50 Simmons Rd (vault) CITY OF
Office Of Building Official
Date d'
�> REQUEST FOR INSPECTION
Time I
Received A.M. Permit No.
P.M.
Di ict No.
Job Address
Owner's �
Name Locality
BUILDING CONCRETE Contractor / S
Framing p LECTRICA
❑ Footing
Re RoofingSlab p Rough Wiring p PLUMBING MECHANICAL
Lintel 0 Temp Pole p Rough ❑ Air.frond.$
Top Out ❑ Heating ❑
Mon. READY FOR INSPE Fire Place p
Tues. Pre Fab
Inspection Made �,. �GW GJ� Thurs. Friday A.M.
O 7 A.M. P.M.
Inspector
P.M. /'
Final Inspection E5-
Certificate of Occupancy
Date
CITY OF ATLANTIC BEACH
Approved by :
APPLICATION FOR ELECTRICAL PERMIT
� l
TO THE CHIEF ELECTRICAL DATE : 19
INSPECTOR:
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 . //
ELECTRICAL FIRM: MASTER 9LEC ICIAN SIGNATURE JOURNEYMAN
NAME" ljyj S
ADDRESS
BLDG. SIZE BETWEEN :
RES . APT. ( ) COMM. ( ) PUBLIC ( ) INDUS . ( ) NEW ( ) OLDQ
REW. ADDITION ( ) TRAILER ( ) SIGNS ( ) _ SQ . FT.
SERVICE : NEW ( ) INCREASE REPAIR ( )
CONDUCTOR SIZE AMPS llejd COPPER( ) ALUM
SWITCH 0R� A�_�-X�VOLI
y�(BREAKER UO AMPS PH W RACEWAY
!EXIST.
(SERVICE SIZE AMPS PH W VOL RACEWAY
FEEDERS NO. SIZE NO . SIZE NO . SIZE
LIGHTING
OUTLETS CONCEALED( ( OPEN TOTAL
IRECEPTACLES �j CONCEALED OPEN TOTAL
(
SWITCHES . 30
amp 31-100 amps� 60
INCANDESCENT
FLUORESCENTFIXED _
100 amps over I
BELL TRANSF
APPLIANCES
AIR H . P . i3,ATING AMPS I CEIL KW HEAT
CONDITIONING mp MOTOR HEAT
OVER
MOTORS +VOLT . PHS N0. 1 HP volt
oel
MIS ELLANEOUS
! TRANSFORMER UNDER 600_ V. OVER 600 V.
v NO . KVA NO . KVA
I
ori _
FORWARDED $
TOTAL $