Permit 111 Levy Rd (vault folder) r s
.r
DATE: 7_9
PRE-SERVICE DIVISION
JACKSONVILLE ELECTRIC AUTHORITY
233 WEST DUVAL STREET
JACKSONVILLE, FLORIDA 32202
THE FOLLOWING FINAL INSPECTIONS) HAVE BEEN MADE AND ARE
SATISFACTORY :
/76'7/ ------------------------------
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Enclosed are the blue copies of the permits.
NCEREL
BUILDING INSPECTION DIVISION
cc: FILE
CITY OF
t I l s#ic l3ercli-0;&UA#4
I Office of Building Official C
REQUEST FOR INSPECTION
` f
Date _...� � � Permit No. �76 '"`� `
Time A.M.
Received ___ _ - -_ - - P.M
Job dor ssLocality
Owner's
Name ____ or
BUILDING CONCRETE PLUMBING MECHANICAL
Framing C Footing 0� Rough Wiring ❑ Rough L Air Cond.& L
Re Rooting C Slab 0 Temp Pole F] Top Out Heating
Insulation _ Lintel CI Final El Sewer EJ Fire Place
Pre Fab
READY FOR INSPECTION
.M.
Mon. Tues. Wed, Thurs. Friday
A.M.
Inspection Md
In actor__.-_— _ _ _ _ _ Final Inspection
-- Certificate of ccupancy
Date
CITY OF-
4&4a&.
F
4&4a&. /j e4CA-0 "
Office of Building Official
REQUEST FOR INSPECTION
Date Permit No.
Time A.M.
Received �� ��P �, District Na.
i
Job Address Locality
Owner's e+ C S 'i _
Name Contractor
BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL
Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& U
Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Beating
Lintel ❑ Fire Place 0
Pre Fab
READY FOR INSPECTION A M
Mon. Tues. ! Wed. Thurs. Friday P.M.
Inspection Mader ` P.M.
16-lvsp c;/ 71
Inspector Final Inspection❑
Certificate of Occupancy
Date
CITY OF ATLANTIC BEACH, FLORIDA
„�ro�»a br APPLICATION FOR ELECTRICAL PERMIT
1�
?TO CHIEF ELECTRICAL INSPECTOR: DATE:--- �-`-� 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.
agpolcs ! NI?RvU
ELECTRICAL FIRM: MASTER ELEC7RJICI/AN SIGNATUR9, JOURNEYMAN
NAMF� � f7 DRESS: / f � CJ RFD-SOX-
BLDG.SIZE BETWEEN:. kag r 0,� `-� `"/
RES.i 1 APT. ( 1 COMM. PUBLIC( 1 INDUS.t I NEW( I OLD( 1 REW.t 1
'ADDITION( 1 TRAILER ( I TEMPA 1 SIGNS t ? SO, FT.
SERVICE: NEW( 1 INCREASE ( 1 REPAIR i 1 FEE
CONDUCTOR SIZ leo AMPS COPPER ALUM
SWITCH OR BREAKER AMPS PH W VOLT RACEWAY
EXIST.SERV,SIZE Z&O AMPS 'PH W .9 r'`• oLT RACEWAY
FEEDERS NO. SIZE NO. SIZENO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN I TOTAL
0-30 AMPS, 31.100 AMPS,
SWITCHES
INCANDESCENT
FLUORESCENT&:M.V.
FIXED' 0.400 AMPS. OVER
APPLIANCES BELL TRANSF.
AIR H.P.RATING M.P.RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CELL HEAT: KW-HEAT
7
0-t OVER
MOTORS H.P. VOLTAGE PHS NO. I H.P. VOLTAGE PHS
MISCELLANEOUS
TRANSFORMERS: UNDER 600 V. OVER 600 V.
CITY OF ATLANTIC BEACH
`J i4 800 SEMINOLE ROAD
-1 ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 09-00001112 Date 8/11/09
Property Address . . . . . . 111 LEVY RD
Application type description COMMERCIAL ADDITION/ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 500
----------------------------------------------------------------------------
Application desc
FIREWALL
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
RKS CONSTRUCTION & DESIGN INC
1545 ST MARKS POND BV
ST.AUGUSTINE FL 32095
(904) 466-0007
--------------------- Structure Information 000 000 ----------------------
Construction Type . . . . . TYPE 5-B
Occupancy Type . . . . . . BUSINESS
Flood Zone . . . . . . . . ZONE X
----------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 35 . 00 Plan Check Fee 17 . 50
Issue Date . . . . Valuation . . . . 500
Expiration Date . . 2/07/10
----------------------------------------------------------------------------
Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS .
2004 FLORIDA FIRE PREVENTION CODE
2005 NATIONAL ELECTRICAL CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
-----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 35 . 00 35 . 00 . 00 . 00
Plan Check Total 17 . 50 17 . 50 . 00 . 00
Grand Total 52 . 50 52 . 50 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
f
`c •
4
1 + CITY OF ATLANTIC BEACH
W xq 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 0A I I I I I
*' 5F OFFICE:(904)247-5826•FAX NO.:(904)247-5845
BUILDING-DEPT@COAB.US
BUILDING PERMIT APPLICA ION DUVAL COUNTY
1. Ip •P[)i�R $5..,' ..:.., `4,..0.
u y �Sv
7TLEGIt.,tES t?IJOt1, . `_ .. � Tw _ S::Ct ASS t?F WS2RK,,., ,. :, ..
. t1SEXF STRII(v TARE
�] .7 C q ❑NEW BUILDING ❑DEMOLITION ❑RESIDENTIAL
LOT"4 BLOCK_SUB DIVISION )-7-`J-�1 E ❑ADDITION ❑CONVERTING USE COMMERCIAL
sT,•DE"CtT P.TION'QF WORK. .;',,, .��',�u ,:? •• "s ,.` ❑ALTERATION 11 ACCESSORY BLDG. =B.FIRE SP$INtCl;_R,;,
AREPAIR ❑POOL/SPA ❑YES ❑N/A
❑MOVE ❑OTHER
a. A ...n.. IARCHI,TEGT/ENONG
7 7,7INEER-'OTYWCONTRCTOR :,R
9.
NAME: 1 ItIAME: 23.COMPANY NAME:
♦la>rt11 c B ec<k 0_QM 1 erc,'Q. ✓� K L 0'.J ,L
`}- �j-'�'ptq�.e Q,+'-- 1...� 16.NAME:p � �n/G kZ 24.LICENSEE NAME:
10.ADDRES `-i+ 17.ST TE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.:
U01 C +angel s I J le 1t C G S`6 j 7 �
7 -7 18.ADDRESS: f y�" J"f/�'1^�,^,/G1 f f 26.ADDRESS:
-10
11Q.OFFICE T,rPHONE: 112.Q�N 0.: 46 14,Q0 ICE F, N ,3� �V20.V NO' Z / 27.OFFICE PHONE: 28.FAX NO.:
13.CELL PHONE: -2ELL POO..iiH--ONE: `O 29.CELL PHONE:
Cfo- 59t- 90 Yo5 - y6,-/- L)007 ).
14.EMAILADDRESS. 22.EMAIL ADDRESS -- '' 30.EMAIL ADDRESS:
i Z e-01 cure RVs Comir J 3 ��J C � G•.�-t
(IVl;L) TIT4E OLQER ` BONQIN� OMPANY MORTGAGE LENDER
g�# 1s1jTHM,`0 h-)R Kj 1,
31.NAME: 33.NAME: 35.NAME:
32.ADDRESS: 34.ADDRESS: 136.ADDRESS:
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this
jurisdiction. This permit becomes null and void if work is not commenced within six(6) months, or if construction or work is suspended or
abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for
Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc.
OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof,until all inspections are finaled and
prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law.
WARNING TO OWNER:
YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
F F sQW E CONTRA Q
OrPni
Signed: Date: Signed:v" �' Datel /
day of_��KY U ,2009 in the county of Before me this r r1 day of KCX a 2009 in the county of
Be re m his st 4
Duval,State of Florida,,,has personally appeared Duval,State of Florida,has personally appeared
herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are
true and accurate. true and accurate. i
Notary Public at Large,State of-FL. County of T)CA�/Gk Notary Public at Large,State of - �1 County of Vc• I
�16 Personally Known Personally Known
ElProduced Identi Y PUBLIGSTATE OF FLORIDA Produced Identi tion-
Notary Signatur . Notary SignatuiN(( T$T�TId.CT]lT1$..laL+�i�
'•. x ares; _
R CODE COM missionDD795538
aoxn9ices: AUS',•
CITY OF ATLANTIC BERCI
BLDG01 Permit Application Bld I REVISED:12/16/SEE PERMITS FOR ADDITIONAL ! 1
REQUIREMENTS AND CONDITIONS. FILE C
REVIEWED BY: DATE: 09' `
City of Atlantic Beach APPLICATION NUMBER
Building Department 9 p (To be assigned by the Building Department.)
800 Seminole Road � 0-
Atlantic Beach, Florida 32233-5445 _�
Phone(904)247-5826 • Fax(904) 247-5845 Q
E-mail: building-dept@coab.us Date routed: O
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: I/ 70.4_� nt review required Ye No
iIdin
Applicant: Planning &Zoning
Tree Administrator
Project: Public Works
Public Utilities
Public Safety
Fire Services
Review fee,$ .� ,. .. Dept,Signature .�-.
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: [�p roved. ❑Denied.
(Circle one.) Comments:
(�BUILDIN
PLANNING &ZONING
Reviewed by: Date: //
TREE ADMIN. Second Review: []Approved as revised. ❑D ied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
�4
Reviewed by: Date:
Revised 05/14/09
J9%87-08 13:31 power Electric Const 904-855-1238 » 904 247 5845 p 2
CnY OF AILAMI'I1C M NO=
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MECTRWAL PER W APPUCATM DUVAL COUNTY
O MO
111 LA ixROAM OVO PlAme 07/08/2009
L MtM1E Gaam tvio�i �orrrtt 11101M
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Contact: Pam Wits 904/591-4990
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Power Electric Construction,Inc. Jacksonville FL 3221
l.3►AMEOM;om110i►1i6 m cel wtoNt W RARIO:
904/855-1238
powemiec@msn.com 9045 1235 K
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„, 'I�: 3t-100 AMPS OVW 100 AMPS:
SOF UNFT& COMP MOTOR W RATING AMP& MAT KW
f GF uWm cW.MOTOR w RATING A1MP& NEAT KW..
NUMBER VOLTAGE HP: INA'
NUMBER; VOLTAGE MR INA
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CITY OF ATLANTIC BEACH, FLORIDA
Approval by APPLICATION FOR ELECTRICAL. PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:�_L_ 19 9,57
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.
ll
ELECTRICAL FIRM:D Llc MASTER ELECTRICIA /SIGNATURE JOURNEYMAN
NAME.
-5 /0,-1- I- 'r►'!ADDRESS:1 ` ` `�' RFD BOX
r T
BLDG.SIZE BETWEEN:
RES.( 1 APT. ( ) COMM.(i( PUBLIC ( I INDUS.( ) NEW( ! OLD ( ) REW.( )
ADDITION ( I TRAILER ( 1 TEMP.( ) SIGNS 1 ) SQ. FT.
SERVICE: NEW( ) INCREASE ( 1 REPAIR FEE
CONDUCTOR SIZE le74 AMPS /e 0 COPPER I ALUM.
yv
SWITCH OR BREAKER /60 AMPS PH 3 W `� VOLT RACEWAY
EXIST.SERV.SIZE / 00 AMPS PH 3w VOLT RACEWAY
FEEDERS NO. SIZE NO. SIZE I NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
0.90 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 N0. 1 H.P. VOLTAGE PHS
MISCELLANEOUS
eAa� r 5 env. cv--
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 09-00000989 Date 7/09/09
Property Address . . . . . . 111 LEVY RD
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
safety inspection
----------------------------------------------------------------------------
Owner Contractor
--------------- --------- ------------------------
POWER ELECTRIC CONSTRUCTION,
INC.
7300 BEACH BLVD.
JACKSONVILLE FL 32216
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . 70 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 1/05/10
----------------------------------------------------- -------------------- - --
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 70 . 00 70 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 70 . 00 70 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.