1520 Selva Marina DR (vault) (2) 0002464
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
PERMIT INFORMATION LOCATION INFOHMATIOU
Permit Number % 2464 Address; 1520 SELVA MARINA DRIVE
Permit Type: MECHANICAL ATLANTIC BEACH, FLORIDA 32123'-,
Class of Work: REPAIR LEGAL DESCRIPTION
Constr . Type: N/A Lot: Blocks Section :
Proposed Use; SINGLE FAMILY Township: RNG: 0
Dwellings: 0 Code: 0 Subdivision: SELVA MARINA
Estimated Value: $0. 00
Improv. Cost- $0. 00
Total Fees: $20. 00
Amount Paid: S2Q. 0Q
Wctyk REPLACE AIR HANDLING ONL IN EXISTING HVAC
OWNER INFORMATION - APPLICATION FEES
Home% BRUCE STRICKLAND PERMIT $20. 00
Address: .1520 SELVA MARINA DRIVE WATER IMPACT FEE $0. 00
ATLANTIC BEACH, FLORIDA 32233 SEWER IMPACT FEE $0. 0()
(904)241-2030 WATER METER $0. Oct
RADON GAS-}i. R. S. $0. 00
CONTRACTOR INFORMATION RADON GAS - 5% $0. 00
Namet COASTAL HEATING AND COOLING WATER TAP $0. 00
Address; 111' BEACH BLVD, SEWER TAP $0. 00
JAX BEACH, FLORIDA 32250 HYDRAULIC SHARE $0. 00
License-. CACO20230 Type- RE--INSPECT FEE $0. 00
ENGINEERING $-0. 00
OTHER $0. 00
NOTES:
NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
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 MECHANICS' 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.
ATLANTIC BEACH BUILDING DE,RARTME
Bye/
'> *i. BUILDING AND ZONING INSPECTION DIVISION
6W y
CITY OF ATLANTIC BEACH
ATLANTIC BEACH, FLORIDA 32233
APPLICATION FOR MECHANICAL PERMIT CAI-L-IN NUMBER
IMPORTANT — Applicant to complete all items in sections I, II, III, and IV.
LOCATION Street Address: 3 a -s d
OF Intersecting Streets: Between And
BUILDING
Sub-division
II. IDENTIFICATION — To be completed by all applicants .
In consideration of permit given for doing the work as described in the abcve 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 City of Jacksonville ordinances and standards
of good practice listed therein.
Name of Mechanical Contractors
Contractor (Print) t**70,4S�—4 A/h•J Tl,I/G a rnrtD.c Z r/ Master
Name of
Property Owner
Signature of Owners Signature of
or Authorised Agen !� Architect or Engineer
tt?�1111. GENERAL INFORMATION
A' Type of heating fuel: B'
IS OTHER CONSTRUCTION BEING DONE ON
0, Electric THIS BUILDING OR SITE? /1'
❑ Gas—❑ LP ❑ Natural ❑ Central Utility
IF YES, GIVE NUMBER OF CONSTRUCTION
❑ Oil PERMIT
❑ Other — Specify
IV, MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK
(Provide complete list of components on back of this form) V Residential or ❑ Commercial
13 Heat ❑ Space ❑ Recessed M' Control O Floor ❑ New Building
Cl Air Conditioning: ❑ Room ❑ Control 0' Existing Building
❑ Duct System: Material Thickness
❑ Replacement of existing system
Maximum capacity c.f.m.
❑ New installation(No system previously installed)
❑ Extension or add-on to existing system
❑ Refrigeration �/
lJ Other — Specify ''f'4✓DuY<--
❑ Cooling tower: Capacity 9•P-n• y,
❑ Fire sprinklers: Number of Mads -
❑ Elevator ❑ Manlift ❑ Escalator (number) THIS SPACE FOR OFFICE USE ONLY
❑ Gasoline pumps --(number) (Reeeiv
❑ Tanks (number) Remarks
❑ LPG container. (number)
❑ Unfired pressure vessel
Permit Approved by Date
❑ Boilers
❑ Other — Specify Permit Cee
LIST ALL EQUIPMENT
Alt CONDITIONING AND REFRIGERATION EQUIPMENT
Capacity App:
Number Unite Description Model Number Manufacturer (Tons) Agency
HEATING - FURNACES, BOILERS, FIREPLACES Capacity Approwtag
Number Units Description Mode]Number Manufacturer Urru) ASMOY
K S iv c.
TANKS Serial Approving
Now Many Nominal Capacity Type Liquid Name of
and Dimensions Contained Manufacturer No. Agency
0002603
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
-- - PERMIT INFORMATION - LOCATION INFORMATION - - --
pernit Number: 2603 Address: 1520 SELVA MARINA DRIVE
P rmit Type: BUILDING ATLANTIC BEACH, FLORIDA 32233
Cle s of Work: ADDITION - --- --- --- - LEGAL DESCRIPTION
Co str. Type: WOOD FRAME Lot Block: Section:
Pr posed Use: SINGLE FAMILY Township: RNG: O
Dwellings: O Code: 0 Sub ivision: SELVA MARINA UNIT I
Estimated Value: $6000. 00
Improv. Cost: $0. 00
Toted Fees: $30. 00
Amount Paid: *30. 00
Date Paid: 6/22090
Work Desc. : ,SCREEN PORCH, SLABS, KNEEWALL, WOOD FRAME ADDITION
OWNER INFORMATION -- - - --- -_ - APPLICATION FEES
eme: BRUCE & MINNA STRICKLAND PERMIT $30. 00
Address: 1520 SELVA MARINA DRIVE WATER IMPACT FEE SO. 00
ATLANTIC BEACH, FLORIDA 32233 SEWER IMPACT FEE $0. 00
Phone: (904)246--4537 WATER METER $0. 00
RADON GAS-H. R. S. $0. 00
CONTRACTOR INFORMATION _ _ _._.. RADON GAS - 5% $0. 00
Name; MABRY CONSTRUCTION WATER TAP $0. 00
Address; 121 SOUTH 6TH STREET SEWER TAP $0. 00
JACKSONVILLE BEACH, FL. 32250 HYDRAULIC SHARE :50. 00
License: CRCO23441 Type: 1 RE-INSPECT FEE *•0. 00
ENGINEERING 150. 00
OTHERaO. OU
NOTES:
NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
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 MECHANICS' 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.
ATLANTIC B CH BUILDING DEPARTMENT
By:
17
Address ,5,2 O IF
Heated Square Footage @ $ per.sq ft = $
Garage/Shed �-- @ $ per sq ft = $
Carport/Porde @ $ per sq ft - $
Deck �p @ $ er sq ft - $ Q _
�- @ $ per sq ft =
Patio $
10TAL VALUATION t $
� t,_x)o
1'ot' a, Valua iL cni 1st $ ''
oder Valuation ' per ousan or . . t
itanai_t .
portion thereof. a�
-------------------------------- Total Building Fee $
ADDITIONAL PEMLLS and/or MT:CS REQUIRRD + Filing Fee $ U
• i DFireplacbs @ 15.00 $
Medianical
t BUILDINGtPFRM1T F :•
Pluibing
Electric/Neta ----------- ----- ------------------------------
Electric/Tm4, ,,
Septic Tai�lc � .. BUILDING P1;RMiT $
Se
1 WAZ�R t iFR CHARGE $
Well . S, ,R IMPACT FEE $
S�mL1ti1111g Pool
WATER IMPACT FEE $
Sigh
MISCEUANEOUS $
Water Cotulecticm ? $
Sewer Cotuiection
Water t1e-ter
t;lcv,jtl.on Ccrt-ific.iLc $
GRAND TOM WE
-------------------------
---
-----------------------------------------------------------
------------------------------------------- ---- --- ---- ---
CALCULATlONS and/or NUIES
1/ V ' { ;
A P P L I C A T I O N F O R B U I L b I N G P E R M I T
CITY OF
REQUIRED SUBMITTALS &Orft read - 9&
716 OCEAN BOULEVARD
Each application for building P,O,BOX 2
permit will be accompanied by ATLANMC BEACH,FLORMA 32233
two complete sets of plans, including TELEPHONE(904)245-2396
a detailed site plan indicating location
of utilities, parking, size of yards and
other pertinent data; one set of Florida Energy
Efficiency Code sheets; recent survey (on new const )la
11 iag�
SCHEDULE OF INSPECTION JUIN
Building and Zoning
Requests for inspections will be accepted from 8%00 AM until
4:30 PM. All inspections will be made the following working day.
r
1. Footing
2. Rough Plumbing/Sewer
CALL IN WITH PERMIT
3. Slab NUMBER FOR EACH
TRADE
4. Framing, Rough Electric,
Mechanical, Top Out Plumbing
5. Insulation
6. Final Inspection/Issuance of Certificate of Occupancy
------------------------------------
BUILDING CARD MUST BE POSTED OR NO INSPECTION WILL BE MADE
Pour no concrete or cover any work until
building card is SIGNED by the inspector. You
will be required to uncover any work that has not
been inspected.
$10 fee is required for all: re-inspections.
P'fr }
`4'4L�JY
PROPERTY DESCRIPTION r
l*e4ar& Te4d - 9&
416 OCEAN BOULEVARD
of *--------Block #F_______ Section ........ P.O.BOX 25
ATI,ANUC BEACH,FLOWDA 92233
TELEPHONE(904)249-2395
>ubdivision
street Name DESCRIPTION OF WORK
,r Address: ___ ____ ^
If in a FLOODHAZARD
'lood Zone: _____area complete page 3. Brief
--------- Description:_w0tA -�a�e-----------
— ji
I�
Class of Works
(New/Remodel/Addition)-_ �` c'�___
ONING INFORMATION
Type,
Construction:
oningS,L
Proposed-C r---' ,4--- --'�-- �� ---------
istrict: ✓ _Use �J" f o I Estimated Value 9 C
--
xceptions or Materials _- „Kc►� we c.r0_-_-
ariances Granteds______ _ ________
-42-4
Solid or
Filled i
------------------------------------------
Ground -----Roof
OWNER INFORMATION
j Method of Heating s„ ..........
Property Ovners__a_ L'! .L _(�IAIA/4__--J %�iI�L / - � -- Phones 6- Z-_
Mailing _ -- -- - --
Address---iS`_oL�
------ (h"j -------- ----- -----------------
------- Zips -------
CONTRACTOR INFORMATION
Contractors___� � �tti �' _ Phone:
�►_�4 �__
--------- --------------------- ----
Mailing
Address s
---FL--------------- ----- Zip s32:22-3------
Expiration
Licensee Numbers......................................... Dete:
I HEREBY CERTIFY THAT I HAVE READ AND EXARIRED'THIS ''APPLICATION AND KNOW THE SAME TO BE TRUEY�_
1 AND CORRECT. ALL PROVISIONS OF THE LAWS AND onblMANCES GOVERNING TRIS TYPE OF WOP.Y. WILL JE
COMPLIED WITH, WHETHER SPECIFIED HEREIN OR NOT. THE ORANTINO OR A PERMIT DOES HOT FR£71JKE TO
GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL, STATE OR LOCAL RULE,
REGULATIONS. ORDINANCES, OR LAWS IN ANY MANNER, INCLUDING THE GOVERNING OF CONSTRUCTION OR TY.E
PERFORMAtiCE O:' CONSTRUCTION OF THE PROJECT. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS
CONTINGENT UPON THE ABOVE INFORMATION BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING
j
yt^ DATA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED.
lF Ovner Signature -- _ �_1�-� -_ ___-__-__Date------------ -
Contractor
/---U__
• Contractor Signet u ________________Date_ _ I_�� t�
b
FLOODPLAIN DEVELOPMENT INFORMATION
Type of Development _______-________
----------------------------
Flood Zone:
Required Lowest Floor Elevation: !'
---------------
If building is located within a flood hazard zone, a survey must
be made AFTER THE SLAB HAS BEEN POURED, certifying that the
LOWEST FLOOR ELEVATION is equal to or above the base flood
elevation established for that zone.
No final inspection will be made and no c t1ficate of occupancy
will be issued until the survey i on ile with the Building
Department.
COMMENTS:
Applicant Acknowledgements I understand that the issuance of
this permit is contingent upon the above information being
correct and that the plans and supporting data have been or shall
be provided as required. I agree to comply with all applicable
provisions of Ordinance No. 25-7-11 and all other laws or
ordinances affecting the proposed development.
Date--------------Applicant's Signature___________________-____-_
----------------------------------------------------
Department Use
Required Lowest Floor Elevation
-----------------
As Built Lowest Floor Elevation _
---------- -----
Survey Filed with Building Department -
-----------------------------------
Building Department Representative
page 3
ACCOUNT NO. 41289-0000-3
1989-90 OCCUPATIONAL LICENSE COUNTY CODE 7.70.000-005 OI$T.
CITY OF JACKSONVILLE and/or COUNTY OF DUVAL, FLORIDA QUALIFYING AGENT, CONTRACTORIS 5---- -
THIS MACH NBECOMES RECEIPT VALIDATED A
E SI OWI OA TRANSACTION NUMBER DATE AND AMOUNT EPAID G
THIS LICENSE IS FURNISHED IN PURSUANCE OF CHAPTER
171).772 CITY ORDINANCE CODES.
www
aa� MABRY, PETER H
Qw MABRY DEVELOPMENT CO, INC MUNICIPAL CODE DIST cc
Qog 299 ATLANTIC BLVD 772. 325 1 13 s
°o ATLANTIC BCH FL 322330000 GENERAL BUILDING RESIDENTIAL
°0W SHEET M�TAL, ROOFING, AIR CONDITION-
INmw ING CLASSES A THRU C, MECHANICAL,
a Sx� I -JOMMERCIAL POOL RESIDENTIAL POOL,
Z wm L__ SWIMMING POOL SbVICING PLUMBING,
cr F�w IS HEREBY LICENSED TO ENGAGE ��I IN THE€B.US,IINEESS€PROFESSION ELECTRICAL, AND SPECIALtY. $100- 00
W wo OC I of,UP 1T�0�S1TI� ()��i��ING TONPER`�itP I G130,r 01990
a Ow TOTAL S
a a= AN OCCUPATIONAL LICENSE SHALL NOT GIVE ANY PERSON THE RI
GHT
uY',m TO VIOLATE ANY OTHER LAW On ORDINANCE.
TAX COLLECTOR
SP 3/26/90
PAYMENT RECEIVED AS CERTIFIED
RCPT 4: 7009736 DATE: 9/29 AMT: 100.00
ACCOUNT NO. 412,88-0000-7
1989-90 OCCUPATIONAL LICENSE COUNTY CODE 770. 307-001 °I T A
,� CONTRACTOR, ALL TYPES —`--
CItY OF JACKSONVILLE an or COUNTY OF DUVAL, FLORIDA
RECEONLY WHEN VALIDATED BY RECEIPTING 1-10 PERSONS' $11. 25• 1 1-20' $22-50
MACHINE SHOWING A A lFC1C710N NUMBER DATE AND AMOUNT PAID. 21-30' $33. 75- 31-401 $45.00q 41-5111'
THIS FORM BECOMES A IPT
THIS LICENSE IS FURNISHED IN PURSUANCE OF CHAPTER i 56. 25' 51-100' $187. 501• 101-150'
771).772 CITY ORDINANCE CODES. 281. 2 151-200' f375.ILIO OVER cdl0'
amu K468.75
I MABRY DEVELOPMENT CO, INC
4z 3 PETER MABRY, PRES MUNICIPAL CODE DIST cc
¢-0 299 ATLANTIC BLVD 772. 000 3 13 _
ATLANTIC BCH FL 322330000
°1w
Q Nmz II J
�wm
C7 wwa
w
('[ 11Ww IS HEREBY LICENSE() TO ENGAGE IN THE BUSINESS, PROFESSION
O `V¢ OR OCCUPATION AS STATED ABOVE FOR THE PERIOD BEGINNING ON
z„wow OCT 1, 1989 AND ENDING ON SEPT 30, 1990 TOTAL S
I a<= AN OCCUPATIONAL LICENSE SHALL NOT GIVE ANY PERSON THE RI
GHT�
Y�m TO VIOLATE ANY OTHER LAW OR ORDINANCE.
°z°o'o TAX COLLECTOR
SP 3/26/90
PAYMENT RECEIVED AS CERTIFIED
RCPT #: T009735 DATE: 9/29 AMTS 11.25
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40
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APIP RQVE0
CHY OF ATLANTIC BEACH
r;'`t ' �.• + BUILDING OFFICE
k 2 21989
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CITY 0 ATLANTIC B`.AC:I
BUILDING OFFICE
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APPROVED
CITY OF ATLANTIC BERCI t
r. w ..
BUILDING OFFICE
b jUN 2198
_
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r
CITY OF ATLANTIC BEACH
BUILDING DEPARTMENT
INSPECTION REPORT
1520 SELVA MARINA DRIVE PERMIT# 2603_
JOB LOCATION "'j
ATLANTIC BEACH, FLORIDA 32233
SUBDIVISION SELVA MARINA UNIT I
OWNER NAME
PHONE w '
BRUCE & MINNA STRICKLAND
(904)246-4637
LEGAL DESC: LOT BLOCK SECTION PERMIT TYPE
CONTRACTOR CLASS OF WORK
1rr PROPOSED USE BUILDING
WORK DESCRIPTRIABRY CONSTRUCTION ADDITION
SINGLE FAMILY
INSPECTION REQUIRED INSPECTOR
.0 ,2SREEN F� 41
DATE INSPECTED BY � L S E L, WgRO�$ ADDITION
LL tU REJECTED
0
COMMENTS I FOOTING AM
r
CITY OF
fQ&tic Bea -4-99&u-c&
Office of Building Official "tom
REQUEST FOR INSPECTION
Date Permit No.
Time ; A.M.
Received P.M. District No.
Job Address Locality
Owner's
Name Contractor
BUILDING \ / CONCRETE ELECTRICAL PLUMBING MECHANICAL
Framing Footing O Rough Wiring Rough Cl Air.Cond.& ❑
Re Roofing ❑ Slab ❑ T Top Out El Heating
Lintel
El
Fire Place ❑
Pre Fab
REA INSPECTION
A.M.
Mon. Tues./ Wed. Thurs. Friday P.M.
�nspaction Made
` ` P.M.
nspector Finallnspection❑
C—.eufteof Occupancy
Date
CITY OF
4&4od c Bea A-d;&u-a#4
?7 Office of Building Official
REQUEST FOR INSPECTION
Date_ !7 �I �y63�
Permit No.
Time A.M.
Received I�^PM p
162-0
Job Address Locality
Owner's
Name r I ►7bl� � '
BUILDING CONCRETE LECTRICAL PLUMBING MECHANICAL
Framing ❑ Footing ❑ ou h
Re Roofing ❑ Slab g ❑ Rough 11 Air Cond. & ❑
Insulation ❑ Lintel ❑ Temp Pole ❑ Jap put ❑ Heating
❑ Final ®/Sewer ❑ Fire Place ❑
READY FOR INSPECTION Pre Fab
Mon. Tues. Wed. A.M.
Q Thurs. Friday PM.
Inspection Made -(J, 0� A.M.
P.M.
Inspector_ Final Inspection ❑
Certificate of Occupancy❑
Date
CITY CF ATLANTIC BEACH
DEPARTMENT OF BUILDING
1 800 Seminole Road-Atlantic Beach, FL 32233- Tei: 247-5826- Fax:247-5877 i
ELECTRICAL PERMIT
PI=P IT INFORMATION LOCATION INFORMATION I
i Permit Number: 24636 j Address: 11620 SEL VA MARINA DRIVE �
1
Permit Trine: ELECTRICAL ! ATLANTIC BEACH. FLORIDA 32233
f�S....� f SSS..-S A Sam Town.ship: !, tl CS
CI ss o /oilC: REPAIR i own.�hip: i.,/ Range: V Book: I
Propose{ Use: i l.0tIsl: 1 Block: erection:0
x. e e�: divgs-ion: SELVA MARINA. #4
s}. Vallee: I Parcel Number:
la;� ry Cv�i. OWNER INFORNMATION
Date
;
i �i Isllyd:
D 811312002 Name. BRUCE & MtNNA STRtGKLAND
1 T :a. reed: 25-00 11620 SELVA MARINA DRIVE
I Amount Paid: 25.00 T NTIC BEACH, FLORIDA 32233
i na#e Paid: 8/13/2002-1z. P;;.1r, 9., . -4537
Desc: REPLACE B
I vil3 vr�iauii-` i ,� 1Fiv
CONTRACTO tS tea- ,� Aa L!CAT1 N FEES 25.00
BILL T HOMPSON ELECT CQ
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4 i ;{' ` _ >i--.it�•.l .—llt} >_u �; i•v. ` P : �—.Mm L11 1 N,
YU iva. , v
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BOUILICANG tYi/-t I��Ut r srar'W i 155+'1Y. :� tf �Ft.C�fS�4 ski 1 i C i-Li-�.1.i L11 9m SJ iJL.V V!'/••t�s-. lit`!LJ
A: VNERL
't•`T r3 —A i"+ 1 1.7t i "3 T._ O JTl AQ- 1. 01
J•3) BE (31-EARED UP. .:.;. HA;11 --D,0 t�r�.r�a r�1I!'iE'� '�
Vf—
r� I•- � a ,
PnnPFR -
I ISSUED ACCORD II`�O TO APPROVED PLANS WHICH, r+}���!
CC)IF 1�ji`y PEfl,vilT.r�li4J �J 4�i��Jiis 7 )V Sli VVf 1 IU74 1
FOR inti ATi^:S ".0 A00i it:1171 C PROVISIODNSS f0F 1 _kAi
:.ail iJir :Vi9 v Ali —BL i\ :Vi1r: 1Ji
: I
i
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:
I 1
W (HERYLE Type: OC Dreier:
te: 8/13/02 01 Receipt no: 84459
� 100100003221800 ILDI116 1 825.0®
-r1 A f.;-IM A.�_: .ii .i;.,- �T- 1�� VA AARIVA DR
I r i LAiti i iv 0C-P4, .ai i �aiii�viivv ,—i i 3691 $25.00
• _ Trans/tl�
ti
CITY OF ATLANTIC BEACH, FLORIDA
APPLICATION FOR ELECTRICAL PERMIT
,TO THE CHIEF ELECTRICAL INSPECTOR: DATE: D —200Z—
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 OR ANCESi�l o
ELECTRICAL FIRM:BILL THOMPSON ELECTRIC CO.,INC. MASTER ELECTRICIAN SIGNATURE:
P. 0. BOX 330150
ATLANTIC BEACH FL 32233-0150
OWNERS NAME:a ok6na ADDRESS:['52D CZAV& I1 rind Y-Ive-
BLDG. SIZE BETWEEN:
RES. APT.( ) COMM.( ) PUBLIC( ) INDUS.( ) NEW( ) OLD( ) REW.( )
ADDITION( ) TRAILER( ) TEMP.( ) SIGNS( ) SQ. FT.
SERVICE: NEW( ) INCREASE( ) REPAI
CONDUCTOR SIZE AMPS: COPPER( ) ALUM.( ) FEES
SWITCH OR BREAKER AMPS PH W VOLT RACEWAY
EXIST. SERV. SIZE Z4C,12 AMPS PH W OL RACEWAY
FEEDERS NO. SIZE NO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
0.30AMPS 1 3 1.100 AMPS
SWITCHES
INCANDESCENT
FLOURESCENT& M.V.
FIXED 0.100 AMPS. OVER
APPLIANCES BELL TRANSF.
AIR H.P. RATING H.P. RATING CELL. KW-HEAT
CONDITIONING COMP. MOTOR OTHER MOTORS AMPS HEAT
0-1 OVER
MOTORS H.P. VOLTAGE PHS NO. I H.P. VOLTAGE PHS
MISCELLANEOUS
UNDER 600V OVER 600V
TRANSFORMERS:
NO. IKVA NO. IKVA
NO.NEON TRANSF. "A I MA I MOTOR SIZE I SWITCH I FLASHERS
EACH SIGN
Updated 5/20/2002
CITY OF ATLANTIC BEACH, FLORIDA
v
v
Approved by APPLICATION FOR ELECTRICAL PERMIT
l'9�1,�i1Lz1y
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: June 28 lq 83
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. coop, I
oll
A
Bivins Electric ME115 E37 252
ELECTRICAL FIRM: MAS ELE T ICIAN SIGNATURE JOURNEYMAN
NAME M. Matzer ADDRESS: 1520 Selva Marina Drive RFD-BOX-
BLDG.
FDBOXBLDG.SIZE BETWEEN:
RES. ( 1 APT. ( 1 comm. ( 1 PUBLIC 1 1 INDUS. ( 1 NEW ( 1 OLD ( 1 REW. ( 1
ADDITION ( ) TRAILER ( 1 TEMP. ( 1 SIGNS 1 1 SQ. FT.
SERVICE: NEW( 1 INCREASE ( 1 REPAIR ( 1 Other (X) FEE
CONDUCTOR SIZE AMPS COPPER 1 1 ALUM. ( 1
SWITCH OR BREAKER AMPS PH W VOLT RACEWAY
EXIST.SERV.SIZE 15AIVIPS 1 PH 3 W 240 VOLT Cable RACEWAY
FEEDERS NO. SIZE 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 OVER
MOTORS H.P. I VOLTAGE PHS NO. 1 N.P. VOLTAGE PHS
L - -T
MISCELLANEOUS
Install 20a>p Circuit for Jacuzzi
TRANSFORMERS: UNDER 600 V. OVER 600 V.
NO. KVA NO. lKVA
NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER
EACH SIGN
FORWARDED
TOTAL FEES $20.00
�*•f APPLICATION FOR WATER CUT-IN
TO THE CITY OF ATLANTIC BEACH:
Application is hereby made for : 442--/ water cut-in
at the following address for units.
Cut-In charge of p p
Street No. /SvP O
Lot Block Subdivision, lJ r 4
Ordered by:
Mailing Address:,ZZ/ 7ZL�n,21� 11"Clk
DATE:
ACCOUNT ATO. ,3;Z -//- '�
METER 110. DATE INSTALLRD:
l �
5,T
TWT
CITY OF A:LAh r7c F$ACN
ICAT'Oh FC`R I Lr-�+BIN; PERMIT
1 6
a.
Pate : 9- 7 .3
LOCATION 1 S D_ ✓�4 MA(z)WPI street
LOT N0.68--m" FLOCK I'0. g - .,.�S/D m ,
/ `OWNER
A
MASTER PLUMBER
BUILDPrR OR CONTRACTOR Bldg.
Permit-
MY,
ermit,.TYPE OF BUTLDIbG St rN G(,E '►'9-m i tZ L r N G-
` , �bi11�KS LAVATORY L PAT'! T''P.�'IRINAZS .3 Cl/OSETS
,,,x.11,001 DRAIhS+I _;;Hp�fERS 2. �a;FR HEATERS 1 DISH�TASHL�RS
y. •�.
x. DI8P084LS�CT�IE[�_ I- I.AuHD�t T (— wF�&140L CONN
TOTAL FIXTURBS "t . 00
12-WORK MUST BE DOYE U%T I! d I FRYTT HAS BEEN 1ROOMp
' PLANB AND SI'ECIFICATIOVS must show n plan and description of the
•Ise And location of all the soil and vent pipes, and the number and
locatloq of all fixtures .
(in accordance with Ordinance no. 188 of
the City of Atlantic Roach, Pit
rida ) must be shown on back of apyli•
'. Dation and b� approved by the Flumbinr► Inspector.
t►'`' � I'LAN 1ND of ECIFIQTIo►: OF APOVE PLUMBING ON BACK,
iPProvel by
um n;� Inspector
w
Date
' (FCR OFFI^E U5E ONLY )
3l0UGH.111 INSPECTED _ / I---) :!> REVARY.S_
, 1
FINAL IWOZOTION: '/�-mac -
y •� ' x ��• , .,_ CERTIP'ICATE ISSUED;
b x
r;
1� /CITY OF
/�
y`l u1 n /3kc eacAt I- &
Office of Building Official
REQUEST FOR INSPECTION
Date Permit No. /! /
Time A.M.
Received P.M.
Job Address Locality
Owner's
Name Contractor
BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL
Framing ❑ Fo Rough Wiring Ci Rough ❑ Air Cond. & ❑
Re Roofing ❑ lab Temp Pole ❑ Top Out ❑ Heating
Insulation ❑ Lintel ` Final E_ Sewer ❑ Fire Place ❑
Pre Fab
READY FOR INSPECTION
A.M.
Mon. Tues. Wed. Thurs. Friday
A.M.
Inspection Made P.M.
Inspector /" Final Inspection ❑
Certificate of Occupancy C
Date