Permit 309 - 311 Plaza (vault) P
C OF ATLANTIC BEACH
ITY
800 SEMINOLE ROAD
ATLANTIC BEACH,FLORIDA 32233
INSpECTION pHONE LINE 247-5826
Application Number . . . . . 03-00025566 Date 2/21/03
309 11 PLAZA
Property Address . . . . . . PLACE AERIAL CABLE
Tenant nbr, name . . . . . .
Application description . . . RIGHT OF WAY PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------
------------------------ BELL SOUTH TELECOMMUNICATIONS
301 W BAY ST
JACKSONVILLE FL 32202
----------- ----------------------------------------------------------------
Permit . . . . . . UTILITIES PERMIT
Additional desc - - . 00
Permit Fee . . . . . 00 Plan Check Fee 0
Issue Date . . . . 2/21/03 Valuation . . . .
Expiration Date 2/21/03
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total . 00 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total . 00 . 00 . 00 . 00
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.
1%
BUILDING OFFICIAL
DEPARTMENT OF PUBLIC WORKS
1200 SANDPIPER LANE
ATLANTIC BEACH,FLORIDA 32233-4318
TELEPHONE: (904)247-5834
FAX: (904)247-5843
SUNCOM: 852-5834
http://ci-atlantic-beach.fl.us
PLAN REVIEW COMMENTS FROM THE
PUBLIC WORKS DEPARTMENT
Permit Application #
Applicant:
Address:
Project:
Xyour applica Win is approvedfas?Joted by the Public Works Department. Final
application approval must come from the Building Department.
Your permit application has been reviewed by the Public Works Department and the
following items need attention:
4&C
la ,
Please submit these requirements to the Public Wor
Atlantic Beach, FL 32233 in order that we can apr
questions please call (904) 247-5834.
Reviewed by Robert S. Kosoy, P.E., Director of F ,411
Signature
Contractor Notified Date
J-41 P10
DEPARTMENT OF PUBLIC WORKS
1200 SANDPIPER LANE
ATLANTIC BEACH,FLORIDA 32233-4318
TELEPHONE: (904)247-5834
FAX: (904)247-5843
SUNCOM: 852-5834
-beach.fl.us
http://ci.atlantic
PLAN REVIEW COMMENTS FROM THE
PUBLIC UTILITIES DEPARTMENT
Permit Application #
Applicant:
Address:
Proj ect:
Your application is approved as noted by the Public Utilities Department. Final
application approval must come from the Building Department.
zi Your permit application has been reviewed by the Public Utilities Department and the
following items need attention:
010
Ntw -
4.1 01
--Ma
Please submit these requirements to the Public Utilities Department, 1200 Sandpiper Lane,
Atlantic Beach, FL 32233 in order that we can approve your application. If you have any
questions please call (904) 247-5834,
Revie ed by Donna Kaluzniak, Public Utilities Director
1 1 oy Date
Signature
Contractor Notified Date Ma F/03
0-kz-1,o Dq 04 S,,6,J4 __59_0_6 1 33eg
CITY OF ATLANTIC BEACH CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
DATF-___Z- _2-
�......PERMIT NO.
ISSUED BY THE CITY
JOB ADDRESS f L,4 7-A -S r -VALUATION $
PERMITTEE 13e-U— Sou jZt Com j" &AIC-A-rio-5
PERMITTEE ADDRESS 30/ (Aj 84Y _S7- TELEPHONE NO. ZI-11-2,1417
REQUESTING PERMISSIC � �� r-.W OF ATLANTIC BEACH TO CONSTRUCT jPZACe_ &4fCj CA44e'
Ar ),q" _)e_tr4 CA, fLAZ-A Sf A.-D Oedbo ALIJ 0 . Dit l9att- UDtf Qe_P�AAI
LOCATIONS: (REFERENCE TO CROSS-STREET) PL6r-A sr 6r--r An 4 OcCA,, &,j D
I . APPLICANT DECLARES THAT PRIOR TO FILING THIS APPLICATION HE HAS ASCERTAINED THE LOCATION OF ALL
EXISTING UTILITIES, BOTH AERIAL AND UNDERGROUND AND THE ACCURATE LOCATIONS ARE SHOWN ON THE
SKETCHES.
A LETTER OF NOTIFICATION WAS MAILED TO THE FOLLOWING UTILITIMS/MUNICIPALITIES:
JACKSONVILLE ELECTRIC AUTHORITY YES (w") No ( ) DATE:
BELL SOUTH Tz—PHoNE COMPANY YES ( ) No ( ) DATE:
FERRELL GAS YES W) No ( ) DATE:
YES No ( ) DATE:
2. WHENEVER NECESSARY FOR THE CONSTRUCTION, REPAIR, IMPROVEMENT, MAINTENANCE, SAFE AND EFFICIENT
OPERATION, ALTERATION OR RELOCATION OF ALL, OR ANY PORTION OF SAID STREET OR EASEMENT AS
DETERMINED BY THE DIRECTOR OF PUBLIC WORKS, ANY OR ALL OF SAID POI E'S, WIRES, PIPES, CABLES OR
OTHER FACILITIES AND APPURTENANCES AUTHORIZED HEREUNDER, SHALL BE IMMEDIATELY REMOVED FROM
SAID STREET OR EASEMENT OR RESET OR RELOCATED HEREON AS REQUIRED BY THE DIRECTOR Or PUBLIC
WORKS, AND AT THE EXPENSE OF THE PERMITTEE UNLESS REIMBURSEMENT IS AUTHORIZED.
3. ALL WORK SHALL MEET CITY OF ATLANTIC BEACH OR FLORIDA DEPARTMENT OF TRANSPIRATION STANDARDS
AND BE PERFORMED UNDER THE SUPERVISION OF —(CONTRACTOR'S
PROJECT SUPERINTENDENT) LOCATED AT TELEPHONE No.
4. ALL MATERIALS AND EQUIPMENT SHAU BE SUBJECT TO INSPECTION BY THE DIRECTOR OF PUBLIC WORKS OR
HIS DESIGNEE.
S. ALL CITY PROPERTY SHALL BE RESTORED TO ITS ORIGINAL CONDITION AS FAR AS PRACTICAL, IN KEEPING WITH
C17-Y SPECIFICATIONS AND THE MANNER SATISFACTORY TO THE CITY.
6. A SKETCH OR PLANS COVERING DETAILS Of' THIS INSTALLATION SHALL BE MADE A PART OF THIS PERMIT.
7. THIS PERMITTEE SHALL COMMENCE ACTUAL CONSTRUCTION IN GOOD FAITH WITHIN DAYS FROM THE DAY
OF SAID PERMIT APPROVAL AND SHALL BE COMPLETED WITHIN_DAYS. IF THE BEGINNING DATE IS
MORE THAN 60 DAYS FROM DATE OF PERMIT APPROVAL, THEN PERMITTEE MUST REVIEW THE PERMIT WITH THE
DIRECTOR OF PUBLIC WORKS TO MAKE SURE NO CHANGES HAVE OCCURRED IN THE AREA THAT WOULD
AFFECT THE PERMITTED CONSTRUCTION.
a. IT IS UNDERSTOOD AND AGREED THAT THE RIGHTS AND PRIVILEGES HEREIN SET OUT ARE GRANTED ONLY TO
THE EXTENT OF THE CITY'S RIGHT, TITLE AND INTEREST IN THE LAND TO BE ENTERED UPON AND USED BY THE
HOLDER, AND THE HOLDER WILL, AT ALL TIMES, ASSUME ALL RISK OF AND INDEMNIFY, DEFEND, AND SAVE
HARMLESS THE CITY OF ATLANTIC BEACH FROM AND AGAINST ANY AND ALL LOSS, DAMAGE, AND COST OF
EXPENSES ARISING IN ANY MANNER OF THE EXERCISE OR ATTEMPTED EXERCISES BY THE HOLDER OF THE
AFORESAID RIGHTS AND PRIVILEGES.
9. THE DIRECTOR OF PUBLIC WORKS SHALL BE NOTIFIED TWENTY-FOUR (24) HOURS PRIOR TO STARTING WORK
AND AGAIN I TELY UPON COMPLETION.
SUBMITTED BY: Za— _-7- jnl_i� (PLACE CORPORATE SEAL IF APPLICABLE)
SWORN TO AND SUBSCRIBED BEFORE ME THIS_DAY OF'
NOTARY PUBLIC
Atlantic Beach Water
----------
---------- ------------
CLUB
in
0
0
ails me*
so a
Is
S-64A-1
7
88A
77
76 1
73 B
79 79
7
56
PROPOSED80'
BURIED CABLE
(-n
cn
-K
-2�
D/G & ANC
c— TO BE REMOVED
MH125 60 loo,
UG1006 B-01
X
55, 10/18 60 00
i�j
PROPOSED AERIAN CABL
0112812003 07:36: 46 AM
EXISTING BST OERIAL CABLE
lom
.........................................
ED co
cr 01 o—oD'
0
—b
0 ST
0 PLAZA
(n
PROPOSED BST n
S/W GUY & ANC 0
PROPOSED 1440' CD
BST AERIAL CABLE
01/28/2003 07: 36:46 AM
EXISTING AERIAN CABLE
I-N
r x
...........
#
(15-07) CP
Co 31
�D
<r
0 0
m 0
(1-00-0 -a— 0 U)
0
0
m:
DLAZP
BellSouth
Telecommun!cot ions
PROPOSED TELEPHONE FACILITIES
ON RIGHT OF WAY OF
ATLANTIC BEACH
PLAZA ST & OCEAN BLVD
Exchange:
JAX BEACH MAIM
Designer:
DENNIS GATES
Phone:
904—519-2687
Authorization:
33EO3408N
Dwg. I____ of 2
PROPOSED 265'
BST BURIED CABIL
PLAZA ST
6,51 4-
GE) 60
0
m
PROPOSED O/G & ANC5
-------------
@BellSouth
Telecommun!cot ions
PROPOSED TELEPHONE FACILITIES
ON RIGHT OF WAY OF
ATLANTIC BEACH
PLAZA ST & OCEAN BLVD
Exclhonge:
JAX BEACH MAINI
Designer:
DENNIS CATES
Phone:
904-519-2687
A u t her-iz c t�on:
33EO3408N
Dwg. 2 of 2
PSA-$M4�
11720
OFF%W- MENT OF SUILDIN01- I
CITY.OP,ATLANTIC BEACH
------- LOCATION INFORMATION
Permit Number".. 11120 Address,: , 3'09 PLAZA DRIVE
Permit' Type: RZ-ROOF ATLANTIC BEACH, FLORIDA 32233
Cl as's of Work* ALTERATION -, � ILRGAL DESCRIPTION, ------
Block: Section:
. Constr. Type: WOOD FRAME, , Lot .
Proposed Use: SINGLE, FAMILY 0
� Dwellinqs ' 1 Code., 0 Subdivision ATLANTIC BEACH
Estimated value* , $500-00
Improv . Cost ; 10 .00
'Total Fees': $15.00
Amount, i, t25-00
'Work
--------- ---- APPLICATION FEE$
ION
Name
ape MIT $25.00
( hw %
-c 'PER $0 .00
WAIVE, WATER IMPACT FEE
ACH, FLORIDAV2,; 3 S 114PACT FEE so 00
'RA
Z Zl!. A
4
INFORMAT ON ------- RAD014 CAS 5%, $0 .00
Name CAPITAL IMPROVE. $0 .00
0
Address: .'
CROSS FONNECTI'ON 90-00
License* Type: SEC A IMPACT FEE
CONSt.SVIRCHARGE .00
SCHAAGE/ATL.BCH $0. 0
'NOTES:,
T
NOTICE—ALL CONCRETE FORMS AND,FOOTINGS MUST BE IN,SPE&ISID BEFORE POURIN
PEAMITVOID SIX MONTHS AFTER DATE OF ISSUE
BUILDING MATERIAL,RUBBISH AND,DEBRISPROM THIS WORK MUST NOT BE: D IN,PUBLIC SPACE,,AND MUST 86
PLACE,
CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
tomp
ITAILURE TO LY, WITH THE MECHANIC, tie
$ -N. LAVkAWRIESULT IN
T -I)ROPERTY OWNERPAYINGTWICE FORTHE, 19,UILDING IMPROVEMENTS
HE
SUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO R
VIOLATION OF APPLICABLE PROVISIONS OF LAW. 4/08/% Ol
AN,
A
HLR E *00
'T S"RC 'G
�R' ATL.BCH
00100003nibm
ATLANTIC BEACH BUILDING D ENT
�j
CITY OF ALANTIC BEACH
ROOFING PERMIT APPLICATION
owner(s) : f�y-ne-)+ pus SJ
Address: 301 P IaZ4 ____Phone: P-"f f 2-6
Lot # Block or Unit # Subdivision:
Contractor: O (x)AJ
Address:
City, State and Zi Phone
State License #
Describe work to be performed:_ le-
Valuation of Proposed Construction:
Materials to be used:
Signature of Owner;
Signature of Contractor:
Liability Insurance Supplied
Workers Compensation Insurance Supplied
License Information
g- 1996
Building and. Zoning
I:TC- cof"-
DOL'i
Der
d 04
4c /") A),
pr
ST
No"
A-M.
P.M.
PL
co,6. &
P,d fess \Aeatmg
I Pl- Bougn Fire P�ace
TOP out rati
O\Nner C014C -TernP 6 �D Se\N
Na It rooting V.Aria� 'PeCTIOS
S%j siat) 114S
F Ing ijnte\ fkv PD"(
ooting
e PN
sok
-Tues. ce6lv�cale oi Ocoupan-�
Mon- I
tAede I
TRANSMItTAL DOCUMENT FOR JEA
DATE:
The following permits have passed "rough" inspection:
Permit No. Address
13
Please update
your records accordingly.
r—T4'ank
\-,�C-T
BUILDING CLERK
CITY OF ATLANTIC BEACH
/vcb
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC BEACH. FLORIDA 3sa33
APPLICATION FOR MECHANICAL PERMIT --CALL-IN NUMBEA-
IMPORTANT Applicant to complete all items in sections 1, 11. 111. and IV'
LOCATION street Address:
OF Intersecting Shoals; Between And—S"
WILDING
11. IDENTIFICATION To be completed by all applicants
In consido,ofion of permit given for doing the worl as described in the tbeve Statement we hereby agree to 1:414011" said -o-i
With the attacked plans and specification& which am a part hereof and in accordance with Ohs C;tY Of Jactionvil'st oed;-arces wto
of good practice listed therein.
Name of Mechanical
Contractor (Pr;"t) _DU vxt/ Alet L Contractors
Nome of
property OW11W
sissisture of Owner
or Authorized Agent signature of
Architect or Engineer,
III. GMEM INFORMATION
A. Typot of heating W. is OTHER CONSTRUCTION BEING DOME on
Z_� THIS SUILOING OR SITE I
E3 Gas—0 LF 13 Natural E3 Central Utility
C] 0a IF YES, GIVE NUMBER Of CONSTRUCTION
D Othw — Spe0y, PERMIT
IV. MICHMICAL KWIPMINT TO U INSTALLED NATURE OF WORK
(lift"complele list of compeasels ook!back of this hm) L1 Residential or r I Commercial
meet 0 Space 0 Riecolaw W cenhat a ruet, 0 Now Building
Aft,CoadMisaillng: (3 Room G� Co" Existing Building
Svsftm: Material Tmckmu Replacement of existing sistem
matimem capacity Now Installation(No system PfOvIOUSly Installed)
0 0 Extension or add-on to existing system
[3 Coofilaq ftwev: Capacity 0 Other— Specify
D Fte v6sUars: Numbist, of A-
C3 Efenteir D Monlift 0 Esicalate- Iftober) T141S SPACS POR OFFICE USE ONLy
0 Gasoline pumps —lesmaborl
0 Took i triumber) Remorks
0 Lpry canfle
C) Unflived pressure
C) Is& � Formif Appmvej
El 00W — Specify Pomif
1Jffr ALL EQUIPMENT
AM COMITIONING AND REFRIGERATION EQUIPMENT
Ce". ty Apnrftg
Numbertfans Deserlpition MO&I Nwnber Manufacbmir Agabey
7 Ted T PC,
16_rl,
CITY OF
4&4a*t&
office of Building official
REQUEST FOR INSPECTION
Permit No. C/-117— q
Date
A,M District No.
Time P.M.
Received
L Pty
4"ddress
Owner s Contracto.
N PLUMBING MECHANICAL
BUILDING CONCRETE ELECTRICAL
El Rough E Air.Cond.& 0
Framing 1-j Footing Ll Rough wiring L, Top Out E Heating
Re Roofing El Slab 0 Temp Pole Fire Place El
Lintel Final Pre Fab
READY FOR INSPECTION �M.
Thurs. nPm.
Mon. Tues. W
inspection Made
Final inspection 13
inspector Certificate of occupancy
Date
CITY OF ATLANTIC BEACH, FLORIDA
Approvod by APPLICATION FOR ILICTRICALI PIRMIT
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 114 ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,
WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITHTHE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
EL eCTRICAL FIRM: 411CIAN SMNATURE JOURNEXM
NAME �o c-9-"� (jL gge-11 ADDRESS: -RFD----BOX
OLDS.SIZE BETWEEN:
RM APT. (X COMM.I PUBLIC I INDUS.I NEW( OLD( REW.
ADDITION TRAILER ( TEMP.1 SIGNS I FT.
FEE
SERVICE: NEW( INCREASE REPAIR (
CONDUCT AMPS /00 COPPERV I ALUM.,0n
SR SIZE
SWITCH OR OR KER AMPS PH I W Z SL' VOLT RACEWAY
'�W 2 RACEWAY
EXIST.SERV.SIZE 61,d AMPS PH 0 VOLT
FEEDERS NO. SIZE NO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALEDI OPEN
TOTAL
RJECEPTACLES CONCEALEDI OPEN TOTAL
1 0.30 AMPS. 3 1 100 AMPS'
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
mzo 1 0.100 AMPS. OVIrR
APPLIANCES = I I BELL TRANSF.
AIR H.P.tRATING H.P.RATING I
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS ICEIL H�EAT:j KW-HEAT
0-1 OVER
MOTORS H.P. VOLTAGE PHS NO. 1 H.P. YOLTAGE PHS
MtSCI:LLANEOUS P,
77 TRANSFORMERS: UNDER 6MV. OVER GOO V.
CITY OF ATLANTIC BEACH, FLORMA
�CA
Approwd by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR:, DATE:— 19
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK A$i DESCRIBED IN THE FOLLOWING, WE
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANSAND SPECIFICATIONS,
WHICH ARE A PART HEREOf, AND IN'ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
ELECTR12AL FIRM: MASTEI QNATUWE� JOURNEYM
—RFD------�BOX
NAME ADDRESS: Jar)
01.00.SIZE BETWEEN:
REL( APT. COMM.I PUBLIC( I INDUS. ( NEW( OLD( REW.I
ADDITION ( I TRAILER ( TEMP.( SIGNS ( SO.FT.
INCREASE REPAIR FEE
SERVICE; NEW I
CONDUCTOR SIZE AMPS COPPER I I ALUM.
SWITC"OR BREAKER 100 AM >Wl 2-+VOLT R69EWAY
EXIST.SERV.SIZE �O AMPS PH W PP VOLT RACEWAY
FEEDERS NO. SIZE NO. SIZE NO.
SIZE
LIGHTING OUTLETS CONCEALED OPEN
TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
1 1 0.30 AMMI 31-100 AMP
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
FIXED 0,100 AMPS, I ov"
APPUANCES ELL*RANSP�'
AIR H.P.RATING H.P.RATING
CONDITIONING, COMP�MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
0.1 OVER
MOTORS pHs No. I �OLTAGE PHS1
TRANSFORMERS: UNDER 600 V. OVER 600 V.
UrILITIES WORK ORDER
Owner/Cantractor
Street Address -a,C),--1 q
Lot# BlockYt Subdivision
Type of Buil
UAM =R. INSTALLATIO14
Address Size Account Meter �bter
(if nulti-family Meter Number NUMber Reading
,30ri 4 -3 11 .3/q
Date Installed:
By:
A
YES NO
Locate Water
Locate Sewer
Make Water Tap
C—LMake Sewer Tap U r
NOMS
CITY OF
ATLANTIC BEACH No. 1922
FLORIDA
May 20 1986
Ernest Russell 399*11 TL
NAME 38MICKTO
4741 1A 5/21/96
ADDRESS 460 Ocean Blvd. Service Address: 309 & 311 Plaza 19PP 1,00CArl;
4741 IA 5/ei/86
CITY Atlantic Beach, FL 32233 1 000i
Water Meter Tap Fee 40-343-3700 389.21
ERNEST L. RUSSELL, JR. 22- M'"f 006,/0— 252
460 OCEAN BLVD
ATLANTIC BEACH, FL 32233 63-7051631
4 f
$ 04.
109XVAI(C PCPLCA cf�v f
I el
It I I -fo r
�S�CE�,STATEBANK INSURED MONEY MAN EMENT
N OFFICE
—NEPTUNE BEACH. FLORIDA 32233
0 1:0 6 3 10 ?o Sol: L, S 0 L2 P3 r3 0 0 2 S 2
When Signed. Dated and Numbered, This Becomes an Official Receipt
MAKE CHECKS PAYABLE TO Received Payme I nf
CITY OF ATLANTIC BEACH, FLORIDA TREASURER
CITY OF ATLANTIC BEACH
ATLANTIC BEACH, FLORIDA 32233
T 'o
OFFICE CO"
X,
TOTAL
WATER
DATE WATER SEWER GARBAGE -,OTHER
DUE
METERS
4
L
t7
CITY OF ATLANTIC BEACH, FLORIDA
APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTHICAL INSPECTOR: DATE:_3 - 3 19 ?00
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.
U I L 7--
ELECTRICAL FIRM: ELeCTRICIAN SIGNATURE - JOURNEYMAN
NAME- 'o A 1- 6 11 0- G E' 3_/ 0 P& 14 -z- pq 'o it, RFU-BOX_
BLDG.SIZE BETWEEN:
RES. (--I' APT. COMM. PUBLIC INDUS. NEW ( I OLD ( REW.
ADDITION ( ) TRAILER TEMP. ( ) SIGNS ( ) -SO. FT.
SERVICE: NEW ( INCREASE ( REPAIR (-r- FEE
CONDUCTOR SIZE AMPS COPPER I ALUM. (
SWITCH OR BREAKER AMPS Pil W -- VOLT RACEWAY
EXIST.SERV.SIZE AMPS pl, 3 W, 7-Vo VOLT "!�E L) RACEWAY
IFEEbERS NO. _SIZE N CO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED1 OPEN TOTAL
----Fo --I
�iO AMPS. --F3 I 100 AMPS.
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
F F E" 11,11111 A mps' c'
IXED 0.100 AMP OvEn
APPLIANCES 7j BELL TRANSF.
AIR
".P. RATING H.P. RATING
COMP.MOTOR
C70NDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-IIEAT
OT OVER
MOTORS VOLTAGE PlIS No. I II.P. VOLTAGE MIS
MISCELLANtous 77 77 a 7
CITY OF
J
Office of Buildin ff icial
REQUEST 0 SPECTION
Date Permit No.
Time
Received 1(603 ) ,-
Job s
Owner's
Name 7,41424 Czv-<�
ELE
rL
BUILDING ONCRETE =CTRICA 0!) PLUMBING MECHANICAL
raming 1-1 Footing El Rough Wiring Ej Rough 1-1 Air Cond, &
Re Roofing 0 Slab 17 Temp Pole 1:1 Top Out F1 Heating
Insulation El Lintel D Final F1 Sewer -1 Fire Place E
Pre Fab
READY FOR INSPECTION
Mon. Tues. Wed. Thurs. (JdDay -
- 9P A.M.
Inspection Made - 01!
Inspector ��Fin.l lnspezctl- �)
Date
DATE:
PRE-SERVICE DIVISION
JACKSONVILLE ELECTRIC AUTHORITY
231-3 WEST DUVAL STREET
JACKSONVILLE, FLORIDA 32202
THE FOLLOWING FINAL INSPECTION( S) HAVE BEEN MADE AND ARE
SATISFACTORY :
7
-----------------
-------------------------------------------------
-------------------------------------------------
-------------------------------------------------
-------------------------------------------------
Enclosed are the blue copies of the permits.
SINCEREL
BUILDING INSPECTION DIVISION
cc : FILE
5491
DEPARTtAENTOF BUILDING
CITY OF ATLANTIC BEACH
PERMIT INFORMATION -------- LOCATION IN ---
FORMATION
Permit Number: 549i Address: 311 ,,PLAZA STREET
Permit Typet MECHANICAL ATLANTIC BEACH, FLORIDA 32233
Closts of WorXi NEW --------
-- ' LEGAL DESCRIPTION ----------
Constr. Typet WOOD FRAME , : Blockz Section:
Lot:
Proposed Use., SINGLE ,FAMILY To�nship: RNG; 0
DwellingO: I code: 0 Subdivision:
Estimated Value% $0. 00
1*0rov. Cost z $0. 00
Tot 0 *:�3.00
Amou
003.00 ,
at "jigM, hsk heat a V
---- :APPLICATION+ FEES
PERMIT, $33. 00
' Address
STREET , WA IMP
AC so. 00
FEE"' g
"S p,
P
2
RADON GAS-H. R. S. $0.00
RADON GAS $0. 00
UV' EA -NO, At
T
$0. qO
P.
SEWER TAP $0. 00
JLLE 'BEAC1401 FL. 32250 HYDRAULIC SHARE $0.00
Li A 0 Type; 3 -INSPECT FEE 00
SEC. H IMPACT FEI $0
g
,NOTES:
140TICE—ALL CONCRETE,FO
AND FOOTINGS MUST BE INSPEIPTIED BEFORE POURING
PERMIT VOID,six MONTHS AFTER DATE OF ISSUE
BUILDING MATE.RIAL,,RUSSISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE
CLEARED UP AN D HAULED AWAY BYEITHER CONTRACTOR OR OWNER.
FAILURE TO�COMPLYWITN THE MECHANIC$9, L NAAW CAN R '
, el , ESULT IN '
THIS PROPERTY. OWN RPAYINd TWICEFOR 13 'IMPROVEMENTS."
UIL NO:
PAI
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