: 247-5877
ELECTRICAL PERMIT
PERMIT,:INFORM LOCATION INFORMATIOR .,
Permit Number: 18806 Address: 1509 JORDAN STREET
Permit Type: ELECTRICAL ATLANTIC BEACH, FL
Class of Work: REPAIR Township: Range: Book:
Proposed Use: APTS/CONDOS Lot(s): Block: Section:
Square Feet: Subdivision: ATL BCH
Est. Value: Parcel Number:
Improv. Cost: OWNER INFORMATION
Date Issued: 9/08/1999 Name: DOVER J. ALBERT
I Total Fees: Address: 1503 JORDAN STREET
Amount Paid: ATLANTIC BEACH, FLORIDA 32233
Date Paid: Phone: (904)783-0230
---Work Desc: REPL A/C 2.5HP, 16AMP, 1 CH 5W
74,
CONTRACMOR(S) APPLICATION FEES
JOHNS ELECTRIC SERVICE OF N. FLA
1hspections:Required
ROUGH ELE&RIC PINAL, ELECTRIC
NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND
MUST BE CLEARED UP AND HAULED AWAY BY EITHERCONTRACTOR OR OWNER
FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY
OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
Date; 9/08/99 81 Re $25.6814
ceipt: 0085153
CHECKS
AfLAWTld BEACH B- (JTLDING DEPT. 00180003221000 5097
CITY OF ATLANTIC 136ACHI FLORIDA
Approv*d by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:--I .1911
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.
ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE J06RNEYMA�
NAM&P 1--5—e r
ADDRESS:' RFD_BOX_
BLDG.SIZE IC7' —BETWEEN:
RES.P-4- APT. ( comm. I PUBLIC INDUS. NEW ( OLD ( REW.
ADDITION ( TRAILER TEMP. SIGNS SQ. FT.
FEE
SERVICE: NEW( INCREASE ( REPAIR (
CONDUCTOR SIZE AMPS COPPER I ALUM. (
SWITCH OR BREAKER AMPS PH W VOLT RACEWAY
EXIST.SERV.SIZE 0" AMPS PH -1 W &OLT RACEWAY
FEEDERS NO. SIZE IND. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
1 0.30 AMPS. 31-100 AMPS.
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
FIXED 0-100 AMPS. 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. I H.P. VOLTAGE PHS
J
MISCELLANEOUS
OVER 600 V.
TRANSFORMERS: UNDER 600 V. 1111 1
CITY OF ATLANTIC BEACH
MECHANICAL PERMIT
800 SEMINOLE ROAD-ATLANTIC BEACH, FL 32233-TEL: 247-5826-FAX: 247-5877
PERMIT INFORMATION LOCATION INFORMATION,
Permit Number: 18793 Address: 1507 JORDAN STREET
Permit Type: MECHANICAL ATLANTIC BEACH, FL 32233
Township: Range: Book:
Class of Work: REPAIR
Proposed Use: APTS/CONDOS Lot(s): Block: Section:
Square Feet: Subdivision: ATLANTIC BEACH
Est. Value: Parcel Number:
Improv. Cost: OWNER INFORMATION-
Date Issued: 9/07/1999 Name: DOVER J. ALBERT
Total Fees: 47.00 Address: 1503 JORDAN STREET
Amount Paid: 47.00 ATLANTIC BEACH, FLORIDA 32233
Date Paid: 9/07/1999 Phone: (904)783-0230
Work Desc: REPL HEAT PUMP 2.5 -r6N, AIR-HXNDLR 17K BTU
-7777-7-- 7--T-
CONTRAC.T0R(Sj.-�..`,--'. ���,-' , �:,, ��: -APPLICATI[ON,FEES.
J &W HEATING AND AIR PERMIT 47.00
.=--trispectionwRequired
FINAL
NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND
MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
I "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY
OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
$47.00 14
Date: 9/137/99 01 Receipt: 8084629
CHECKS 22941
ATLANTIC BEAC BUILDING DEPT. 00100003221000
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC BEACH, FLORIDA 322,331
APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER
IMPORTANT — Applicant to complete all items in sections 1, 11, 111, and IV.
Street Address: PtIcl;�j_
LOCATION
OF Intersecting Street%: Between And
BUILDING
Sub-division
11. IDENTIFICATION — To be completed by all applicants .
In consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance
with the attaclLed plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards
of good practice listed therein.
Name of Mechanical Confractort
Contractor (Print) Af_ Matter "o
Name of VL�'
Property Owner 0a2 4z
Signature of Owner Signature of
or Authorized Agent Architect or Engineer
111111. GENIERAL INFORMATION
A, Ty beating Not: E3. IS OTHER CONSTRUCTION BEING DONE ON
(07.10–
Electric THIS BUILDING OR SITE?
0 Gas—0 LP (:I Natural 0 Central Utility
IF YES, GIVE NUMBER OF CONSTRUCTION
C) Oil PERMIT
0 other — Specify
IV. MICHANICAL EQUIPMENT TO BE INSTALLED NAT RE OF WORK
Prov* 0 1 complisfe list of componsints on bock of this r1n) 1:711esidential or U1 Commercial
;7d'
Heat 0 Space 0 Recessed Control 0 Flom 11 ew Building
��17 �4xisting Building
'Conditioning: [] Room 7C.ntrol VReplacement of existing system
Duct, System: Material Thicknou— El New Installation(No system previously Installed)
Maximum capacity
13 Refrigeration Extension or add-on to existing system
0 Cooling tower: Capacity 9-P.M. Other — Specify
[3 Fire sprinklers: Number of heads
0 Elevator Monliff 0 Escalato (number) THIS StACE FOR OFFICE USE ONLY
[3 Gasoline pumps —(number) (Raicolivisel 1
0 Tanks (numbor) Remarks
(3 LPG confoino (number)
[3 Unfired pressure vessei
13 Boilers Permit Approved by Data—
b Other — Speicify Permit Fee
LIST ALL EQUIPMENT
AIR CONDITIONING AND REFRIGERATION EQUIPMENT
r-wMapit A roving
Number Units Description Model Number Manufacturer RIZ07
Ive") t A',mzq
V
CITY OF ATLANTIC BEACH
MECHANICAL PERMIT
800 SEMINOLE ROAD-ATLANTIC BEACH, FL 32233-TEL: 247-5826-FAX: 247-5877
PERMIT INFORMATION- LOCATION'-INFORMATION. —J
Permit Number: 18794 Address: 1508 JORDAN STREET
Permit Type: MECHANICAL ATLANTIC BEACH, FL2233
Class of Work: REPAIR Township: Range: Book:
Proposed Use: APTS/CONDOS Lot(s): Block: Section:
Square Feet: Subdivision:
Est. Value: Parcel Number:
Improv. Cost: OWNER INFORMATION
Date Issued: 9/07/1999 Name: DOVER J. ALBERT
Total Fees: 47.00 Address: 1503 JORDAN STREET
'233
Amount Paid: 47.00 ATLANTIC BEACH, FLORIDA 32,
Date Paid: 9/07/1999 Phone: (904)783-0230
Work Desc: REPL HEAT puM—p2.6-T-0—NAiRHA—DLR 17K BTU ------
CO CTORS) APPLICATION FEES"
J &W HEATING AND AIR PERMIT 47.00
FINAL
NOTICE-INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
BUILDING MATERIAL, RUBBISH AND DEBRIS 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 COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY
OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.----
Date: 9/07/99 01 Receipt: 0084629
CHECKS 22941
C BUILD I�G—DEPT. 881ON83221800
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC BEACH, FLORIDA 32233
APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER
IMPORTANT — Applicant to complete all items in sections 1, 11, 111, and IV.
JV
LOCATION Street Address:
OF Intersecting Streets: Befween_______--And
BUILDING
Sub-division
11. IDENTIFICATION — To be completed by all applicants
In consideration of permit given for doing the work as described in the above staiefnent we heleby agree to perform said work in accordanc
with the attached PI ans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and stanclardes
of good practice listed therein.
Name of Mechanical Contractors
Contractor (Print) Master
ir—�4 12 A-1 14
Name of vk,-
Property Owner --.062 d e1L 10 el— Yg 2
Signature of Owner Signature of
or Authorized Agent Architect or Engineer
GENERAL INFORMATION
A, Type/hosting fuel: B. IS OTHER CONSTRUCTION BEING DONE ON
13K Electric THIS BUILDING OR SITE?
0 Gas—0 LP 0 Natural C1 Central Utility
IF YES, GIVE NUMBER OF CONSTRUCTION
13 Oil PERMIT
0 Other — Specify
IV. MICHANtM L911.111111IMINT TO BE INSTALLED NAT RE OF WORK
jisrovi 0 complete,list of componenh on bock of this rm) Residential or 11 Commercial
a
�.�H ea 1 0 Spec* 0 Recessed ��frsl 0 Floor
,/Jew Building
��r Conditioning: 0 Room ;7c.nfrsl ' Existing Building
Ducf, Sysfom: Material Thickn*s&— r�/Replacement of existing system
Maximum capacity c.f.m. New Installation(No system previously Installed)
[3 Refrigeration Extension or add-on to existing system
0 Cooling fow*r: Capacity 9-P-M. Other — Specify
0 Fire sprinklers: Number of head.
13 Elevator 0 Monlift 0 Escalator —(number) THIS SPACE FOR OFFICE USE ONLY
(3 Gasoline pump& —(num6or) (Rocelved)
0 Tanks —(number) Remarks
0 LPG containers -(num6orl
0 Unfired pressure vessoi
0 Boilers Pormii Approved b Date
[3 O+hsr — Specify Permit F**--
LIST ALL EQUIPMENT
AOL CONDITIONING AND REFRIGERATION EQUIPMENT
canarity A=rovbw
Number Units Description Model Number Manufacturer
Ale) t M/'q
V Av-,e IV7
CITY OF ATLANTIC BEACH
MECHANICAL PERMIT
800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877
PERMIT INFORMATION, LOCATION�INFORMATION-
Permit Number: 18795 Address: 1509 JORDAN STREL I
Permit Type: MECHANICAL ATLANTIC BEACH, FL
Class of Work: REPAIR Township: Range: Book:
Proposed Use: APTS/CONDOS Lot(s): Block: Section:
Square Feet: Subdivision: ATL BCH
Est. Value: Parcel Number:
Improv. Cost:
OWNER INFORMATION
Date Issued: Name: DOVER J. M�L-BER�T ����
Total Fees: 47.00 Address: 1503 JORDAN STREET
Amount Paid: 47.00
ATLANTIC BEACH, FLORIDA 32233
Date Paid: 9/07/1999
Phone: (904)783-0230
Work Desc: REPL HEAT PUMP 2.5 TON, AIR HANDLER 17K BTU
CONTRACTORS�. 7,
TION FEES:
.---.�APPLICA
J & W HEATING AND AIR RMIT 47.00
Insi)ectionsReouired
I FINAL
NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
BUILDING MATERIAL, RUBBISH AND DEBRIS 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 COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY
OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION I
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
$47.0814
9084629
Date: 9/07/99 It Rece'Pt: 2294.
cHECKS
--A"NTIC B 0 T--.---- @gja8883221088
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC BEACH, FLORIDA 32233
APPLICATION FOR MECHANICAL PERMIT —CALL-IN NUMBER
IMPORTANT Applicant to complete all items in sections 1, 11, 111, and IV.
Street Address: f7M'ed'i'o__
LOCATION
OF Intersecting Streets: Between —And—
BUILDING
Sub-division
11. IDENTIFICATION — To be completed by all applicants
In consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance
with the attactLed plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards
of good practice listed therein.
Name of Mechanical Contractors
Contractor (Print) A2 He_j /L 4t 1�A-, Master
Name of I / VL,-
Property Owner ez—'ye
ignature of Owner Signature of
r Aufh*rized Agent Architect or Engineer
GIENERAL INFORMATION
A Typo hosting fuel: B.
IS OTHER CONSTRUCTION BEING DONE ON
��S*cfric THIS BUILDING OR SITE?
Goo—[I LP [3 Natural C] Control Utility
IF YES. GIVE NUMBER OF CONSTRUCTION
Oil PERMIT
C3 Other — Specify
IV. MWHANICAL EQUIPME11W TO BE INSTALLED IN
,�ATYRE OF WORK
(Prov* 9 complete list of components an back of this rm) Residential or El Commercial
Heat 0 Space 0 Recessed frol 0 Floot 1-1 ew Building
��r Conditioning: [] Room 7c.ntrol �'/Nexlsling Building
Duct, System: Material Thickn*sL— VReplacement of existing system
Maximum capacity c.f.m. New installation(No system previously Installed)
• Refrigeration Extension or add-on to existing system
• Cooling tower: Capacity Other — Specify
0 Fire sprinklers: Number of head-
0 Elevator 0 Monlift 0 Escalator-(number) THIS SPACE FOR OFFICE USE ONLY
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 Seminole Road -Atlantic Beach, FL 32233-Tel: 247-5826 - Fax: 247-5877
ELECTRICAL PERMIT
�i PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18260 Address: 1509 JORDAN STREET
Permit Type: ELECTRICAL ATLANTIC BEACH, FLORIDA 32233
Class of Work: REPAIR Township: 0 Range: 0 Book:
Proposed Use: Lot(s): Block: Section: 0
Square Feet: Subdivision: SECTION H
Est. Value: Parcel Number:
Improv. Cost: OWNER]NFORMAT10N
Date Issued: 5/21/1999 Name: FLAGSHIP PROPERTIES
Total Fees: 25.00 Address: 1088 CORNELL LANE
Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233
Date Paid: 5/21/1999 Phone: (904)398-8537
Work Desc: ESS100AMPS1PH3ff2-40V - REPAIR SERV.ADD DISCONNECTS & 4-WIRE CABLE
AIPPLICATIONFEES�
CONTRACTOR(S)�
BROOKS & LIMBAUGH PERMIT 25.00
'Inspgctions Required..
FINAL ELECTRIC
NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
BUILDING MATERIAL, RUBBISH AND DEBRIS 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 COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE
PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
$25.1% 14
Date: 5/28/99 81 Receipt: OW485
CASH
ATLANTIC BEACH UILDING D 061,606322109%
CITY OF ATLANTIC BEACH, FLORIDA
Approvod by APPLICATION FOR ELECTRICAL PERMIT
2v
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:-- 191—?
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.
19
Ae
ELECTAICAL FIRM: MASTER ELECTRICIAN SIGNkTURE 6X— JOURNEYMAN
NAME —ADDRESS:-,/. RFD—BOX
BLDG.SIZE BETWEEN:
RES.9 APT. ( comm. PUBLIC INDUS. ( NEW( I OLD REW. I
ADDITION ( TRAILER ( TEMP. ( SIGNS ( I —SQ. FT.
SERVICE: NEW( INCREASE ( REPAIR)>< FEE
CONDUCTOR SIZE AMPS COPPER I ALUMJ
SWITCH OR BREAKER AMPS PH W VOLT 1JACEWAY
EXIST.SERV.SIZE AMPS PH 7w 2V LT RACEWAY
FEEDERS NO. SIZE INO. SIZE I NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
SWITCHES 0.30 AMPS. 31-100 A-MPS.
INCANDESCENT
FLUORESCENT&M.V.
FIXED 0.100 AMPS. OVER
APPLIANCES BELL TRANSF.
AIR H.P. RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
0-1 OVIR
MOTORS H.P. VOLTAGE PHS NO. VOLTAGE PHS
MISCELLANEOUS
ef
4 Z�z zrx/�9
u � i-- W—Cazreec- C_4734o- 7-0 110*61A-z-5
792 Am4zr-npmFpq. NDER 600 V. 1111 OVER 600 V.
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 Seminole Road -Atlantic Beach, FL 32233-Tel: 247-5826- Fax: 247-5877
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit ber: 18294 Address: 1507 JORDON STREET
Permit Type: ELECTRICAL ATLANTIC BEACH, FLORIDA 32233
Class of Work: REPAIR Township: 0 Range: 0 Book:
Proposed Use: Lot(s): Block: Section: 0
Square Feet: Subdivision: DONNER
Est. Value: Parcel Number:
Improv. Cost: OWNER INFORMATION
Date Issued: 5/28/1999 Name: FLAGSHIP PROPERTIES
Total Fees: 25.00 Address: 1088 CORNELL LANE
Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233
Date Paid: 5/28/1999 Phone: (904)398-8537
Work Desc: ESS100AMPS1PH3W240V REPAIR SERV/ADD DISCONNECTS & 4-WIRE CABLE
CONTRACTOR(S)�ii���-
-.: :, .. APPLICATION�FEES:
BROOKS & LIMBAUGH PERMIT 25.00
4tispections Required:
FINAL ELECTRIC
NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
BUILDING MATERIAL, RUBBISH AND DEBRIS 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 COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE
PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
ATLANTIC BEACH LBUILDING Date: 5/28/99 01 Receipt: W60484
CASH
0811010322110
CITY OF ATLANTIC BEACH, FLORIDA lkc�
Approved by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:—L-6�v 19
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.
ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNAT6`RE(--�9—' JOURNEYMAN
NAME A D D R E SS: RFD—BOX—
BLDG.SIZE BETWEEN:
RES.K) APT. ( comm. PUBLIC I INDUS. NEW( OLDJ4�) REW.
ADDITION ( TRAILER TEMP. ( SIGNS ( SQ. FT.
SERVICE: NEWI INCREASE ( REPAIR FEE
CONDUCTOR SIZE AMPS COPP R ALUM. (
SWITCH OR BREAKER AMPS PH W VOLT RACEWAY
EXIST.SERV.SIZE ICQQ AMPS PH W 12YQ LT RACEWAY
FEEDERS NO. SIZE INO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
0.30 AMPS. 31-100 A-MPS.
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
FIXED I)-lOO AMPS. OVER
APPLIANCES
BELL TRANSF.
AIR H.P. RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
I
0-1 OVER
MOTORS H.P. VOLTAGE PHS NO. I H.P. VOLTAGE1 PHS
MISCELLANEOUS iv--g-7-197,e 7302,72-7,
c--/ Z:Y- 4� -
Alm dZ0 12,1<
000508
DEPARTMENT OF BUILDING
ITY OF ATLANTIC BEACH
P El?it IT I ti I OV0 A-IJOIJ flit-1 W(IATI`014
71, 1.!5()7 JORDOII
LL F:("I'f I A L, ATLANT1C PEACII, F'LSWIDA :.I
C I. of 14 c I I� � I�V V I\ I I .. ---L ----- -- - l.f.(.;AL 1.sF.`-3Cr I'PTT(111
It"�', 1211 oc It, . '11 f.-(-1. L cI I
�3 J.H 0 L F* F'A 111 L7 plak, nocyk. r"I q cl-
I I J_ C) 13uI')dtv1t1io14-. 0011(jEr
vvilut.' .. owfwf� 111FOVIIATT011
fl-amei FLAGSHIP
Tc)t_o t F q�20. 00
A d d
Ammant vai'f. It"'710. 11)()
1, 'LlE.-ao. EXT 100.Atlr!, 11,413W 120124;)�,'OLT f`R1-I,, REPA1R L,TfIF' !! [DF: Or IW"I"VP ('At[
'APPL1GATION F�F"R;3
AL,LSTATE t I',
W A TER I H P A G'r r E:rt-.
IS"C w F:P .1 111"t"JT F-EE
WATPR AIN 411
RADOU GAS -If. R. S.
RAD014 6 A->, 5 "po. (In
W AT E'R TA I>
011
F) WER TAP
flYDRAULIC SHARE
CIE.— If.11111PE101 1.11",.E
LP
0, Ot I
R
0 (X)
NOTES:
NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE
CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER.
I
"FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS.15
D ACCORDING TO APPROVED PLANS WHICH ARE PAPT r1c -rull
ION OF APPLIrAP1
LORIDA
CITY OF ATLANTIC BEACH.' .F
App,r,%:.d by APPLICATION FOR EVccTRICAL PERMIT
t -S:
TO THE CI-it-F ELECTRICAL INSPECTOR: DATE:
IMPORTANT NOTICE:
IN C014SIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE
HEREBY I-GREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,
WHICH i.RE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS. CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
ELECTRICAL FIRM- Jo u-t-UiFIVII.U
F-&c.MA TER ELECTRICIAN SIGNATURE
NPME E-12=2,�J,, P PP- P'z vz-
ADDRESS. e-,.:k A RFD-BOX-.--,--
-8 T.W ZH":�Pooz-+
BLDG.SIZE E EEN:
RES.K) APT. ( Co' Mm. PUBLIC INDUS. NEW OLD REW.
AODIYION TRAILER TEMP. SIGNS SQ.FT.
SERVICE: NEW INCREASE ( REPAIR FEE
CONDUCTOR SIZE AMPS COPPER ALUIVIJ
SWITCH OR Li�.EAKER AMPS PH W1 VOLT RACEWAY
2IV
0 ty. AMPS
EXIST.SERV.SIZE I PH W -,eq,)VOLT RACEWAY
FEEDERS NO. SIZE IND. NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN' ITOTAL
RECEPTACLES CONCEALED OPEN LTOTAL
AMPS. 31-1.0 AMP
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
FIX 45--100AMPS. VER
ED
BELL TRANSF
AIR H.P. RATING H.P. RATING
CONDITIONiNG COM.?.MOTOR OTHER MOTORS AMPS ICEIL HEATI KW-Ha'-AT
OVER
MOTORS H.P. VOLTAGE pHs NO. I ILP. VOLTAGE PHS
IAISCELL.,'��f-OUS
q_- Yt
Tr;ANSFORAAEP��-.. UNDER 300V. OvEe�603 V.
CITY OF ATLANTIC BEACH
BUILDING DEPARTMENT
INSPECTION REPORT
JOB LOCATION PERMIT#
SUBDIVISION
1507 JORDON STREET 508
OWNERNAME ATLANTIC BEACH, FLORIDA 32233PHONE DONNER
LEGAL DESC: LOT FLAfi5kKP PROPRRIdWS PERMIT TYPE(904)739-2700
CLASS OF WORK
CONTRACTOR PROPOSED USE ELECTRICAL
REPAIR
ALLSTATE ELECTRICAL CONTR. INC SINGLE FAMILY
WORK DESCRIPTION
A)PECTION REQUIRED EXT IOOAMP IPH3W 120/240VM(70SEU:REPAIR LINE SIDE OF METER CAE
N,
,;,,,,&,FINAL ELECTRIC AM
'�',�CTED 2-12-4 BY APPROVED REJECTED F-1
'ATLANTIC BEACH
ING DEPARTMENT
IECTION REPORT
PERMIT#
SUBDIVISION 530
)A 32233 SECTION H
PHONE
(904)739-2700
PERMIT TYPE
CLASS OF WORK ELECTRICAL
PROPOSED USE REPAIR
7R. INC SINGLE FAMILY
1�20/240 VOLT SEU RACEWAY, REPAIR LINES OF
INSPECTOR
RIC AN
APPROVED REJECTED Fl
000530
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
PrRmrr IfIrORHATIC)fl LOCATION INFORIIAT1011
Permit HumbeCt 530 Address: 1509 JORDAU
PermiL Typet ELIECTRICAL '11, 3 2
ATI-ANTIC IBEA( FIJ)Pirm _3
Claos o-f Work : REPAIR LEGAL 'DESCR I PI'l(MI
Constr. Type, N/A
L.ot - Block: S 6?u!L i cot I
Proposed Ua(-:�. SINGLE FAt11I,Y PlaL Book: Fla q e 1 0
Dwellitigai 0 C od e 0 Subdiviaiori; SECTION 11
EnLipvaLed V a].u e $0. 00 7—------ - OWNER: INFORIIAT1014
Improv. ComL s 11�0. 00 Names FLAGSHIP P R 0 P E RTY
T a t a I P e 0- s t20- 00 Address.- 1509 JORDAN 'S'TREET
Amouxltt�,paid �$20. 00 ' ATL.ANT`1C, BEACH, FLOPIDA 322--,)3
bat pr-1 t 1-1 P h e 904 7 39-.2`700
wo 1, If,
FSp;.' t0QAMP3, jPI1, 120/240 V Q L'r sEu RA(--EWAY, REt*'A.fR LINES OF S F RV
`A�
------- CONTRACTon(s Y,�
OMICATION FEES
AL,LSTATI9"':'tLE TRICAL. t.-ONTR. 1 NC PERti'lit'
I !.,-p-1 0 0 0
WATER, 1MPACj' FCC
to. 00
-EWIER -I tipkcf FEE L�Pp;
'A Z, v.,, -0!- �,O,
RADON -GAS-14. R.�S. 00
RADON GAS 1401 00
0. 0
WATER TAP
SEWER TAP-- CIO
HYDRAULIC 00
RC-INSPECT FEE
ENGINEERING 00
NOTES:
NOTICE ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE,
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE Pt ACE ID IN PUBLIC SPACE,AND MUST BE
CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER.
"FAILURE TO COMPLY WITH THE MECHANICS9 LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYING TWICE FOR 13UILDING IMPROVEMENTS.yy
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW.
ATLANTIC BEACH BUILDING DEPARTMENT
By*.
CITY OF ATLANTIC BEACH, FLORIDA
ApP%.d by APPLICATION FOR ELKYRICAL PERMIT
TO THE Chi_F ELECTRICAL INSPECTOR: DATE:
IMPORTANT NOTICE:
IN CON'SIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE
HEREBY f-GREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,
WHICH i.RE A PART HEREOF, AND IN ACCORDANCE WITH THE ELE,CTRICA.L REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
ELECTRICAL FIRM: i MASTER ELECTRICIAN SIGNATURE
N.P%ki#,E RFD-BOX-.--,--
BLDG.SIZE -BETWEEN:
RES.(A APT. ( comm.I PUBLIC INDUSA NEW OLD REW. 0,11
ADDITION ( TRAILER TEMP. SIGNS,11 SQ.FT.
FEE
SERVICE: NEW INCREAXE ( REPAIR (yj
CONDUCTOR SIZE AMPS COPPER ALUM.
.M., iTCH OR 6C�.EAKER AMPS PH W VOLT RACEWAY
EXIST.SERV.SIZE 0 AMPS pii W 154WOLT �S G_�) RACEWAY
FEEDERS NO. SIZE INO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN ITOTAL
CONCEALED OPEN TOTAL
RECEPTACLES LC
0-30 AMPS. 31-1 00 A MPS.
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
.100 AMPS. VCR
FIXED
FBELLTR��_
AIR H.P. RATING H.P. RATING
CONDITIOkliNG MOTOR OTHER MOTGAS AMPS dEIL HEAT:l KW-H-'::AT
'S
OVER
H.P. VOLTAGE phs NO.: I ILP. VOLTAGE ms
MOTORS
MIFCELL.,'�%EOUS_jLa��677 1777
oc
TUNDER �-oov. OvEii coo V.