405 Plaza (vault) APPAfVED BY ELECTRICAL PERMIT
BUILDING AND ZONING INSPECTION DIVISION NUMBER
CITY OF JACKSONVILLE, FLORIDA
- 1 2�
APPLICATION FOR ELECTRICAL PERMIT
I MPORTAN T — Applicant to complete all items in sections 1, 11, 111, and M
LOCATION STREET ADDRESS: o P/41 -2—
OF INTERSECTING STREETS: BETWEEN 5 e AND
BUILDING NUMBER OF CONSTRUCT10N PERMIT MOBILE HOME PERMIT NUMBER
11. CHARACTERISTICS OF PROPOSED ELECTRICAL WORK — Al I applicants complete Parts A — C
USE OF BUILDING OWNERSHIP
RESIDENTIAL NON-RESIDENTIAL PRIVATE(INDIVIDUAL, CORPORATION,
A. ONE FAMILY A. AMUSEMENT, RECREATIONAL NONPROFIT INSTITUTION, ETC.)
B. TWO OR MORE FAMILIES B. CHURCH, OTHER RELIGIOUS B. PUBLIC(FEDERAL, STATE, OR LOCAL
ENTER NUMBER OF UNITS C. INDUSTRIAL GOVERNMENT)
C. TRANSIENT HOTEL, MOTEL, D. GARAGE, SERVICE STATION
ROOMING HOUSE E. OFFICE, BANK,
ENTER NUMBER OF UNITbi PROFESSIONAL NATURE OF WORK
D. MOBILE HOME F. SCHOOL, LIBRARY, El NEW BLDG. NEW S E RV.
E. OTHER RESIDENTIAL EDUCATIONAL 0 OLD BLDG. El INCR. SERV.
G. STORE, MERCANTILE El REWIRE El REPAIR
OTHER I 5o tl,e on El ROOM ADD. ED SIGN
94 il(k 11 15 C
111. ELECTRICAL WORK TO BE DONE Permit fee
TYPE OF SERVICE: OVERHEAD UNDERGROUND El
NEW SERVICE-
CONDUCTORSIZE ?,6�41L AMPS 6, 0 COPPER &-'ALUMINUM 1:1
SWITCH OR BREAKER 1(2 0 AMPS__L_PH -3 W,1�74�Z*O VOLT RACEWAY
EXISTING SERVICE SIZE: — AMPS—PH W_ VOLT— RACEWAY
FEEDERS: NO. AMP NO. AMP
RECEPTACLES: 0-30 AMPS---31-100 AMPS----_101-200 AMPS--
SWITCHES: 0-30 AMPS_____31-100 AMPS 101-200 AMPS.-
LIGHTING FIXTURES: INCANDESCENT
FLUORESCENT&M.V.
FIXED APPLIANCES: 0-30 AMPS---31-100 AMPS ---------OVER 100 AMPS
BELL TRANSFORMERS:
AIR CONDITIONING:
NUMBER COMP. MOTOR CIRCUIT HEATING
HP RATING AMPS KILOWATTS
MOTORS OR GENERATORS:
(0-5 HP) (OVER 5 HP)
NUMBER VOLTAGE HP NUMBER VOLTAGE HP
TRANSFORMERS: (UNDER 600 VOLTS) (OVER 600 VOLTS)
NUMBER —_ KVA NUMBER--- KVA
SIGNS
NUMBER
CITY OF
4Awdib BemA-4914W-42
Off Ice of Building Of licial
REQUEST FOR INSPECTION
Date Permit No. 4/974
Time
Received-
District No.
--Y,0,5 f9_94',"r,
Job Address Locality
Owner's
Name Contractor
BUILDING CONCRETE ELECi"Rl �,, PLUMBING MECHANICAL
. . ...................
Framing 0 Footing 0 R(;ug Niring 0 Rough 0 Air.Cond.& 0
Re Roofing 0 Slab 0 Temp Pole 0 Top Out 0 Heating
Lintel 0 Fire Place 0
Pre Fab
READY FOR INSPECTION A.M.
Mon. Tues. Wed. Thurs. Friday-P.M.
Inspection Made
Inspect r Fi al Inspection
Certificate of Occupancy
Date
CITY OF
4&4o,4'c BewA-I"*
Office of Building Official
REQUEST FOR INSPECTION
Date Permit No.
Time
Received P.M.
J,b ddress Locality
0 ner's '0-i—t6—
Nawme Contractor
BUILDING CONCRETE ELECTRICX"Ll PLUMBING MECHANICAL
Framing Ej Footing F1 Rough F Air Cond. & El
Re Roofing 17 Slab El Temp Pole I Top Out 0 Heating
Insulation Lintel Ej Final _J Sewer E Fire Place F1
Pre Fab
REAQ�DR INSPECTION A.M�
Mon. Tues. &ed: Thurs. Friday—P.M.
Inspection Made
Inspe Final lnspectiorll�
Certificate of Occupancy �j
1xC811)e,4TCA-_ Date
�
� !
�
PRE-SERVICE DIVISION
DIVISIO0
JACKSONVILLE ELECTRIC AUTHORITY
233 WES,r DUYA L STHECT
J8CESU0YILLC° FLORIDA 32202
_
�
THE FOLLUNIN6 FINAL INSPBCrION(S) HAVE BEEN MADE AND ARE
SATISFACTORY ;
-- -- - -------------------------------------------------
' EBEL
�
/--7
—��ILUING INSPECTION DIVISION
cc: FILE
| .
( |
'
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACK FLORIDA 32233
-5826
INSPECTION PHONE LINE 247
Application Number . . . . . 03-00027000 Date 10/10/03
Property Address . . . . . . 405 PLAZA
Tenant nbr, name . . . . . . UNDERGROUND BELLSOUTH
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 . .
Permit Fee . . . . . 00 Plan Check Fee . 00
Issue Date . . . . 10/10/03 Valuation . . . . 0
---------------------------------- ---- ------------------------ --------------
Special Notes and Comments
AVOID ALL NEW STORM SYSTEM AT PLAZA &
SEMINOLE NOT SHOWN ON PLANS . MUST USE
SEDIMENT AND EROSION CONTROL AT NEW
BASIN AT PLAZA AND SEMINOLE.
INTERSECTION OF PLAZA AND SEMINOLE
CONTAINS WATER MAIN, GRAVITY MAIN AND
FORCE MAIN. DIRECTIONAL BORE MAY BE
RISKY. AVOID ALL EXISTING WATER/SEWER
UTILITIES . AVOID WATER MAIN ON PLAZA.
COORDINATE WITH PUBLIC UTILITIES PRIOR
TO STARTING WORK. 247-5874 OR 247-5834
CHRIS WALKER
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.
BUILDING OFFICIAL
CFTY OF ATLAN71C BEACH CONSTRUC70N PERMIT WITHIN CfTY RIGHTS OF WAY AND EASEMENTS
DATE September, 30, 2003 PERMIT NO.
ISSUED BY THE CITY
JOB ADDRESS 405 Plaza St VALUATION $
PERMn7EE Bellsouth - 0,1,i-
PERmrrrEE ADDRESS 301 W Bay St Jax, FL 32202 TELEPHONE NO. (904 350-2253
REQUESTING PERMISSION FROM THE CITY OF ATLANTIC BEACH TO CONSTRUCT__
Underground Bellsouth facilities
LOCATIONS: (REFERENCE TO CROSS-STREET) Seminoie Rd & Plaza St
I APPLICANT DECLARES THAT PRIOR TO FILING THIS APPUCATION 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 UTIUTIES/MUNIcIPALITIES:
JACKSONVILLE ELECTRIC AUTHORITY YES X) No ( DATE: 9/30/03
BELL SOUTH TELEPHONE COMPANY YES No ( DATE:�
FERRELL GAS YES X) No ( DATE: 9/30/03
MEDIA ONE CABLE TV YES X) No ( DATE: 9/30/03
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 PUBUC WORKS, ANY OR ALL OF SAID POLES, 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 SHAU mEE:T CITY cF ATLANTIC BEACH OR FLORIDA DEPARTMENT or TRANSPIRATION STANDARDS
AND BE PERFORMED UNDER THE SUPERVISION OF Clint Strickland (CONTRACTOR'S
PROJECT SUPERINTENDENT) LOCATED AT Bellsouth TE:LEPHONE: No. q()4 -4 9-3-4 95 8
4. ALL MATERIALS AND EQUIPMENT SHALL BE SUBJECT TO INSPECTION BY THE DIRECTOR OF' PUBUC WORKS OR
HIS DESIGNEE.
5. ALL CITY PROPERTY SHALL BE RESTORED TO ITS ORIGINAL CONDITION AS FAR AS PRACTICAL, IN KEEPING WITH
CITY SPECIFICATIONS AND THE MANNER SATISFACTORY TO THE CITY,
5. A SKETCH OR PLANS COVERING DETAILS OF THIS INSTALLATION SHALL BE MADE A PART OF THIS PERMIT.
7. THm-PE4krTTEE SHALL COMMENCE: ACTUAL CONSTRUCTION IN GOOD FAITH WITHIN 30 DAYS FROM THE DAY
OF SAID PERMIT APPROVAL AND SHALL BE COMPLETED WITHIN 60 DAYS. IF THE BEGINNING DATE IS
MORE THAN 60 DAYS FROM DATE OF PERMIT APPROVAL, THEN PERM17TEE MUST REVIEW THE PERMIT WITH THE
DIRECTOR Or PUBUC WORKS TO MAKE SURE NO CHANGES HAVE OCCURRED IN THE AREA THAT WOULD
AFFECT THE PERMITTED CONSTRUCTION.
8. 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 A" 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 PUBUC WORKS SHALL BE NOTIFIED -TWENTY-FOUR (24) HOURS PRIOR TO STARTING WORK
AND AGAIN IMMF-l?IATELY UPON CQMPLF.TION,
lmsnb)��
SUBMITTED BY: H1�3� (PLACE CORPORATE SEAL IF APPILICABLE)
��6h
SWORN TO AND SUBSCRZ1W' IV DAY OF'
A. VFRE ME THIS --aiD�>
MY COMMISSION#DD 117586
NOTARY PUBLIC
kCF Boww T?wu"et mwy somm
0
@BST
Construction
Work
Drawing
PROPRIETARY I NFORMATION
0
jeA Not for disciosure outside lettSouth or any of its
PROJECT START subsidaries except under tritten agreement
PROPOSED BURIED
BELLSOUTH FACILITIES State: FLORIDA
5 — — Districtl NEAW FLORIDA
PROPOSED DIRECTIONAL BORE Exchange: JKVL
Wire Ctr: JCBHFLMA
-SOUTH CABINET A.A./Taper: 1109
Tax District: 16006
RZ/CZ: 13/09
IOLE Designer:
Andre Abreni ( lo/TVC
Phone: 904-777-9052
Records Ref;
Dl 10068
�LICE
'PROPOSED BURIED
BELLSOUTH FACILITIES
0-INET
LMECT TUFAILS
PROP. BURIED PELLS�jH___
NEFL TURNKE�' 11 C9A 405 PLAZA
PROP. ACRIAL BELLSJUT___'
RD PLAC_ �;K_R,
52B, AND VUX
PROP. BELLSOU-114
N,;,c�r
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VICINITY MAP
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N.T.S.
PARADISE LN
JESTIC CY SS
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T A GAVAGA RD
RUDDER RD
A DE AVE
DCCWALK DR N
Y= PROPOSED BELLSOUTH CABINET EXISTING F,
43 V
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% PROJECT FINISH
PROPOSED BURIED
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1 1. BELLSOUTH FACIIlTIES ROPOSED HAN!
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EXISTING BELLSOUT14 C
LINKSIDE DR V
ST 0
WART T T T
ST
T > ol
_1 SIDE I DR tv ST-U Lj ATLANTIC BEACH AERIAL & U&_nMb
ALL PROPOSED CONSTRUCTION WILL BE PER
CITY OF ATLANTIC Br-ACH SPECIFICATIONS AS WELL
--JOB"JE31 FE _j. AS ALL NESC SAFETY CODE-
ALL PROPOSED BELLSOUTH WILL BE WITHIN THE
CITY OF ATLANTIC BEACH RIGHT-CF-WAY.
nE� 7- A MINIMUM OF 24'DEEP. EXCEPT BORES 36*DEEP.
ALL PROPOSED UNDERGROUND BELLSOUTH WILL BE BURIED
TUHUT ALL PROPOSED UNDERGROUND BELLSOUTH ROAD BORES
WILL USE CITY APPROVED
N DIRECTIONAL BORE MACHINE, AS WELL AS CITY
V_ APPROVED CONDUIT.
ic Li-NI4 r- cl
ALL PROPOSED 8ELLSOUTH ROAD BORES WILL EXTEND A
MINIMUM OF 5' BEYOND THE EDGE OF PAVEMENT.
ALL,PROPOSED BELLSOUTH DRIVEWAY BORES WILL EXTEND
A M NIMUM OF 2' BEYOND THE EDGE OF PAVEMENT.
L
L IF-A'.L A KI ALL PROPOSED BELLSOUTH WILL BE .700' OR .840'
DIAMETER, INSULATED COAXIAL CABLE OR 1.0'
DIAMETER, INSULATED FIBER OPTIC CABLE,
AND WILL BE LASHED TO .250' STEEL STRAND
CABLE USING .125' STD. GALV. LASHING WIRE.
ALL PROPOSED AERIAL 13ELLSOUTH CROSSINGS (BOTH
ROADWAYS AND DRIVEWAYS) WILL HAVE MINIMUM
MID-SPAN HEIGHT OF 16'-0'.
ALL OTHER PROPOSED AERIAL BELLSOUTH WILL HAVE
MINIMUM MID-SPAN HEIGHT OF 16'-6' AS PER
NESC SPECIFICATIONS.
LOCATES WILL BE REOUIRED IN ALL PROPOSED
UNDERGROUND AREAS A.T LEAST 48 HRS. PRIOR
TO CONSTRUCTION.
N.TLII��-c.TM.CNS TDIALL UTILITIES INVOLVED
WIL 'DF
PR OR TO CONSTRUCTION,
IS CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 08-00001379 Date 10/02/08
Property Address . . . . . . 400 -1 PLAZA
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
REPLACE RISER
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
BROOKS & LIMBAUGH ELECTRIC CO
Q/A BROOKS, CHRISTY
42 WEST 8TH ST.
ATLANTIC BEACH FL 32233
(904) 241-9051
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . . 00 Plan Check Fee . 00
Issue Date . . . . 10/02/08 valuation . . . . 0
Expiration Date . . 4/01/09
----------------------------------------------------------------------------
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
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 08-�'
OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845
BUILDING-DEPT@COAB.US
ELECTRICAL PERMIT APPLICATION DUVAL COUNTY
'Js,
v -,*
Z -THI
44.
2,42,4- d6o
h u YES PERMIT#: 01 z! C
Aant:-ABeac !FA22��i
mgl
...... .. ....
N
9E
4 NA
E, 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE:
1:P
LOONT
�L" Z-4
RAC ��t'K
4>4E OF CO P NY: 11,ADDRES$.. 0,
UrMmi I - uq -
- , inn hn ah E�c 42
9.STATE OF FLOR D ENSE_NO: 10. 11,FA
CE 01� Cly', 10,76p5
12.EMAIL ADDRESS: 13. 14.
T!"L' 0(41 G
15.Application is hereby made to obtain a permit to do the work and installations as indicated. I ce$Kk that all work will be performed to meet
the standards of all laws regulating construction in this jurisdiction. This permit becomes n nd d I w k is not commenced within six(6)
months,or if construction or work is suspended or abandoned for a period of six(6)months at ti e ork is commenced.
CONTRACTORS SIGNATURE:
CLASS 77777:,�i,77, 141,
•MULTI FAMILY-#OF UNITS: 0 RESIDENTIAL
•SINGLE FAMILY 0 TEMP SERVICE OMMERCIAL 5e) 6 e10
0 ADDITION 0 TRAILOR
P0 I-TERATION 0 SIGN 0 OLD 0 NEW 05 NATIONAL ELECTRICAL CODE
REPAIR 0 POOL SPA 0 REWIRE foT H F R-
'M
7
01
20.TYPE OF SERVICE: XOVERHEAD 0 UNDERGROUND 0 UNDERGROUND UP POLE
21.NEW SERVICE: CONDUCTORS PER PHASE: 0 POWER IS ON 0 POWER IS OFF
22.SIZE OF CONDUCTOR: AMPACITY: 13COPPER 11 ALUMINUM
23.SWITCH OR BREAKER SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE:
24.EXISTING SERVICE SIZE: AMPS:-3 VOLT:'Z-(&�' RACEWAY SIZE:
-!�P PH:_:t_ W.
25.FEEDERS: #OF- AMPS: #OF AMPS: #OF AMPS:
26. LIGHTING FIXTURES: INCANDESCENT: FLUORESCENT&M.V.:
27. FIXED APPLIANCES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS:
28.FIRE ALARM: 0 YES 0 NO
29-31 DO NOT APPLY TO NEW SINGLE FAMILY,MULTI-FAMILY AND ROOM ADDITIONS
29.SMOKE DETECTORS: NUMBER:
30. RECEPTACLES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS:
31.SWITCHES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS:
1`4
w q hk
gq""'
#OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW:
#OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW:
NUMBER: VOLTAGE: HP: KVA:
NUMBER: VOLTAGE: HP: KVA-
XJRAN$FORMER$�-,.,----
UNDER 60OV: NUMBER: KVA:
OVER 60OV: NUMBER: KVA:
lh;�
h*"
1i"'001
774
'As C
DESCRIBE IN DETAIL: (;4fo Ace- <00
4"-w / A4r,44m-
COAB FORM BLDG02:REVISED:48/2008
Log for
HP'Offlcejet 7410
Personal Printer/Fax/Copier/Scanner Information Systems
904-247-5845
May 20 2008 11:16AM
Lost Trensadon
Date Time Type Identification Duration Paws Result
May 20 11:1 5AM Fax Sent 96657372 1:07 2 OK
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
14n ATLANTIC BEACH, FLORIDA 32233
z,,
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 03-00027000 Date 10/10/03
Property Address . . . . . . 405 PLAZA
Tenant nbr, name . . . . . . UNDERGROUND 3ELLSOUTH
Application description . . . RIGHT OF WAY PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
----- -------------- -- --- --- -- -- -- -- --- -------- --
13ELL SOUTH TELECOMMUNICATIONS
301 W BAY ST
JACKSONVILLE FL 32202
---------- ------ -- ---- ---------- - - --- - -- ----- - - - -- -- -- - - ---- ----- - ----- -----
Permit UTILITIES PERMIT
Additional desc . .
Permit Fee . . . . . 00 Plan Check Fee . 00
Issue Date . . . . 10/10/03 Valuation . . . . 0
---------- ------- ------- -- ---- ------- ---- ----- ---- - - --- --- - --- - --- --- -------
Special Notes and Comments
AVOID ALL NEW STORM SYSTEM AT PLAZA &
SEMINOLE NOT SHOWN ON PLANS . MUST USE
SEDIMENT AND EROSION CONTROL AT NEW
BASIN AT PLAZA AND SEMINOLE.
INTERSECTION OF PLAZA AND SEMINOLE
CONTAINS WATER MAIN, GRAVITY MAIN AND
FORCE MAIN. DIRECTIONAL BORE MAY BE
RISKY. AVOID ALL EXISTING WATER/SEWER
UTILITIES . AVOID WATER MAIN ON PLAZA.
COORDINATE WITH PUBLIC UTILITIES PRIOR
TO STARTING WORK. 247-5874 OR 247-5834
CHRIS WALKER
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.
BUILDING OFFICIAL
CrrY OF ATLANTIC BEACH CONSTRUCTION PERMrr WrrHIN Crry RIGH73 OF WAY AND EASEMENTS
DATE September, 30 , 2003 PERMIT NO.
ISSUED BY THE: d1'ry,
JOB ADDRESS 405 Plaza St VALUATION $
PERM77EE BellSouth
PERmrr7EE ADDRESS 301 W Bay St Jax, FL 32202 TELEPHONE NO. (904 350-2253
REOUESTING PERMISSION FROM THE CITY OF ATLANTIC BEACH TO CONSTRUCT
Underground BellSouth facilities
LOCATIONS: (REFF-RE:NcE: TO CROSS-STREET) Seminoie Rd & Plaza St
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
S KETC H ES.
A LETTER OF NOTIFICATION WAS MAILED TO THE FOLLOWING UTILITIES/MUNiciPALITIES:
JACKSONVII t Fr ELECTRIC AUTHORITY YES X) No ( DATE: 9/30/03
BELL SOUTH TE:—PHONE COMPANY YES No ( DATE:
FERRELL GAS YES X) No ( DATE: 9/30/03
MEDIA ONE CABI IT TV YES X) No ( DATE: 9/30/03
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 PUBUC WORKS, ANY OR ALL OF SAID POLES, 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 REOUIRED BY THE DIRECTOR OF PUBLIC
WORKS, AND AT THE EXPENSF OF THE PERMITTEE UNLESS REIMBURSEMENT IS AUTHORIZED.
3. ALL WORK SHALL MEET CITY c F ATLANTIC BEACH OR FLORIDA DEPARTMENT OF TRANSPIRATION STANDARDS
AND BE PERFORMED UNDER THE SUPERVISION OF Clint Strickland (CONTRACTOR'S
PROJECT SUPERINTENDENT) LOCATED AT BellSouth TELEPHONE No.(904 ) -491-4958
4. ALL MATERIALS AND FOUIPMENT SHALL BE SUBJECT TO INSPECTION BY THE DIRECTOR OF PUBLIC WORKS OR
HIS DESIGNEE.
5. ALL CITY PROPERTY SHALL BE RESTORED TO ITS ORIGINAL CONDITION AS FAR AS PRACTICAL, IN KEEPING WITH
CITY SPEC IFICATIONS 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. Tws-�vimffrmm SHALL COMMENCE ACTUAL CONSTRUCTION IN 0000 FAITH WITHIN 30 DAYS FROM THE DAY
OF SAID PERMIT APPROVAL AND SHALL BE COMPLETED WITHIN 60 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.
8. IT IS UNDERSTOOD AND AGREED THAT THE RIGHTS AND PRIVILEGES HEREIN SET OUT ARE GRANTED ONLY TO
THE EXrENT 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 A- TIMES, ASSUME A- RISK OF AND INDEMNIFY, DEFEND, AND SAVE
HARM' E S 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 IMMEI?IATEIrY UPON CO-HPLETION.
SuamrTTED BY: 4 (PLACE CORPORATE: SEAL IF APPLICAaLe)
SWORN TO AND SUBSC RE ME THIS��DAY OF ax S
UFFAMPO
MY COMMISSION III DD 117586 in
N(3TARY PUBLIC
1411 BoaftdT?wu&xI"NmwvSw�1m
CITY OF ATLANTIC BEACH, FLORIDA
Approved by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19-2
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 ACCORDA WITH THE ELECTR AL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
ELECTRICAL FIRM: MASTER ELS&RICIAN SIGNATURE JOURNEYMAN
N a 04 r a E5 A D D R E S/
AM S: Box_
230 OW-kf�QT T- 1117-A
BLDGSIZE —BETWEEN:
RES. APT. Comm. (11" PUBLIC INDUS. NEW( - ) OLD ( REW.
ADDITION ) TRAILER ( TEMP. ( ) SIGNS ( ) SQ. FT.
SERVICE: NEW( INCREASE OPK REPAIR I FEE
CONDUCTOR SIZE AMPS I�9 0 COPPER I ALUMJ
SWITCH OR BREAKER AMPS PH W -R40 VOLT RACEWAY
EXIST.SERV.SIZE AMPS PH W ;?00 VOLT RACEWAY
FEEDERS NO. SIZE IND. SIZE I NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
0.30 AMPS. 31-100 AMPS.
SWITCHES
INCANDESCENT
FLUORESCENT&M.V. BELL TRANS
FIXED 0.100 AMPS. OVER
APPLIANCES F.
AIR H.P. RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS ICEIL HEAT: KW-HEAT
I
0-1 OVER
MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS1
MISCELLANEOUS
__TUNDER 600 V. OVER 600 V.
TRANSFORMERS, 1111 1
CITY OF ATLANTIC BJACH, FLORIDA
Appromd APPLICATION FOR ELECTRICAL PERMIT
THE CHIEF ELECTRICAL INSPECTOR: DATE: /2-/,Zf 19 -k2
IA&rw%RTANT NOT L ICE:
7
IN CONSID�RATION 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.
rA Z1WZ
j�ZECT�RICAL FIRM! �E JOURNgYMAN
-ptD
-ADDRESS: Z,4 RFD—BOX
DO.SIZE BETV�E'EN: 'z311kcrl4 Vi—
AIES.I APT� COMM/Vl' PUBLIC INDUS. NEW OLD( I REW. I
�DDITION I TRAILER ( TEMP.( SIGNS I
SO. FT.
SERVICE: NEW( INCREASE( REPAIR FEE
§MMMR SIZE AMPSS COPPER t,-r' ALUM.
&ATCH OR BRf4KER &M —_Z PH 3 W .2�40 VOLT RACEWAY
1603T.SERV.SIZE! PH W VOLT RACEWAY
IEDERS NO. /S-IZE ,::,R0 INO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
*CEPTACLES CONCEALED OPEN TOTAL
0 AMPS. 3t.100 AMPS.,
iw—ITCHES
IJEANDESCENT
F .UORESCENT&M.V.
FIXED 0.100 AMPS. OVER
.4 PPLIANCES BELL TRANSF.
A R H.P.RATING H.P. RATING
!RPNDITIONING iCOMP.MOTOR OTHER MOTORS AMPS ICEIL HEAT: KW-HEAT
J
0-1 OVER
amk I
TORS VOLTAGE PHS NO. 1 M.P. VOLTAGE PHS,
MSCELLANEOU 115, 7- =777%- Tel ='
CITY OF
A� &ad-R"44
Office of Building Official
REQUEST FOR INSPECTION
Data Permit No.
Time A.M.
Received PU District No.
J"dress Locality
ner�s��Wfj,,,,
Name Contractor
BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL
Framing 0 Footing 0 Rough Wiring 0 Rough 0 Air.Cond.& 0
Re Roofing 0 Slab 11 Temp Pole El Top Out D Heating
Lintel 0 Final L;21- Sewer Fire Place 0
READY FOR INSPECTION Pre Fab
A.M.
Mon. woo. Thurs. Friday—P.M.
1�7--ua 1 — 1� 7
Inspection Made M.
Inspector Final Inspection 0
Certificate of Occupancy
Date