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Permit 450 Mako (vault) r _ CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road - Atlantic Beach, Fl 32233 - Tel. (904) 247 -5826 ROOFING PERMIT _ _ ___._;____ —, °TI•N a •AMA IO ._.__.._ _ _� - M Address: 450 MAKO DRIVE FLORIDA 32233 i pin Permit OOF Number: 22303 ATLANTIC BEACH, F:E -R Township :0 Range :0 Book: Permit Type: Block: Section: 0 Class a of Work: NEW Lot(s): ROYAL PALMS Proposed Use Sv Square Feet: Parcel ision: er: Numb •N Est. Value: 2,200.00 0a. R 1 - Improv. Cost: 7/24/2001 Name: KRISTY Date Issued: Address: 450 MAKO DRIVE Total Fees: 30.00 ATLANTIC BEACH, FLORIDA 32233 Amount Paid: 30.00 phone: 904 2 41 -3785 Date Paid: 7/24/2001 Work Desc: NEW ROOF ''' > .. C TIOfit' 30 "AI. 11 $ <, . R=. -, ..,,,, ROMANO ROOFING SERVICES / * ,'" , .. , . , 4"'-\. 't '''''''t ' ''" * t �. �, A �,:� ,1 , � � "fir ipv a ' 'am. f , 4 ' ' -.`-`,, jet, .,,, , , -., .: -'' ' 'c \Li< , .'?,V. ' ; '1,,, - ,7 4° - 4,‘, ,,'''.,,, ° i?.'ii.,,,' ti — I 3 � F 3 r. Aa to ' ,, ax. „ma s3'' "' 'z„� , .3.,4.,'n � A =� are m z '.� 4.,*, .a.. gy , D� . T LEAST 24 :H a UR ` ®R TO 14 °�- PECTION PECTIQ 1 BE R• ” '`- -� - ..1 , ,...c:.-.., . NOTICE - � MATERIAL,' ,U BBISI-I BRIS FROM THIS WORK MUST NOT ,- • C ED IN BLIC SPACE, AND BUILDING � MUST BE CLEARED U "� • ND HAUL' WAY BY EIT CONTRACTOR O ER ti 4 • • ► .4. R , T IN THE "FAILURE TO COMPL " '' PROPERTY OWNER PA � ,., '''''' IT AND SUBJECT TO REVOCATION ISSUED ACCORDING TO APPROVE i; " r FOR VIOLATION OF APPLICABLE PROM { ) ,, E 1 fff rt e: 7f21/ii Receipt: 11117'3941 OF NTIC BEAC 81111113221 7 CITY OF ATLANTIC BUILDING B _ DEPARTMENT OF Seminole Road - Atlantic Beach, FL 32233 - Tel: 247 -5826 - Fax: 247-5877 800 Se PLUMBING PERMIT - PER IN 6RM ` VON Address: 450 MAKO DRI FLORIDA 32233 permit Permit Type: 21666 ATLANTIC BEACH, Book: 32 PLUMBING Township:0 Range: 0 Permit Type: Stock: Section: 0 Propose a Work: NEW Lot(s): ROYAL PALMS propuaed Use: Subdivision: �� Square Value: Parcel Number: Est. Value: � ,�R. � , • ;� � �. _ � ,. m rov. Cost: Name: KR{STY NE 1 p 3/22/2001 450 MAKO DR Date Issued: 46.50 Address: Total Fees: ATLANTIC BEACH, FLORIDA 32233 Am a Paid: 46.50 Phi 904)241 -3785 Date Paid: 3/23/2001 Desc: Re -Pi • e ; ; CA" 'ION E 46.50 Work C. CT e' " .. ', _„ p RMIT ■ LARRY EAGUE AND SONS 1 1 FINAL NOTICE - INSPECTIONS MIST 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 LAWMEN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENT AND SUBJEGT TO REVOCATION ISSUED ACCORDING TO APPROVED ?� S ON O LAW. ARE PART OF THIS PERMIT FOR VIOLATION OF APPLICABLE PRO Y ,: ( t f46.� 14 .. £ Date: 3/23/61 81 Receipt: 884 AT NTIC 8, . • CH BUILDING DEPT. _ --- ----- CITY OF ATLANTIC =CH APPLICATION' FOR PLUMBTNG PZRWZT „DB L CCAT I Off+ : _" 5-Ca /5V/M ® 1 OWNER OF PROPERTY: )' 7" _ _TELEPHONE NO.______ 3 ;PLUMBING CONTRACTOR LARRY TEAGUE PLUMBING CONTRACTOR'S ADDRESS: STATE LICENSE NUMBER _ F 67 b TELEPHONE : , HOW MANY OF THE FOLLOWING FIXTURES INSTALLED / SINKS _ % SHOWERS LAVATORY ( WATER HEAT ERS e BATH =UPS DISHWASHERS URINALS DISPOSALS CLOSETS 6 WASHING MACHINE FLOOR DRAINS SHOWER PANS -WER WATER REPIPE OTHER TOTAL FIXTURES: x 53.50 - 515.00 MINIMUM PERMIT FEE - $25.00 SIGNATURE OF OWNER: / SIGNATURE OF CONTRA y: (v INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (9041 247-5826 SEWER CONNECTIONS MUST BE CALLED INTO PJBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - (9O4) 247 -5834 A „,,. °'` CITY OF ,*1a rtic Seel - 91oPtic+la. 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 -5345 TELEPHONE (904) 247-5800 , .vc FAX (904) 247-5805 April 13, 1995 Mr. Ernesto P. Cruz 450 Mako Drive Atlantic Beach, FL 32233 Dear Mr. Cruz: Our records indicate that you are the owner of the following property in the City of Atlantic Beach, Florida: 450 Mako Drive a /k /a Lot 7, Block 13, Royal Palms 2A REJ171476 -0000 An investigation of this property discloses that I have found and determined that a public nuisance exists thereon as to constitute a violation of Section 12 -1 -3 of the Code of Atlantic Beach (high weeds and grass). You are hereby notified that unless the condition above described is remedied within fifteen (15) days from the date hereof, the City will remedy this condition at a cost of the work plus a charge equal to 100% of the cost of the work to cover City administrative expenses, which will be assessed the property owner or occupant. If not paid within thirty (30) days after receipt of billing, the invoice amount plus advertising costs, will be posted as a lien on the property. Within fifteen (15) days from the date hereof, you may make written request to the City Commission of the City of Atlantic Beach for a hearing before that body, for the purpose of showing that the above listed condition does not constitute a public nuisance. Sincerely, L Karl W. Grunewald Code Enforcement Officet KWG /pah cc: City Manager VIA CER'l$'l$b Witt RETURN RECEIPT REQUESTED PREPARED 1/28/03, 8:23:31 INSPECTION TICKET PAGE 4 CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 1/28/03 ADDRESS . : 450 MAKO DR SUBDIV: TENANT, NBR: INSTALL A/C CONTRACTOR : FLORIDA HOME TECH A/C & APPL. PHONE : (904) 268 -1333 OWNER . . : MILLER, PATRICIA PHONE : (904) 247 -2668 PARCEL . . : 171476 -0000- - APPL NUMBER: 03- 00025411 MECHANICAL ONLY PERMIT: MECH 00 MECHANICAL PERMI REQUESTED INSP IPTION TYP /SQ COMPLETED RESULT TS /COMMENTS , k 34 01 1/28/03 LJ \J1// I1L "3tE: 11: COMMENTS AND NOTES rI `� , -f, 11, CITY OF ATLANTIC BEACH sz 800 SEMINOLE RO a r ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247 -5826 JJ31 03- 00025411 Date 1/22/03 Application Number 450 MAKO DR Property Address INSTALL A/C Tenant nbr, name MECHANIC Application description . . AL ONLY ME BE MECHANICAL Property Zoning 0 Application valuation . . . • Contractor Owner MILLER, PATRICIA FLORIDA HOME TECH A/C & APPL. 450 MAKO DRIVE 6677 BLANDING BOULEVARD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32244 (904) 247 -2668 (904) 268 -1333 Permit MECHANICAL PERMIT Additional desc . • Plan Check Fee .00 Permit Fee 59.00 0 Issue Date Valuation Fee summary Charged Paid Credited Due .00 .00 Permit Fee Total 59.00 59.00 . .00 Plan Check Total .00 .00 59.00 59.00 .00 .00 Grand Total BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK FAIL TO COMPLY IN WITH THE SPACE, CONSTRUCTION LIEN L W UP AND HAULED AWAY BY EITHER CONTRACTOR TWIG F OWNER CAN RESULT ARE THE T E PART OF THIS Y S PE • T ' PAYING ECT TO REVOCATIION FOR VIOLATION OF APPLICCABLEPROVISIONS ACCORDING F LAW. PLANS WHI AIt OF TI-IIE'' T x`^u.zr C , nTnr rvn.Tr: t1FFTCTAT. y .. . .. _ . .. .. .._ -._ _ .. __ ._ ..._. ,.. .... ___. —.... BUILDING AND ZONING • l CITY OF ATLANTII CSBE A C H TIOr( DIVISION APPLICATION FOR MECHANICAL PERMIT CALL•iN NUMBEA (' IMPORTANT — Applicant to complete ail items in sections I, 11, 111, and W. . LOC TION sln.t Addnw. 4 o.No.c.i A::›t"' OF Is1.....11... Sin.l.f 1 .1.••• cl..b ON.\ p ` WILDING S•f*dM.M.. A.., _ 11. IDENTIFICATION — To be completed by all applicants 4 a•.w.il g i d eew.v.li o / ;,... (or daiwq Vt. .aY at dac with I ,.ei. d ells •wd sdhd ; IN. .60.. i s.l..,. wl –• h. .. b W Owd, p.•elle 141.4 4..roin.p .Lich .r• • p. I A•r•.l •wd iw •ce•rduc• ...111 Ih. c;),. .i 1 aiwww wdf ...... 1. .... ft"... New.. N Mcal..alaaf sod /ud..d. Nam. (PAW) �'` \1 Ca C.wlr.. /v. R %. / Nam• si • • Mohr M \ \-p c Sipshe. .4 O.a. w Ar1A «fn.d Ag.wt Siy. /.r. .4 de• '`t •••Q Amiil•st ee isgl...r III. C13d8LAl1NFORAIATION A. Typo .i hosting lr.is "Sc 13..ctrie 13 OTNEA CONSTRUCTION ■SING GONE ON Q Cra. — ❑ LP Q M 11413 1UlLO!NG OR SITE1 �..� ..i Q C.wt..i Utility Q CO IP YES, GIVE NUMSEA OP CONSTRUCTION CI 0i .. Spoaj�r PERMIT ' IV. IrI CHOPI J L iOUl?N1NT TO la INSTAL.0 _�. NATURE OP WORx (Pw. .."iis e•Pfsla IIA a( erwPa+.sh .a hod el fhb F...wl ..a. . . Residential or 0 Commercial N. N ):, ❑. N.a1 ❑ Sp•c. Q ls■a.d Q i lIK Ciw.rd 0 Pk.. 0 N.. 9u1WlnQ /ti. C Q Lawn. ks, Gane♦• ❑ aimin eWItlInq * • [7 Oct Sydow* Ms. .. n.i.y..._ ❑ P■plaaamant of •abU . np .y.t■m M.si...... e.t.a. Q Na. InalaflaGOn (No ( system Ors.iou.ly imitation . ❑ [siA.1s "eM.s 0 Eal■n■1on or add-on to .sisl CI C....4.1 t......? Capacity 1.11.0. Q Other — Opacity 0 R.....+sJ.., N.w.it.• .t h..d• 0 B .sta. 0 Mwlit 0 I..al.i do .- la....1 wbrl THIS Poi OfT1c till . Gw.lt.. o...a< ls. *1 ONLY • ❑ ... • Z........ ___ ❑ thane, Prew■.. "ewes . Q +.a... Peewit . - Q Ott... — . sp.d� �--- D..�.��_ wiW A' AMR awn P. AND REPRSGEAATSON EtWUNIENT 21saber liana D.sastettoo Modal NOmbar 3[ae•ta.Osnr C=1 J IWEAT2NG Pt1RNAcs. [O{lags. PnuMAC21 K+es.r Vaita Ds.artottaw Yodel Number Ya•atla.atrar c(a=tr Arlin' TAlIL1 New Wally Nmtmai Cay..lb TY". Liquid Name sad Coat 3[aaatao Serial A P [ Na. �y Y -- *.. _ter- -_ 1 CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road - Atlantic Beach, FL 32233 - Tel: 247 -5826 - Fax: 247 -5877 ! PLUMBING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 21621 Address: 450 MAKO DRIVE Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 32233 Class of Work: ALTERATION Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section: 0 Square Feet: Subdivision: ROYAL PALMS Est. Value: Parcel Number: Improv. Cost: OWNER INFORMATION Date Issued: 3/16/2001 Name: GOERGE KRISTY Total Fees: 25.00 Address: 450 MAKO DRIVE Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 3/16/2001 Phone: (904)241- 5591_ Work Desc: Water Heater FEES 25.00 1ALL -CITY PLUMBING AND DRAIN CL ' PERMIT I In_ specl_uns Required _ _ !FINAL 4 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. , ..__ . $25.69 14 ATLANTIC BEACH BUILDING DEPT. tees$ 3/16/11 11 Receipts 9942413 CHE 3919 9119113221166 . CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: / fY)C t' OWNER OF PROPERTY �IQcIL TELEPHONE NOD (-( 3%, - i3 3 PLUMBING CONTRACTOR Q tJ • Ti CONTRACTOR' S ADDRESS: L O5 L I ?(, P e S � zi4 STATE LICENSE NUMBER: C SC (9S TELEPHONE (9C ti) 3 J - (9(n J HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORY r WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER WATER REPIPE OTHER TOTAL FIXTURES: x $3.50 + $15.00 MINIMUM PERMIT FEE - $25.00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: Ko 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 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION L,01- ) c/ii,/ DEPARTME TT op BUILDING FOR OFFICE ol U +f NLY ' ( ' ' ' - ' ' . ' ' ' ' . V. / Pemi Fee 8 Apl. for Permit for Yalxaton Macel�,�e ©us Alterations, ; H Ot�SE a nd - Re pairs C DESCRIBE; r ' . ^ " ��, 4. �`. 1 �r �'. C� {fir R 2 (ru ,�cJ .� �S `� �' � w � � �� (State if to reppair, alter, add to or -move building, erect mo orings, signs. e - -, - Building o n : vt RC:, B I,k No Sub.Di � ( • ' /ai L Valuation e,. ""' s ° .: -- Owner `'s N e L.x L e y BUILDINGS OCCUPAN Building s Use - Rei f or Business What P]. biiig work to "done? J Size of Present Bldg, Size of Extension Lot .Size No, of Stories n wafter altered Of :roof l+late of Present Buuilding Material of Extens = SARY PLANS TO EE SUS T . r .►� " ', ' /TN ''" OIL B R. R OR � OLINE E NT Name of Oi.i Burner or Gasoline ' Pump Type or Mod and 'Address Man Is c.enruection ;here application is a lso mad to < ici s t a ll: gal. capac taro 'fie by o f . �. metal 7 �+ d , . ground, , (Name of Manufacturer) #U d� r. car` aeve) Under .far Above - of building. For - (Inside or. Out ("Name of Puxchiaser) FUJRNISN DRAWXNG SHO+TING ` ENTIRE LAYOUT ON RBV,/SSE SIDE OF THIS BLANK S IGNS Size Ciss,sifioaticn (State whether ground, roof, wail, prajecting,bannner) Material tt)f Construction ` Illuminated? ' Type of illuminat (State wwiether .Lamps or Neon) Will sign be over . public property?___ SUBMIT ARM SB INO CONSTRUCTION OP' ;SIGN �' METROD OF HANGING WRITE ADDITIONAL INFORMATION BELOW : -' (For canvas awnings provide dimensioned drawing e o se side) IMP0RFAi NICE.; < 1 In consideration of permit given for doing the t�ca k as d escribed in the above statement, we hereby. agree to perform said work in accordance with the ttachecz plans and specifications, which are a part 'hereof, and in cc ordance with the 'building regulations O r . - the Ci o f Atlantic Beach.., (Southern Standard Buil Code). signature-- Builder er gets ? JE , Ad re ,�%�' . Phone No ''y' r CITY OF. 1 ait t4 R Official U Office TfFOR IN SPEC TION 1 ^7 ) . REQUE Permit No. 4__________/.2-1- q District No. pate ,r) ' ' , v� � ' Locali Time. v� -SLR ri . Reserved 5 D 1I . � � m MECHANIC 4_50 ill .ntrac • PLUMBING Air. Cond. ELE' RICA -- Rough ❑ ECH ❑ Fire Place owner's *CONCRETE F toug Wirm9 O Top Out Pre Fab Name Temp Pole A.M. BUILDING Roofing g Footing l ❑ P.M• ❑ Slab ❑ RemRpOgn9 ❑ Lintel S PEC ?ION pri daY .Y FOR INSPECTION AM � Tues. Inspection :ection Fnal Insp t Ma Certificate of Occupan _ > Date Inspector : vir FOR OFFICE USE ONLY Date Feb. 26 19 70 Permit # 932 Fee $30.00 CITY OF ATLANTIC BEACH Valuation $ 10, 000.00 FLORIDA House .# 450 Mako Drive APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner - Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub - contractors be submitted to this office so that licenses can be verified. R. L. JOHNSON CONSTR. CO. Date 2.... 1.9___....___ 70 , 19 Owner...Rjoudatactuataw Address___. 71EXICEPZEMCK. Telephone No Architect Address. Telephone No Contractor Builder. 32POEPCOODGMC SELF Address MICXXXXXAMIZEXX Telephone No Lot No. 7 Block No. 13 Sub Division R..o- yal___Pallis Zone Mako Street VII Side Between Triton Rd. and Sabalo Dr. sts Valuation $____10_,_0Q0 For what purpose will building be used Re S Type of construction.__BI : ick__Veneer Dimensions of Building 26. x 40 Dimensions of Lot __. 80__. x 93 Size of Footings $___X___.20 Size of Piers Size of Sills Greatest Sill Span in ft. Type Roof AShpalt How will Building be Heated ?. Central aa5 Will Building be on Solid or Filled Ground? S011_d. Size of Ceiling Joists Tr-us_ res , Distance on Centers , Greatest Span " Size of Floor Joists S1 d.-b , Distance on Centers , Greatest Span " Size of Rafters 2 X 4 Tru s s e s , Distance on Centers 24 , Greatest Span PP V (� i W This rectangle is represent he lot � . I i Locate the building to or buildings tile the right position. Give distance in feet from all lot -lines and existing buildings. FEB 2 0 1970 REAR LOT LINE Two copies of plans and specifications shall be submitted with application. Inspections required. THE CITY OF ATLANTIC BEACH 1. When steel is in place and ready to pour footing. W W 2. When steel is in place and ready to pour columns and /or lintel. Z Z 3. When steel is in place and ready to pour beam. 1'4 a 4. When framing is completed. p 5. When rough plumbing is completed, and ready to cover up. W W 6. When septic tank drain field or sewer is laid but before it is covered. q q 7. Electrical inspection by City of Jacksonville. m 8. Final inspection. Note: In case of any rejection, re- inspection MUST be called for after corrections are made. FRONT OF LOT 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 attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the City : 0 Atlan • Beach. R. L. JOHNSON CONSTR. CO. Signature of Builde " Address _._ / Signature of Owne ' . '..G ,,,.' . �s •. � * d : 4 i , . _ .. $ ddress a _.x N — • ■a o o r+ ■ Z rd 0 1 8 1r) Rs t` h E-1 H 1 N a 1 a H U i d H z 41 a 1 0 t crl E-1 I w al 1 A y 1 z o.i a+ �G 1 H 01 A N a co 1 H o c c l n a -o a2 M U 0 E 0 U Z mi. H A x - n wU • 0 _ ° w Ri o ix H wm V� z a w A o ° i.. Q 0 H 1 Q al w W 0 H a oa N W IC w , H c • CO in V z a 0 v ao 3ro� � u, x .• Z II or H N U 0 ...��:. Ow 3 w U r) w o Z r } U] H Z r4 C.) a� ia '— a w 0 r=4 0 Y LL N O W W oc O 0 Q Z< U N 2 6J x . r )/ i t•'- t•'- C 2 1 1 ! ' r. { • Book 8026 Pg 2123 Prepared by:Alan Jensen Return to:Maureen King, City Clerk 800 Seminole Rd. 800 Seminole Rd. Bk: 8026 Atlantic Bch F1. 32233 Atlantic Beach F1. 3224 c021925302-18241023 RELEASE OF' LIEN corded Filed & Recorded STATE OF FLORIDA 02/02/95 COUNTY OF DUVAL 01:44:55 P.H. HENRY W. COOK KNOW ALL MEN BY THESE PRESENTS: CLERK CIRCUIT COURT DUVAL COUNTY, FL REC. $ 6.00 THE UNDERSIGNED, for and in consideration of the payment of the sum of $ 1,061.57 , paid by ERNESTO CRUZ the receipt of which is hereby acknowledged, by these presents does hereby waive, release, and quit -claim all liens, lien rights, claims or demands of every kind whatsoever which the undersigned now has or may hereafter have, including without limitation, that certain Claim of Lien recorded in Official Record Book VOL7600 , Page 1539 , of the Public Records of DUVAL County, Florida, against ERNESTO CRUZ , or against that certain real estate and improvements located on the following, situated in DUVAL COUNTY County, Florida, and described as follows: LOT 7, BLOCK 13, ROYAL PALMS 2A, ATLANTIC BEACH, FLORIDA LANE, on account of work and labor performed, and /or materials furnished in improving said above - described property, or any part thereof. The undersigned certifies that all labor, services and /or materials described herein have been provided prior to the execution and delivery of this document. WITNESS my hand and seal this 3/5C day of ` ),CCI U c.'L.C. 19g& CITY OF ATLANTIC BEACH (Name of Lienor) W itnes es• (7. OC.-4, /)29-ti..1-112-1,-.) By: (signat J ) f C, iTi CLErlic STATE OF FLORIDA COUNTY OF DUVAL BEFORE ME, the undersigned officer, personally appeared /22/tarr'F.FJ /--( /c 6- , the C2/7y .c_6Rfr of , personally known to me or who produced , as identification, who foregoing Release of Lien freely and voluntarily for the purposes therein expressed and did not take an oath. WITNESS my hand and official seal in the state and c unty last aforesaid, this 0/ da of -.Ta" - e 19W. 4 1 1 !!!4LtC4r; C Notary Public, State of Florida My Commission Expires: PATRICIA AMONETTE -AF STATE OF FLORIDA � _�: LIC My '. omrn R ExG8I2�I9� COMM NB CC220017 (}) Prepared by: Suzanne Worrall Green Return to: Maureen King, City Clerk 41►' - 'Patte°rson+& Green, Attorneys at Law 800 Seminole Road - -„ 3010 S 3rd St., Jacksonville Beach Atlantic Beach, FL 32233 FL 32250 ORDER AND CLAIM OF LIEN The Code Enforcement Board of the City of Atlantic Beach having found that =t 4 g proper notice was given to Ernesto Cruz regarding ` the violation of Section 12- 1(b)(3) of the code of Municipal = cp Ordinances of the City of Atlantic Beach; that Ernesto Cruz has cn-3i c either failed to request a hearing or has not remedied the c. W violation; that the City of Atlantic Beach has caused the violation to be remedied at the expense of Ernesto Cruz, and that the City Manager or his designee has certified to the Director of Finance the expense incurred by the City of Atlantic Beach in remedying the violation: It is the Order of the Code Enforcement Board that a Claim of Lien be filed against Ernesto Cruz and shall be recorded in the public records of the office of the Clerk of the Circuit Court in and for Duval County which shall be payable with interest at the rate of ten percent (10%) per annum from the date the certification until paid. This Claim of Lien is for unpaid assessments and interest on such assessments together with administrative expenses and any advertising costs incurred by the undersigned representative of the City of Atlantic Beach incident to the collection of the assessments and enforcement of this lien, which is granted by Florida Statute 162.09 and City of Atlantic Beach Code of Ordinances 12- 1(b)(3) and 12- 2(6)(d), upon the following described property in Duval County, Florida: Lot 7, Block 13, Royal Palms 2A, Atlantic p , ' Beach, Florida. `J , � `uL? n PGA ��0 OFF IC 17,7.0072.`. Owner: erk This Claim of Lien is to secure payment of the official assessments against Ernesto Cruz by the City of Atlantic Beach in the following amounts: City of Atlantic Beach Expense of remedying the public nuisance: $906.74 Administrative Expense: $ -0- Advertising Cost: $ -0 TOTAL DUE: $906.74 t- (4.5'.02) , - - /a_57 Interest accruing at the rate of ten percent (10 %) per annum from the date of Certification: 5/4/93. r r n b AV NE Executed this rl day of WLp. 1993. - CITY OF /`. TLAN+ t C B CH .� I A iq ' q q4 ,34. -- -3 - ,9 By_ .... �! -n - . w �, ....,.._._ Its: cam r D: \WP5rn1 IGMATLBCH.ORD 1- i 46 , CAA) $- MAA • eo ii t f e rn n : - l ...., -11 oC.) w ;� >"'C rn Ctt STATE OF FLORIDA TY JUVA 4. COUN OF Before me personally appeared C' E-cte C& E `'iA) LL me well known and known to me to be the person deeixibedinand who executed the foregoing instrument and acknowledged to and before me that f-l'F_ axaotttad r5 cD said inst�umeM the purposes e�xeeted n {„) m IQ /�UU— so ot �1 tL y therein lc t,�o t� o f ►� . z, L WfTN hafficial seal, � "I 2 day of �`..�.- nd and o A.D this tfi 3 , �` ° N Note Public / .; State of Florida. REEN KING ' _ r.. c My omiselonexpires . Notary Public, State of Florida G om My, Comm. expires Mar. 31, 1994 Comm. No. AA 755736 - 2 - ` .1* ""' [ -) ` Cs Y OF ,1e4 uctce tSeacl - ?Qazax 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 -544 .st TELEPHONE (904) 247 -5800 FAX (904) 247 -5805 December 3, 1992 ! Ernesto Cruz 1000 Aspen Circle Virginia Beach, VA 23464 p„ Dear Mr. Cruz: L+� The property listed above has beer in violation of the Atlantic Beach Ordinance 55- 82 -19. As of August 17, 1992, the property remained in violation and the Public Works Department was instructed to cut the weeds and grass on November 20, 1992. Enclosed please find invoices for the work performed as follows: 1. Invoice dated August 27, 1992 in the amount of $451.61; 2. Invoice dated October 28, 1991 in the amount of $455.13. This total amount due of $906.74 is due within ten (10) days of receipt of this letter. Should payment not be made the existing liens will remain in force and will result in your not being able to sell the property in question until they are satisfied. We are enclosing an invoice for the amount due. Please remit as soon as possible to avoid further interest on the liens. Sincerely, ..„et: Karl W. runewald Code Enforcement Officer KWG /pah Enclosure cc: City Manager La Q >UIS 1 0, p 4q CITY OF ATLANTIC BEACH FLORIDA P .** October 28 19 91 NAME Ernesto P. Cruz ADDRESS 450 Mako Drive CITY Atlantic Reach. FT, 32231 Cut high weeds and grass at 450 Mako Drive RE#171476 - 0000 + 100% administrative cost $410.00 'After causing the condition to be remedied, the city manager or desivnee shall certify to the director of finance the expense recurred in remedying the condition, whereupon the expense plus a :-large equal to one hundred (100) percent of the expense to cover :ity administrative expenses, plus advertising cost, shall become sayable within thirty (30) days, after which a special assessment :en and charge will be made upon the property which shall be ayable with interest at the rate of ten (10) percent per annum Dm the date of the certification until paid." When Signed, Dated and Numbered, This Becomes an Official Receipt 4AKE CRECKS PAYABLE TO Received Payment ITY OF ATLANTIC BEACH, FLORIDA TREASURER N O T I C E T O A B A T E TO PUBLIC WORKS DEPARTMENT Date: October 15, 1991 WEED ABATEMENT Cx] NUSIANCE ABATEMENT C ] Property Address: 450 Mako Drive Legal Description: RE #171476 -0000 Property Owner: Ernesto P. Cruz Mailing Address: 450 Mako Drive Atlantic Beach FL 32233 Type of Work: Cut high grass and weeds Lot Size: Ordered By: Don C. Ford, Code Enforcement TO ZONING DEPARTMENT ® � Date Work Performed: EQUIPMENT EMPLOYEES # # hrs. s o 1' ,�YL�}SSe %4 # hrs. '� ' a 2. __ ya rs r.-2/4 # hrs. - t 3. 3 "e Pc^3' # hrs. 4. # hrs. D domments: Signed: _ uperintend n�l p , Public Works COST COMPUTATION 1 No. of 1 Equipment 1 No. 1 Amount 1 Sub- 1 Admin. 1 I 1 Employees 1 Used 1 Hours 1 Per Hour 1 Total 1 100% I TOTAL 1 1 1 1 1 1 1 I 1 1 f 1 1 2 i 1 -/t7 < L7 0 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 i 1 I 1 1 1 1 1 1 1 I 1 1 1 1 1 I I 1 1 1 1 1 1 I TOTAL BILLED: r Date Billed: l Date Payment Received: 41014`. •, CITY OF tieleuttee Sear% - 800 SEMINOLE ROAD - ATLANTIC BEACH, FLORIDA 32233-5445 . , at. TELEPHONE (904) 247.5800 FAX (904) 247-5805 September 25, 1991 Ernesto P. Cruz 450 Mako Drive Atlantic Beach, FL 32233 Dear Mr. Cruz: Our records indicate that you are the owner of the following property in the City of Atlantic Beach, Florida: 50 Mako Drive Atlantic Beach, Florida RE#171476-0000 An investigation of this property discloses that I have OP* found and determined that a public nuisance exists thereon as to constitute a violation of Section 12.1 of the Code of Atlantic Beach, and that high weeds and grass are continuously present on the property. You are hereby notified that unless the condition above dOscribed is remedied within seven (7) days from the date hereof,- the City will remedy this condition at a cost_ of Lite work plus a charge equal to 100% uf the cost of the work to cover City administrative expenses, which will be as:,-essed the property owner or occupant. If not paid within thirty (30) days after receipt of billing, the invoice amount plus adveltising costs, will be posted as a lien on the property. Within seven (7) days from the date hereof, you may make written request to the City Commission of the City of Atlantic Beach for a hearing before that body, for the purpose of showing that the above listed condition does nut constitute a public nuisance. Sincerely, Don C. Ford Code Enforcement 011ie:ex DCF/pa cc: City Manager CITY OF I,. • "ifee4Ve4 e VatrA 7610ada, • 800 SEMINOLE ROAD - - - ATLANTIC BEACH, FLORIDA 32233-5445 , TELEPHONE (904) 247-5800 4?4, FAX (904) 247-5805 December 3, 1992 Ernesto Cruz 1000 Aspen Circle Virginia Beach, VA 23464 Dear Mr. Cruz: The property listed above has beer in violation of the Atlantic Beach Ordinance 55-82-19. As of August 17, 1992, the property remained in violation and the Public Works Department was instructed to cut the weeds and grass on November 20, 1992. Enclosed please find invoices for the work performed as follows: 1. Invoice dated August 27, 1992 in the amount of $451.61; 2. Invoice dated October 28, 1991 in the amount of $455.13. This total amount due of $906.74 is due within ten (10) days of receipt of this letter. Should payment not be made the existing liens will remain in force and will result in your not being able to sell the property in question until they are satisfied. We are enclosing an invoice for the amount due. Please remit as soon as possible to avoid further interest on the liens. Sincerely, Karl W. runewald Code Enforcement Officer KWG/pah Enclosure cc: City Manager , 4 g 1d133311 NIN11311 a11S3W0a 0 182 - 466 4 :ode 'sit 4 066 L iagulanoN '1 L 8E w,od S S� ✓ '' (ivaBV) ELM; : (pled s! ea} pue Y� palsenbai }! Apo) sseippy s eessoJpp`d '8 G (aessa y einleu61 Aienyea ;o 9300 •L. ! (, es!pueyoiayy io; id!aoaa uiniaa ❑ PIN sseidx3 ❑ .,..7-14,74 1oa ❑ pa ! }!li en ' 1,772 K ns� 0 � ! ❑ paiels ❑ � � C7 7 : av edA eolnies •qq i CA L / 1? ,, iegwnN e1o!li'eV ea} io; ielsewisod i!nsuo3 ie 1 Posse- A J p O ep9 •g 99 ullo elep eyi e of Aisnl!ed p ®hlilsaa ID -Z Penllep uosted au; pa einieu8ls eyi noA epinoid IIlM eat ldleoey umiak! eta • •iegwnu elope oul Mom eoeldllew ow uo „peisenbey idleoea wniey„ GWM • lu fpy{ pT e oeds uwied iou seop sseippy s,easse4 L 1R �loeq syi uo io saeldRlsw e ;o al MO 0l wio SW i t s • :lea; ueo em le i OS wio s •no of pies sly; wn eiixe ue Jo ;! soot/use Bu!AAO!!o; 4 341 ;O 88JBneJ eyl uo sse�ppe pue BWBU inoA 1014S1 eL4 en!epei Ol, 11sIM ogle seolnies euo g v e4 Pus 's s eieldwoD • 1 1 I Ryppe ioi Z io /pue L sway! moldwoo • :a3aN3S CITY 7238 ..„. ATLANTIC BEACH 12/3/92 I9 NAME Ernesto Cruz ADDRESS 450 Mako Drive/ 1000 As Circle CITY Atlantic Beach, FL 32233/ Vir:inia Beach, VA 23464 rwtoice dated August 27, 1992 $451.62 Invoice dated October 28, 1991 $455.13 $906.74 When Signed, Dated and Numbered, This Becomes an Official Receipt i MAKE CHECKS PAYABLE TO Receved Payment CITY OF ATLANTIC BEACH, FLORIDA TREASURER CITY OF N° ATLANTIC BEACH FLORIDA 8127192 __.14._ NAME Ernesto Cruz ADDRESS 450 MakQ I�rivQ CITY Atlantic Beach. FT, 32233 Re: 450 Mako Drive, Lot 7, Block 13, Royal Palms 2A Cost of cutting grass and weeds at above address $220.00 100% Administrative Cost 220.00 TOTAL AMOUNT DUE $440.00 fi 11. A ter causing the condition to be rcmc'd:i.eed, the city manager or J /3./ q / e /6/ desiitnee shall certify to thy• director of iinanc.e the expc'r.::.e :.curr•?c: an remedying the condition, whereupon the c ?>c en::e plu:; ;3 .s ::T €. equal to one hundred (1C)O) percent ot the ex))en.E• to cover ad;nir.istrative expenses, plus adverti:.ing cost, 1211,111 become • s:: aDie wi thin thirty (30) days, after which a special al..:ses:.•meant :er, an.i charge will be made upon the property which shall be ayab i e with intere:.:t at. the rate of ten (10/ percent pL r annum :cm tZe? Cate of the certification until paid. " When Signed, Dated and Numbered, This Becomes an Official Receipt IAKE CHECKS PAYAILE TO Received Pa ITY OF ATLANTIC BEACH, FLORIDA Payment TREASURER • • CITY ATLANTIC BEACH 10 FLORIDA October 28 19 91 NAME Ernesto P ADDRESS 450 Mako Drive CITY • • . Cut high weeds and grass at 450 Mako Drive RE#171476 - 0000 + 100% administrative cost $4to.00 )0/ni e List." After cau.7ing the condition to b: iculedied, the city w,>nager 4 9 ,1 -9,5 - 5. /3 .;s d hall certify to the director u/ _finance the expenza ncurf in remedying the condition, whereupon t epen(. plus a 3: c- equal to one hundred (100) percent of tho expence to cover ty aJministrative expenses, plus ndvortiing cost, shall hecom .:,yable within thirty (30) dayc, aftel which a special ac:3essment :en and charge will be made upon the property which Lhall he .ayable with interest at the rate of ten (10) percent aanu A -om the date of the certification until paid." IP When Signed, Dated and Numbered, This Becomes an Official Receipt 4AKE CHECKS PAYABLE TO Received Payment ITY OF ATLANTIC BEACH, FLORIDA TREASURER TREASURER ( z a • 7't • • „/ a 7 ' 7” i< /3 / x PA'A A• NOTICE TO ABATE TO PUBLIC WORKS DEPARTMENT Date: WEED ABATEMENT E>q NUSIANCE ABATEMENT C 3 Property Address: _-t5 Q_Atakt o LsZE__=_ Legal Description: 1 --01 - 7 B QJL_L hz PA U__ 2,-.A Property Owner: NE- Mailing Address: 'Th .5 /124 0 tle, Type of Work: fl; Lot Size: A- Ordered By:„.14 R A (21_ i'Z'UlTel414-Lb TO ZONING DEPARTMENT Date Work Performed: CF 2 o EQUIPMENT EMPLOYEES # # hrs. 1. 4k) tlitq r # hrs. 2. Glee e617-Q' # hrs. I RECEIVED !AUG i 8 199Z 3. # hrs. 4. # hrs. PUBLIC WORKS Comments: Si gned s 4-- - uperintendent, ublic Wo Its COST COMPUTATION I No. of 1 Equipment 1 No. 1 Amount 1 Sub- 1 Admin. I Employees 1 Used 1 Hours 1 Per Hour I Total 1 100% 1 TOTAL I , o6 3 2 7 So TOTAL BILLED: Date Billed: e 2 7 9 2- Date Payment Received: _ _ NOTICE TO ABATE TO PUBLIC WORKS DEPARTMENT Date: ' ‹ WEED ABATEMENT [><1 NUSIANCE ABATEMENT [ Property Address: _ Legal Description: 1 ( '1 7 ( Property Owner: C )1( ( Mailing Address: - 1 ' , ( ) A n Yt WI■c Type of Work: Lot Size: ,/ Ordered By: 1, A I, (7 t TO ZONING DEPARTMENT Date Work Performed: EQUIPMENT EMPLOYEES # # hrs. 1. # hrs. 2. # hrs. 3. # hrs. 4. # hrs. Comments: Signed: Superintendent, Public Works COST COMPUTATION 1 No. of 1 Equipment 1 No. 1 Amount I Sub- 1 Admin. I Employees 1 Used Hours 1 Per Hour 1 Total 1 100% 1 TOTAL 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 TOTAL BILLED: Date Billed: Date Payment Received: CITY OF e - eaud4 800 SEMINOLE ROAD 11 - - - -- ATLANTIC BEACH, FLORIDA 32233 -5445 TELEPHONE (904) 247 -5800 1992 FAX (904) 247 -5805 Ernesto Cruz 450 Mako Drive Atlantic Beach, FL 32233 Dear Mr. Cruz: Our records indicate that you are the owner of the following property in the City of Atlantic Beach, Florida: Lot 7, Block 13, Royal Palms 2A a /k /a 450 Mako Drive RE #171476 -0000 5 Our File No. 264 An investigation of this property discloses that I have found and determined that a public nuisance exists thereon as to constitute a violation of Section 12-1 -3 of the Code of Atlantic Beach, and that there are high weeds continuously present on the property. You are hereby notified that unless the condition above described is remedied within fifteen (15) days from the date hereof, the City will remedy this condition at a cost of the work plus a charge equal to 100% of the cost of the work to cover City administrative expenses, which will be assessed the property owner or occupant. If not paid within thirty (30) days after receipt of billing, the invoice amount plus advertising costs, will be posted as a lien on the property. Within fifteen (15) days from the date hereof, you may make written request to the City Commission of the City of Atlantic Beach for a hearing before that body, for the purpose of showing that the above listed condition does not constitute a public nuisance. Sincerely, 7/J r r Karl ttunewald Code Enforcement Officer KG /pa cc: City Manager CERTIFIED MAIL RETURN RECEIPT REQUESTED BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 82288 APPLICATION FOR MECHANICAL PERMIT CALL•IN NUMBER IMPORTANT — Ap Iicant to complete all items in sections I, II, III, and IV. LOCATION Street Address: 1 $ OF Intersecting Streets: Between And $UILDINC Sub- division Ih 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 w the attached plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of'good.,prectice listed therein. Name of ( ohanr d ,c � � � etors ® Contractor Print �Q Master ^ . x�� ` \ (-iN Nemo of . "� k Prip.rfy, Owner 16. 11111 Signature of Owner Signature of er Authorised Agent Architect or Engineer 111. GENERAL INFORMATION A, Type of Mating fuel: B. Is OTHER CONSTRUCTION BEING ONE ON f )Cf.,_ , asctrit THIS BUILDING OR SITE/ ` '` Q Gas-13 LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION O OR PERMIT Q Other.. — Specify IV. IDICH 44ICAL IQUIPMENT TO ea INSTALLED NATURE OF WORK (Provide complete list of components on beck of this form) ❑ Residential or ❑ Commercial Heat Q Specs 0 Recessed ,Centred 0 peer ❑ New Building 1:3 ' Air Conditioning: 0 Room ❑ C.ntral ❑ Existing Building Q D.ef System: materiel Thiele ❑ Replacement of existing system Maximum c.pacity c.f.m. ❑ New installation (No system previously inststled) © 0 Extension or add -on to existing system Refrigeration ❑ Other — Specify ❑ Cooling teeter: Capacity g.p.m. • Q R. sprinklers: Number of Mods_ O Eiwster ❑ Manlift ❑ Escalator (number) THIS SPACE !CHI OFFICE 113E ONLY ❑ . . Hesoline pumps__ (number) (Resolver) 0 Tettla-.... (numb•►] Remarks Q LPG containers. (number) Q Unfired orn•ua van; Permit Approved by Da+� Q+ O othol, _ Specify Permit r~. LIST ALL EQUIPMENT AIR CONDITnOI.ENG AND REFRIGERATION EQUIPMENT � N°tsaultor Units Collor! g. Model NmMr u histnutact urer (boo ) A CZng HEATING - FURNACES, BOILERS, FIREPLACES awumbor Units Doserlptioa *dads' r r C(TLi U? �pa�ty y 7 111111111111111111∎ WElLIVVtMi..nlIkSai 2a �1 1 \ \`+ 111PW!lltar IIIIIIIIIIAL� TANKS Sew Many Nominal testy Type Liquid Name at Serial A sod Dlmadioos Contsfaed Matoitootm+w No. 4 r � , / ,C1 CITY OF � � , 4I�a: /. e -- .�._._.r.._.,. Office of Building Official REQUEST FOR INSPECTION Date _ � - / '4-9 Permit No. O -- Time r A.M Received <- _ P.M. //� �- Job Address N Locality "7-- � � Owner's Marne , .I. / / ■ , - -- Co. - • _�' , BUILDING CONCRE E ECTRICAt PLUMBING MECHANICAL Framing p Footing = •siring ' Rough ❑ Air Cond. & Re Roofing Slab - Temp Pole Top Out ft Heating Insulation r 1 Lintel Final i Sewer Pi Fire Place Pre Fab READY FOR INSPECTION A.M Mon. Tues. Wed. Thurs. Friday —_ r A.M. Inspection Made _ Y - r,.)— - .S' = 5 -- - - - -- P.M. J �' Final Inspection Certificate of Occupancy - , G �1. ' V' Date _ tts DATE: PRE SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 233 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTION(S) HAVE BEEN MADE AND ARE SATISFACTORY: I r �.. - r l . '��� L. 1 - Enclosed are the blue copies of the permits. SINCERELY, / t 7 BUILDING INSPECTION DIVISION cc:FILE $ CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: T ($) ' A 19 T 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. 7 / ELECTRICAL FIRM: /' ASTER EL RICIAN SIGNATURE JOURNEYMAN NAME Le A/`: -3/7 ADDRESS: .SO .4 RFD BOX BLDG. SIZE / BETWEEN: RES. (,)( APT. ( ) COMM. ( 1 PUBLIC ( ) INDUS. ( 1 NEW ( ) OLD ( ) REW. ( ► ADDITION ( 1 TRAILER ( ► TEMP. ( ) SIGNS ( ) SQ. FT. SERVICE: NEW ( ) INCREASE ( ) REPAIR ( ) FEE CONDUCTOR SIZE AMPS COPPER ( ) ALUM.' SWITCH OR BREAKER /0) AMPS / PH ,, W r PVOLT $' RACEWAY EXIST. SERV. SIZE AMPS PH W VOLT RACEWAY FEEDERS / NO. SIZE fp NO. SIZE NO. SIZE 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 H.P. RATING CONDITIONING COMP. MOTOR OTHER MOTORS AMPS CEIL HEAT: KW -HEAT 0 -1 I OVER MOTORS H.P. VOLTAGE PHS NO. 1 H•P• VOLTAGE PHS MISCELLANEOUS '',y; ! J.t r I► TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. KVA NO. NEON TRANSF. NO. r VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED TOTAL FEES