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700 Sailfish Dr (vault) CITY OF ATL A TIC BEACH jw 14 800 SEMINC LE ROAD ATLANTIC BEACH FLORIDA 32233 ------------- INSPECTION PHONE LINE 247-5826 Application Number . . . . . 02-00024880 Date 9/23/02 Property Address . . . . . . 700 SAILFISH DR Application description . . . ROOF Property'`Zoning . . . . . . . TO 13E UPDATED_ Application valuation . . . . 4500 Owner Contractor ------------------------ ------------------------ LYONS, BOBBY ST. JOHNS ROOFING 700 SAILFISH DRIVE 1742 KING ARTHUR ROAD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32211 (904) 241-6897 (904) 744-9185 --------------------------------------- ------------------------------------ Permit . . . . . . BUILDING PERMIT Additional desc RE-ROOF Permit Fee 35 . 00 Plan Check Fee 17 .50 Issue Date . . . . Valuation . . . . 4500 Fee summary Charged Faid 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 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT 3E 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 IMPRO EMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL CITY OF ATLANTIC BEACH PI RMIT CALCULATION SHEET Address S141 L Date — L 3 o —.2— Heated Heated Square Footage @ $ per sq ft= $ Garage/ Shed @$ per sq ft= $ V Carport/Porch _@ $ per sq ft= $ Deck @ $ per sq ft= $ Patio @ $ per sq ft= $ TOTAL VALUATION: $ y Q Q / 3 — $ Total Valuation' 1st $ / 000 3 r8UZU $ 2-O Remaining Value $ per thousand dr portion thereof CONSTRUCTION TYPE: TOTAL BUILDING FEE $ 3 ZONING: + '/z Filing Fee $ FLOOD ZONE: ( ) 'replaces @ $15.00 $ 0 IMPERVIOUS SURFACE: BUILDING PERMIT FEE $ .0D WATER IMPACT FEE $ SE R IMPACT FEE $ WA ER METER/TAP $ CAP[TAL IMPROVEMENT$ SE R TAP $ C ( ) RADON N150050 $ SEC ION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ST( ) SURCHARGE $ OTHER $ GRAND TOTAL UE: $ a mo o? 930 Gity o9 City of Atlantic Beach• 800 Seminole Road 4 Atlantic Beach, Florida 32233-5,44-511 Phone: (904)247-5800 •FAX(904)247-580 •http://www/ci.atlantic-beach.fl.us PERMIT APPLICATTOP I FOR ROOFING JOB LOCATION r-7(3 0 5,04-1 F) DR OWNER OF PROPERTY_& 71 �.�CS S PHONE# a q 7 CONTRACTOR ST H CONTRACTOR ADDRESS p2 ( �Q ZIP7'Z1 CONTRACTORS LICENSE NO.jq G 0 6 SLO qJ PHONE# 1�f 6'4_7 -9 �S SCOPE OF WORK Qe #q otl f DECK SLOPE GREATER THAN 2 : 12 L SS THAN 2 : 12 ACTUAL VALUATION OF WORK $ C)6 PRODUCT NAME& MATERIAL TO BE USED —F-D p ft R ASTM DESIGNATIQN(S) 2 qj>a - R ST M 2? 178 REQUIRED INSPECTIONS SHEATH G FINAL ED LIBILITY INSURANCE POLICY SUPPLIED YES NO CITY OF ATLANTIC BEACH BUILDING OFFICE WORKERS COMP.POLICY SUPPLIED YES NO CONTRACTOR LICENSE SUPPLIED YES NO OCCUPATIONAL LICENSES LIED YES NO SIGNATURE OF OWNER SIGNATURE OF CONTRACTOR SWORN TO& SUBSCRIBED BEFORE ME THIS "2-3 r-P DA OF 200 JNNIFI R AS NOTARY PUBLI ! v: ;<_ tFi(PIRr_S.M<tti ' „cicc:. !�NSl�lerMFtili AS T ISSION#DD 121301 S:May 27 2006 NOTARY PUBLI ''+„pf .' Bonded Thru Notary Pubk Underwriters 2002 - 2003 OCCUPATIONAL LICENSE E TAX LYNWOOD R BERTS OFFICE OF THE TAX COLLECTOR CITY OF JACKSONVILLE and/or COUNTY OF DUVAL, FLORIDA 231 EAST FORSYTH STREET ROOM 130, JACKSONVILLE, FL 32202 PHONE: (904)630-2080 FAX: (904)630-1432 Note - A penalty is imposed for failure to keep this license exhibited conspicuously at your establishment or place of business. This license is furnished in pursuance of chaptar 770-772 City ordinance codes. ST JOHNS ROOFING 03 CURTIS HALE PEDDLER OF SERVICE 1742 KING ARTHUR RD JACKSONVILLE, FL 32211-4845 ACCOUNT NUMBER: 042175-0000-3 LOCATION ADDRESS: 1742 KING ARTHUR RD 32211-4845 DESCRIPTION: CONTRACTOR, ALL TYPES County License Code: 770.307-001 County Tax: $11.25 Municipal License Code: 772.309 Municipal Tax: $46.25 Total Tax Paid: $57.50 VALID FROM OCTOBER 1, 2002 ro SEPTEMBER 30, 2003 RCPT #: 001/62/9059/0051/09242002 DA E: 9/23/2002 AMT: $57.50 ATTENTION 'The Following Construction Contractors Require Additional Licensure*** ALARM POOL ALUMINUM/VINYL RESIDENTIAL BUILDING ROOFING ELECTRICAL SHEET M TAL SOLAR MECHANICAL PLUMBING IRRIGATION GENERAL CARPENT 3Y WATER TREATMENT UNDERGROUND UTILITY HEATING AIR CONDITIONING REFRIGERATION This is an occupational license tax only. It does not permit the licensee to violate any existing regulatory or zoning laws of the County or City. Nor does it exempt the licensee from any other license or permit required by law. This is not a certification of the licensee's qualification. C:5 --V�]0-1�,—& TAX COLLECTOR THIS BECOMES A RECEIPT A TER VALIDATION 2002 - 2003 OCCUPATIONAL LICENSE T AX LYNWOOD R BERTS OFFICE OF THE TAX COLLECTOR CITY OF JACKSONVILLE and/or COUIN TY OF DUVAL, FLORIDA 231 EAST FORSYTH STREET ROOM 130, JACKSONVILLE, FL 322)2 PHONE: (904)830-2080 FAX: (904)830-1432 Note - A penalty is imposed for failure to keep this license exhibited onspicuously at your establishment or place of business. This license is furnished in pursuance of chapt r 770-772 City ordinance codes. HALE, CURTIS 03 ST. JOHNS ROOFING PEDDLER OF SERVICE 1742 KING ARTHUR RD JACKSONVILLE, FL 32211-4845 ACCOUNT NUMBER: 049924-0000-5 LOCATION ADDRESS: 1742 KING ARTHUR R 32211-4845 DESCRIPTION: QUALIFYING AGENT, ONTRACTORS County License Code: 770.000-005 County Tax: N/A Municipal License Code: 772.325 Municipal Tax: $100.00 Total Tax Paid: $100.00 VALID FROM OCTOBER 1, 2002 0 SEPTEMBER 30, 2003 RCPT #: 001/62/9059/0052/09242002 WE: 9/23/2002 AMT: $100.00 ATTENTION 'The Following Construction Contractors Require Additional Licensure*** ALARM POOL ALUMINUM/VINYL RESIDENTIAL BUILDING ROOFING ELECTRICAL SHEET M TAL SOLAR MECHANICAL PLUMBING IRRIGATION GENERAL CARPENT Y WATER TREATMENT UNDERGROUND UTILITY HEATING AIR CONDITIONING REFRIGERATION This is an occupational license tax only. It does not permit the licensee to vi late any existing regulatory or zoning laws of the County or City. Nor does it exempt the licensee from any other license or permit required by 1 1w. This is not a certification of the licensee's qualification. C:5 TAX COLLECTOR THIS BECOMES A RECEIPT A TER VALIDATION ®9%z-gtazt3.22.44 ]nfOPress—> 90 3879022 CertainTeed Paye 001 CertainTeed Corporation 750 E. 5wedesford Road CertainTeedCwl PO Box 860 Valley Forge, PA 19482-0109 610-341-7000 September 23, 2002 1:22 PM T0: 9043879022 Please deliver the following documents to th person at extension:222 Document Number and Description 022 flintglas ply sheet type IV Number of pages per this transmission:3 Thank you for using the CertainTeed Roofing Fax Line. 09,(23/02 322;54 InroPress-> 90438 9022 CcrtdinTced Paye 00Z FLINTGLAS® Ply Sh et Type IV Fiber Glass Type IV Roofing Felt Product Product Use:FLINTGLAS Ply Sheet Type I is designed for use as an interply felt for both hot Description and cold applied, inorganic built-up roofing systems. It is suitable for use in the construction of various types of membranes for both neiv construction and re-roofing,over a variety of substrates. It is specially constructed to pr)vide uniform strength and promote improved asphalt uniformity and adhesion between plies. Limitations:FLINTGLAS Ply Sheet Type IV ay be applied in either hot asphalt or cold applied adhesive depending on system design and selection. Rolls should be stored off ground, completely protected against weather. Roo decks shall be structurally sound, dry, smooth and meet or exceed minimum requirements of the deck manufacturer, local code and CertainTeed. Roof decks shall provide positive drainage Additional specifications and precautions are contained in the CertainTeed Commercial "ystems Specifications Manual. Product Composition and Features.FLINTGLAS Ply Sheet Type IV is manufactured on a durable, high quality fiber glass mat which receiveE a coating of asphalt and is lightly surfaced with a release agent.The fiber glass base mat provides excellent strength and moisture resistance with uniform porosity to allow complete bi-umen embedment without excessive bleed through. FLINTGLAS Ply Sheet Type IV is pliable and will conform to most surfaces for ease of application. Applicable Standards: FLINTGLAS Ply Sheet Type IV is approved by Underwriters Laboratories for use in various Class X B, and C roof assemblies under UL Designation G-1, by Factory Mutual (J.l.3Y8A1.A ), and by Dade County(Protocols 97-0520.01-.10 and 97.0521.04-.05).Consult Certai Teed, UL, F.M.or Dade County for details. Meets ASTM D2178. Technical The following information represents typical average properties of FLINTGLAS Ply Sheet Type IV: Data Support Mat. Wet pro-,ess fiber glass mat. Surfacing: Release agent. Approximate Product Weight. 38 I bs.per roll. Dimensions: 36"x 1 0' (540 square feet). Coverage: Five Sq jerres. Tensile. MD/XD 0/46. --IIIS-87902 2 Cer tainT eed Paye 001 09%Z3/0ZR13;ZZ:44 InfoPress > 90`� CertainTeed Corporation 750 E. Swedesford Road PO Box 860 CertainTeedCml Valley Forge, PA 19482-0109 610-341-7000 d September 23, 2002 1:22 PM TO: 9043879022 Please deliver the following documents to the person at extension:222 Document Number and Description 022 flintglas ply sheet type IV Number of pages per this transmission:3 Thank you for using the CertainTeed Roofing fax Line. 09/23/02 1.3.22:54 InfaPress-> 9043071 022 CertainTeed Paye 002 FLINTGLAS° My Sh et Type IV Fiber Glass Type IV Roofing felt Product Product Use:FLINTGLAS Ply Sheet Type IV is designed for use as an interply felt for both hot Description and cold applied, inorganic built-up roofin systems. It is suitable for use in the construction of various types of membranes for both new construction and re-roofing,over a variety of substrates. It is specially constructed to provide uniform strength and promote improved asphalt uniformity and adhesion between plies. Limitations:FLINTGLAS Ply Sheet Type IV ay be applied in either hot asphalt or cold applied adhesive depending on system design and selection. Rolls should be stored off ground, completely protected against weather. Roo decks shall be structurally sound, dry, smooth and meet or exceed minimum requirements of the deck manufacturer, local code and CertainTeed. Roof decks shall provide positive drainage. Additional specifications and precautions are contained in the CertainTeed Commercial 3ystems Specifications Manual. Product Composition and Features:FLINTGLAS Ply Sheet Type IV is manufactured on a durable, high quality fiber glass mat which receives a coating of asphalt and is lightly surfaced with a release agent.The fiber glass base mat provides excellent strength and moisture resistance with uniform porosity to allow complete bi umen embedment without excessive bleed through. FLINTGLAS Ply Sheet Type IV is pliable a d will conform to most surfaces for ease of application. Applicable Standards: FLINTGLAS Ply heet Type IV is approved by Underwriters Laboratories for use in various Class A, B, and C roof assemblies under UL Designation G-1, by Factory Mutual (J.I.3Y8A1.A ), and by Dade County(Protocols 97-0520.01-.10 and 97.0521.04-.05).Consult Certai iTeed, UL, F.M.or Dade County for details. Meets ASTM D2178. Technical The following information represents typical average properties of FLINTGLAS Ply Sheet Type IV: Data Support Mat. Wet pr ess fiber glass mat. Surfacing: Release agent. Approximate Product Weight. 38 I bs.per roll. Dimensions: 36" x 1 0' (540 square feet). Coverage: Five Sq jerres. Tensile: MD/XD 50/46. 09/23/02'13:23,.5InfoPress -> 9043079022 CertainTeed P a e 003 Product Roof systems constructed with FLINTGLA3 Ply Sheet Type IV shall be applied in accordance Application with installation procedures contained in Me CertainTeed Commercial Systems Specifications Manual.The following information is interided for general information purposes only and is not all-inclusive. Preparation:Substrates to receive a roofs stem shall be firmly attached, smooth,dry, clean and free of sharp projections and depressions Flashing details shall be in place, ready to receive roofing with roof accessories available pri r to application of materials. Substrates requiring priming shall be primed with asphalt prirr er and be allowed to completely dry. Substrates shall provide positive drainage. Roof insulation shall be tapered to drains. Installation:FLINTGLAS Ply Sheet Type I shall be installed shingle method with side laps determined by the number of plies to be nstalled. End laps shall be 4°and diagonally staggered not less than 3 feet apart. FLIIN TGLAS Ply Sheet Type IV shall be set in a solid mopping of bitumen. It is generally applied in multiple layers directly over a base ply of GLASBASE or ALL WEATHER/EMPI RE B ise Sheet,or approved types of roof insulation. CertainTeed does not recommend use of FLINTGLAS Ply Sheet Type IV as the first ply over nailable decks or plastic foam type insul tions. Refer to the CertainTeed Commercial Systems Specifications Manual for additional infoirnation on product usage. Precautions:Cold weather applications re uire special handling to prevent damage to the rolls and to insure satisfactory installation. Do not apply roofing systems over improperly prepared substrates or substrates which contain moisture. Maintenance:CertainTeed Commercial R f Systems generally do not require any additional maintenance beyond normal yearly roof maintenance procedures.CertainTeed recommends regular roof maintenance and inspection to determine the condition of drains,flashings and other similar items. Warranties CertainTeed offers a number of different ypes of Roof Membrane Warranties designed to meet the building owner's specific requir ments.Contact your nearest CertainTeed office for additional information and requirements. Technical CertainTeed provides technical assistant in the design,selection,specification and application Assistance and for all CertainTeed Commercial Roof Sys ms.Architectural and field representatives are available for consultation within each re ion. Services ( F { ® Western Region Ce itral Region Eastern Region CertainTeed® 2021 Las Positas Court, Suite 129 55?5 MacArthur Blvd., Suite 900 2900 Bird Street Livermore,CA 94550 Iry ng,TX 75038 Charleston, SC 29405 (925)606-7434 (9-2)580-5600 (843)744-7451 WWW.cenainteed.com (925)606-1097 fax (9 2)580-5645 fax (843)744-7338 fax ®2000 CertainTeed COMM-022 5 MIN. RETURN Book 10677 Page 1017 PHONE# tY5,- NOTICE OF CO NCEMENT (PREPARE IN DL PLICATE) Permit No. Tax Folio No. State of Coun of To whom it may concern: The undersigned hereby informs you that Improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the lollowing information is stated in this NOTICE OF COMMENCEMENT. Legal description of property being improved: 0 0 ; D R-, A ' 2a L 1Dv L Coutay Address of property being improved: rl o a F! 9 t)R. W. General description of improvements: Re o l Owner CY L Address 00 oA i)k Owner's interest in site of the improvementKlok Fee Simple Titleholder(if other than owner) Name Address `Contractor ST �O S P( 6b Address-1' UP , _ f b �� 1 119 3aan Phone No. _ 9OY-7yy—�)� Fax No. ur ty(if any) Address Amount of bond$ Phone No. Fax No. Name and address of any person making a loan for the consi ruction of the improvements. Name h10 t4i Address Phone No. Fix No. Name of person within the State of Florida,other than himsel,designated by owner upon whom notices or other documents may be served: Name Address Phone No. Fix No. In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06 (2)(b), Florida Statutes. (Fill in at Owner's op'on). Name 1-j 13 V4 Address Phone No. Fax Expiration date of Notice of Commencement(the expiration c late is one(1)year from the date of recording unless a different date is specified): THIS SPACE Fnh Hee Am,v-1 (1 , CITY OF 4&.e& 27earX - ;500 SEh11NOLL- ROAD — — ._ —'-- ---_ ATLANTIC BEACH. FLORIDA 321-33-5445 TELEPHONE(904) 247-5300 A FAX (904) 347-5305 �4 SUNCOn1 352-5300 DATE JEA Construction & Maintenance 2325 Emerson Street Jacksonville, FL 32207 Attention: Connie Re: Final Electrical Inspect ons Dear Connie: . Final Inspections on the following locations have been completed and approved: ED PERMIT NO. A DRE Please call me at 904-247-5826 if you ha a any questions. Sincerely, r ATLANTIC BEACH BUILDING DEPARTMENT d /CITY OF 4404— Office of Building Official REQUEST FOR INSPE TrNo. Date Pe m Time A.M. Received __PM —;710 In Job Address Locality Owner's Name -- ---_ tractor �- BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing Footing 1 ❑i Rough Re Roofing Slab g Air Cond. & ❑ L i Temp Pole I' Top Out Heating Insulation Lintel ❑ Final Sewer ❑ Fire Place ❑ j F-n U. � ' �, READY FOR NSP Ip Pre Fab (CM. lf�/� Tues. Wed. A.M. ] � Friday PM. Inspection Made Inspector _ _ Final Inspection 46 012le 1Q' Q (, /� ` Q (} i ertificate of Occupancy C Z O /C �Q'/�� 3 J / 7 Date ---- CITY OF � — ,�� a "_ - fir. Office Of Building Official REQUEST FOR INS, ECTIO Date O Time Permit No. Received A.M• ----_ M. Job Address Owner's p Locality e� NameaAAe� Contractor I BUILDINGCO CRETE Framing ❑ Footing ❑ ELECTRICAL PLUMBING MECHANICAL Re Roofing ❑ Slab Rough Wiring Rough ❑ Insulation ❑ Temp Pole Top Out Air Cond. & ❑ ❑ Lintel ❑ Final ❑ Heating Sewer ❑ Fire Place ❑ READY FOR INSPEC1 ION Pre Fab Mon: Tues. Wed. Thurs. A:M oFrday Inspection Made A.M. �—•�}� Inspector � C � —P.M. v, Final Inspection ❑ � kfvv knc, --------QQIL1ficate/yof Occupancy ❑ Date CITY OF Ve4d - 57&u�& SW SEMINOLE ROAD -- -- - ATLANTIC BEACH,F'LORM4 32233-5405 TELEPHONE(904)247.5800 FAX(904)2CLS805 May 2, 1994 Mr. Richard Abdullah 428 N . 17th Avenue Jacksonville Beach, FL 32250 Dear Mr . Abdullah: Our records indicate that you are the owner of the following property in the City of Atlantic Beach, Florida : 700 Sailfish Drive a/k/a Lot 25, Block , Royal Palms Unit 1 RE#171210-0000-1 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 fift en (15) days from the date hereof , the City will remedy this c dition at a cost of the work plus a charge equal to 100% of the cost of the work to cover C: -v administrative expenses , which will 6e assessed the property owi',-r or occupant . If not paid within thirty ( 30 ) days after receip- 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 mak- 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. Sincer ly, Karl W . Grunewald Code E forcement Officer KWG/pah cc : City Manager Don Ford VIA CERTIFIED MAIL RETURN RECEIPT REQUESTED i 09PAR`,TM�NT OF BV=ING FOR OFFICE USE C1T'Y OF ATLANTIC BEACIf, PLORIDA ONL� ,. Date Permit # Fee Application Pe � ---- , . " rrnt Valuation for risc. Alterations Howe # A nd Repairs, DSCR:IH — o T �� t v% (state if to ''repair, alter, add to or move 'building, erect awning or signs etc-..) Bidding on,* Lot ,N Blk No, Sub.Div.I a yA A dress aluation er's Name —•--�--- i q , BUILDINGS & OCCUPANCV B4ilding, Use Residential or Business "at Plumbing work to be done? S ze of Present -B1#d5• Size of Extension Lct size Material, oE Roof Nc . of stories now, after alters Material of Present Building aterial of Extension - PLANS MUST BE SUBMIT EN HERMTH SIGNS- Si�e -Classification (state whether sero nd, rr„}of, wall, projecting anneMa erial of Construction Il .uminated?Type of illumination (State whether lamps or neon) wi .l sign be over public property? ISUBMIT DRAWING SHOWING CONSTRUCTION OF SIGN AND METHOD O OF HANDING WRITE ADDITIONAL 'INFORMATION BELOW (For canvas awnings provide dimensioned drawing onr %*de) k O,r11P IMPORTANT NOTICE: In consideration of permit given for aoing the work as described in the above statement, we hereby agree to perform said work in ac0ordance with the attached plans and sge ifications, which are a Oak hereof, .and inlaccordance with the building regulations of the Ci of Atlantic Beach. Southern,-Standard guilds Code) Si ature of 'Builder or Owner Ad ess Phone see �� , E m MAP SHOWING �URVEY OF h' AS RECORDED IN PLAT BOOK-3Q-PAGE5_-GPd OF PUBLIC RECORDS OF DUVAL CO. FLA. FOR tt-4L O' M. !�c%4�-apt lE2 �? O � N I�• ��. cVVV; / S7b/2 Y C �3GOc.�C C STI¢ , /O. N N i� 2 Z.S• K. 1 i o T 2C-> CITY OF ATLANT C BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CIIIEF ELECTFUCAL INSPECTOR: DATE:—,---- IMPORTANT ATE:_ --_—IMPORTANT NUTICE: IN CONSIDERA-TION OF PERMIT GIVEN FOR DO NG TIRE WORK AS DESCRIBED IN TIIE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORI ANCE WITH THE ATTACIIED PIANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF-, AND IN ACCORDANCE W Til TIIE ELECI-RICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. v _f ' ELECTRICAL FIRM: MASTER E LECTI I ICIAN SI GNAT RE JOUBNEYMAN NAME _ � lL_l�_� ADDRESS: Qty ✓/ALL l'LSH P. . . RFD BOX BLDG.SIZE r 5 I R yL D — BETWEEN: ll' RES. I V APT. ( 1 COMM. ( ► PUBLIC ( 1 INDUS. ( I NEW ( 1 OLD ( 1 REW. ( 1 AUDITION 1 ► TRAILER ( ► TEMP. ( ► SIGN ( 1 _ SO. FT. SERVICE: NEW ( ► INCREASE (Vf"' F EPAIR ( ► _FEE CONDUCTOR SIZE 9-/C> St=fZ AMPS ZC A COPPER ( / SWITCH OR BREAKER —AMPS —_t PH -- W ( 2QLKQ/0LT_ EXIST.SERV.SIZE � ,��-- AMPS_ _1 PH W 1�2YcVOLT f�; j RACEWAY FEEDERS NO. SIZE �NO. SIZEf NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.90 AMPS. -- 31 160 AMPS. ------ - —— SWITCHES INCANDESCENT FLUORESCENT & M. V. — — - --- FIXED 0.100 AMP9. OVER - ---- -- – -- - - --- — APruANCEs BELL TRANSF. -- — —-—-- ---- AIR N.P. RATING H.P. RATING — --- CONDITIONING COMP. MOTOR OTHER MOTOR AMPS CEIL HEAT: KW-HEAT 1 Z`/i_V4 __ - ----- -- ----- --- ---- 0-I OVER ------- MOTORS H.P. VOLTAGE PHS NO. I N.P. VOLTAGE PHS MISCELLANEOUS