53 4th St (vault) "\ CITY OF
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Office of Building Official
REQUEST FOR INSPECTION
Date '1 i Z—"" `� C<�
Permit No. t-" U
Time A.M.
Received P.M.
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Job Address ` ocality
Owner's ,� /�
Name Contractor ;� ,—
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BUILDING CONCRETELECTRI6 PLUMBING MECHANICAL
Framing
El ❑ ❑ Rough 171 Air Cond. & ❑
Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating
Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑
READY FOR INSPECTION Pre Fab
A.M.
Mon. Tues. Wed.
u✓I Thurs. Friday PM,
�(O/
Inspection Made A.M.
P.
Inspector Final Inspection ❑
Certificate of Occupancy ❑
Date
--------- CITY OF ATLANTIC BEACH
i
DEPARTMENT OF BUILDING
800 Seminole Road-Atlantic Beach, FL 32233-Tel: 247-5826- Fax: 247-5877 l
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
it Number: 23561 Address: 53 FOURTH STREET
Perm ATLANTIC BEACH, FL 32233
Permit Type: ELECTRICAL Township: Range: Book:
Class of Work: NEW Lot(s): Block: Section:
Proposed Use: SINGLE FAMILY Subdivision: ATLANTIC BEACH
Square Feet: Parcel Number:
Est. Value: OWNER INFORMATION
Improv. Cost: Name. CITY OF ATLANTIC BEACH
Date Issued: 3/07/2002 Address: B00 SEMINOLE ROAD
Total Fees: ATLANTIC BEACH, FL 32233 �I
Amount Paid: phone: (000)000-0000
Date Paid:
Work Desc: CSR 100AMPS 1PH 3W 240V 1-112APPLICATION FEES
CONTRACTORS _
JAMES D HINSON ELE CONTRACTORS
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EVTION I
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NOTICE- Ir �
�u Ifi1 IC SPACE, AND
BUILDING MATERIA .II �
v R C SR O
MUST BE CLEARED
..FAILURE TO COMftONSTPW LAW C THE
PROPERTY OWNER #�►
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---- SU E REVOCATION
BJ CT TO REVO AT10
ISSUED ACCORDING TO APFR
FOR VIOLATION OF APPLICABLE
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A TIC BEACH BUILDIN _EPT.