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55 6th St (vault) CITY OF / LJr� �,/ � ,p , Ia6 /�� -41r d V Office of Building Official 4 3 g" 8 REQUEST FOR INSPEC Date 7 Permit No. _ ._ Time A.M Received —_ -- _ PM. Job Address Loc. ity Owner's / Contractor ` 0 / Name BUILDING CONCRETE IMMO PLUMBING MECHANICAL Framing Footing Roug ttt " • Rough • Air Cond. & g Temp P• e - Top Out Heating Insulation Lintel Final Roofing Slab Sewer ET Fire Place Pre Fab REAP ` FOR INSPECTION CP M Mon. Tues Wed. Thurs. Friday M C A.M. Inspection Made — i '�- _ P.M. Final Inspection IF sp - - — 2I `� Certificate of Occupancy Date -- CITY OF AtiCid die &' - u --' Office of Building Official REQUEST FOR INSPECTION Date e l - 1 i Permit No. _ (_ C1 0 y Time 3 c‘-' � A.M Received _ P.M. - TO /-i �1 Job Address Locality Owner's T Name �� O fV���o^ i tor ±6ir r% _ / 0,1 < /Zcf' BUILDING CONCRETE LECTRICA PLUMBING MECHANICAL Framing ❑ Footing fl Rough Wiring Li Rough ❑ Air Cond. & E] Re Roofing Li Slab I Temp Pole ❑ Top Out Li Heating Insulation Li Lintel ti: Final X Sewer Li Fire Place ❑ Pre Fab READY FOR INSPECTION Criday A.M. Mon. Tues. ��-j7 Wed. Thurs. 11 P.M. i .- A.M. Inspection Made PM. Ins for Final Inspection Certificate of Occupancy C Date CITY OF / 4Iiasstic I each - I i da /..r i o .C(F) r/ Office of Building Official /5 3 REQUEST FOR INSPECTION ��� Date / V 97 Permit No _ZY ...Fs 7 _ C I Time `2 Received _ _ V PM. Job Address Locality Owner's T Name > � __ �� -_ _ —_ BUILD -- CONCRE ntractor a L ECT - f PLUMBING ) MECHANICAL Framing Footing firing Rough Air Cond. & Re Roofing Slab Temp Pole Top Out Heating Insulation Lintel Final F Sewer P Fire Place C C -4 1- 1.1"e-<— — ___ READY FOR INSPECTION Pre Fab _�. A.M. Mon. Tues Wed. Thurs. Friday P.M 9 A.M. Inspection Made z " _ r P.M. 1: 3p•:.ctoi _._ -- - —L ,• -- ... Final Inspection Certificate of Occupancy Date CITY OF ATLANTIC BEACH, FLORIDA Z6 ''7° Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: / � " G 19 7/ 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. BILL THOMPS ELECTRIC CO., INC. P. 0. BOX 50398 JACKSONVILLE BEACH, FL 32240 0398 /'vT /� y , ?� ELECTRICAL FIRM: MASTER ELECTRICIAN IdIATUR .• ; k II k NAME Z: 7 ---- zt-n -- ADDRESS: .51 1 i. - RFD BOX BLDG. SIZE BETWEEN: RES. ( ) APT. ( ) COMM. ( ) PUBLIC ( ) INDUS. ( ) NEW ( ► OLD ( ) REW. ( ) ADDITION ( ) TRAILER ( ) TEMP. ( ) SIGNS ( ) SO. FT. SERVICE: NEW ( ) INCREASE ( ► REPAIR ( ► FEE CONDUCTOR SIZE AMPS COPPER ( ► ALUM. SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST. SERV. SIZE / S" p AMPS / PH 3 W / 'A VO LT 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 O - t00 AMPS. t OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP. MOTOR OTHER MOTORS AMPS CEIL HEAT: KW -HEAT 0.1 I - - OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS 42,e' , 1 . /1",„ -Ccor rof 411/ TRANSFORMERS: UNDER 600 V. OVER 600 V. :0 /A 6 1 A. CITY OF "Vehualee gead - 9toyteda 800 SEMINOLE ROAD AT LANTIC BEACH, FLORIDA 32233-5445 TELEPHONE (904) 247- 5800 FAX (904) 247-5805 July 20, 1993 MI. R. W. Thompson 41 Sixth Street Atlantic Beach, FL 32233 Dear Mr. Thompson: Our records indicate that you are the owner of the following property in the City of Atlantic Beach, Florida: a/k/a Lots 15, Atlantic Beach RF170112-0000-6 Investigation of this property discloses that I have found and determined that a public nuisance exists thereon so as to constitute a violation of City of Atlantic Beach Ordinance Section 17-8 in that illegal "no parking" signs have been restricting parking on the City right-of-way. You are hereby notified that unless this condition above described is remedied within ten (10) days from the date of your receipt hereof, this case will he turned over to the Code Enforcement Board. Under Florida Statute 162.09, the Code Enforcement Board may impose fines of up to $250.00 per day for a first violation and $500.00 per day for a repeat violation. Sincerely, Karl . G,unewald Code Enforcement Officer FWG/pah Enclosure cc: City Manager CERTIFIED MAIL RETURN RECEIPT REQUESTED n. . o SENDER: ' y • Complete items 1 and /or 2 for additional services. I also wish to receive the y • Complete items 3, and 4a & b. i • Print your name and address on the reverse of this form so that we can following services (for an extra ), 0 return this card to you. -. fee). m • Attach this form to the front of,the niailpiede „(�Ppn the back ace .L does not permit. ack if s P 1. addressee's Address y • Write "Return Receipt Requested" on the meilpiece below the article number. c • The Return Receipt will show to'whom the article was delivered and the date 2. ❑Restricted Delivery delivered. Consult postmaster for fee. . a ° 'v 3. Article Addressed t : m m 4 Article Nymb C.L./ . � Se r ,b ' V /7 E 4b. Service Type cc p yP v ! 6 El Registered, ❑ Insured tified ❑ COD S t CMG .� �? �� G 0 Express M$il ❑ Return Receipt for Merchandise b• 7. Da of D 'very 4 5. Signature (Addressee) o CC 8. ddre e' Address Only if requested jg and f is (paid) (Agent) i ;V r' .WC , F o ► ' Form , Decem•er 1991 +rus. 1 992-323402 DOMESTIC RETURN RECEIPT Date • 7/ /-,4 ef, Dear MA Our records indicate that you are the owner of the following property in the City of Atlantic Beach, Florida: // 7 "Z ,e Investigation of this property:discloses that I have found and determined that a public nuisance exists thereon so as to constitute a violation of City of Atlantic Beach Ordinance Section i n that 4- 1 /if / e" You are hereby notified that unless the condition above described is remedied within Zr., ( ) days from the date of your receipt hereof, this case Will: , be turned over to the Code Enforcement Board. Under Florida Statute 162.09, the Code Enforcement Board may impose fines of up to $250.00 per day for a first violation and $500.00 per day for a repeat violation. Sincerely, Karl W. Grunewald Code Enforcement Officer KwG/pah cc: City Manager CERTIFIED MAIL RETURN RECEIPT REQUESTED ( CITY OF ALTANTIC BEACH COMPLAINT MANAGEMENT SYSTEM TkEEN (date/time): / $ COMPLAINANT Last Name First Narne MI ADDRESS : (Ot gP. -- CITY/STATE/ IP: fELEPHONE: ( COMPLAINT: A/C :1, A mi 6/kj ( p) / ct C2 ( ,X?( ffT 6r 6,2 xy ,Es c 7 6 / 4 0 / &04)4 ir Tiz r267 - OfeD/M/NOCC-- gOH// i-S St66 Ff/..9 CE f ALLS • LO CA T 1 ON : 1 ' 35 Cs; / • PROPERTY OWNERS PHONE: (9 ) PROPERTY OWNERS NAME: 77 AS ON DEPARTMENT FORWARDED TO: , Cc),I)C_ C N F - 0 r F_ r COMPLAINT TAKEN BY: DATE/TIME: OFFICE USE ONLY INVESTIGATED: (date/time) 6 ..4 ASSIGNED DEPT./DIVISION: PRIORITY: INVESTIGATOR: CONDITIONS FOUND: ACTION TAKEN: COMPLIANCE: 4 0/ - ••••- NO1 ES : /5> A, 5 e 4, CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS Owner(s): jj / -2 rs) : �i�� / /�� �/�'��Sl�4 Address: � � ` - �i Phone: � �`�-- Lot # Block or Unit # Contractor: (4Zr`9"7 - -? State License # Address: Phone No: Describe work to be done: c; � , „. 4 e Present use of building: -- Valuation of Proposed Construction: 7A2 /- Proposed use: 1 /� Is this an addition? If yes, what are the dimensions of the added space: ft. X ft. Will the added area be heated and cooled? New electrical (or increase)? New plumbing fixtures? New fireplace? New Heat /AC? SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER /CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: a,� , %G” — Date: `7, .,4 ) Signature CONTRACTOR: Date: License Supplied: Liability Insurance: Worker's Compensation Insurance: 1 PS $ 4 . t X083 OEPAATMENT4P BUILDING OF ATLANTIC BEACH i j F k ERM 1 TNi `4 RMA I AN `_ ------ . " Lt3 AT I ON N? OR,MAT I O N t Perm Nu er: 1 83 Address :; d EI TH ; SPREV Per i t " TyP :PLUMT3 ATIANTIC`T3T�ACH FLORID 32233 CiPer of Work :1�L 'ERATION - Block :.. - T,E4AL DT:SOPI.PTION " -'*•----*-- con � r .. Type : COI CRETE I3LOCIt Block: Lo t : ' Twp ' Prop re Use Sectibdxv on: 3 0 Subd:0 Erns . 0 F. e11ings: 1 Su :ATLANTTIC BEACH E Va l ate: r ,13O 1npr v. Cost : 0.00 To a 1 Ige 3 3.00 I W o r $ @ . ,COT''I', t t : . :1 1 , 1C N �, - A1PPL ,CAT I ONi FE „ ----- 1. Nlsm � :. ON IE IIT 3 00 1,9 , ,, 4 - .- ` l '''t-' T ” ` g � 'LOI 1DA 3t. ,� " 41 Name :. S 'rE� P era {3 BIN� " . Asidr : i 1; f T E` ... 33 �.. i t / ATLANfiTIO , , C'H FLORIDA 32 , " Li . � a ATLAB 19 � E xp: / f NOTES: " r 1 t' f l " NOTICE - INSPECTIONS MUST SE REQUESTED AT LEAST 24„. OURS PRIOR TO INS PECTION t k i k 1 BUILDI• G MATERIAL, RUBBISH AND DEBRIS FROM T HIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE ' CLEAR 0 UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "F LURE TO COMPLY WITH THE MECHANICS' IEN LAW CAN RESULT IN r E THE PROPERTY OWNER ' PAYING TWICE FOR BUi DING IMPROVEMENTS I8SUE ACCORDING TO, AP PROVED PLANS WHICH ARE PART OF THIS PER IT AND SUBJECT, TO VIOLA ON OF APPLICABLE PROVISIONS OF LAW. ATLANT :EACH 8U LDINe • EPTMENT I +<'I �; 4 I, By: , aw... , .....<;.r� E tr CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: \ 6 ..''i'' �J OWNER OF PROPERTY: a)/ 46y5er. S PLUMBING CONTRACTOR 5 4 - e T P) ce, r, CONTRACTOR'S ADDRESS: MO I Yt1 ti►- /4.3 STATE LICENSE NUMBER: e1FC`D39/ le TELEPHONE: `• /9' 5- / fi r HOW MANY OF THE FOLLOWING FIXTURES INSTALLED / SINKS / SHOWERS / LAVATORY / WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS / CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS OTHER 0) TOTAL FIXTURES: _ x $3.50 + $15.00 Y ,a MINIMUM PERMIT FEE - $25.00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: ' AC) INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN. STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247 -5826 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - (904) 247-5834 1 1 CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS ` 7 Owner (s) 'wv �'^ /19,;--; hone: Lot # Block or Unit # Subdivision: Contractor: State License # Address: Shone No: Describe work to be done ?resent use of buildinc: G 7al ation of _reposed Construction: a, " 0 r ?reposed use: is his an addition? /� If yes, what are the dimensions of the added space: ft. X ft. Will the added area be heated and cooled ? New electrical (or increase)? 6 1/4 New _u.-nbing f ixtures? New r_replace e'71Q New Heat /AC? ,�-2 SUBMIT THREE (COIKMERCIAL) TWO (RESIDENTIAL) COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER /CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: y ✓ `/ifi 1�J��' Date: , 3 () �7 Signature CONTRACTOR: Date: License Supplied: Liability Insurance: Worker's Compensation Insurance: ,g ... . RECE/ VED Buildi Be ' ' g '� 3 0 19 City of A tla ntic Be ach and Zoning .`��i; , CITY OF , • "iceed eee 'eael - �vrida. a 800 SEMINOLE ROAD \ = — - -- -- ATLANTIC BEACH. FLORIDA 3223:;-5445 I -.� C1 LEPHONE (9041 Ii -:iSO ) 4 4" : �► FAX 1 904) 247-5805 SUNCONI 852-5800 CHAPTER 489, FLORIDA STATUTES, PART I "CONSTRUCTION CONTRACTING" REQUIRES OWNER /BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489. 1 03(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. You HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. You MUST SUPERVISE THE CONSTRUCTION YOURSELF. You MAY BUILD OR IMPROVE A ONE - OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. You MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE. WHICH IS IN VIOLATION OF THIS EXEMPTION. You MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REOUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT 15 FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER $2,000) SE UNDER A BUILDING PERMIT AND PASS ALL NORMAL. INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS SE UNDER "DIRECT SUPERVISION OF THE OWNER, WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE. " THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKERS COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY CLEARLY PROTECTS THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND /OR FORM 1 099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE No. 455 AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE TO ASCERTAIN IF A PERSON 15 A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT (247 - 5826) IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER BUILDER PERMIT. r Ilb //i ■ ice ;fs� .i �/ PROPERTY OWNER /BUILDER ,--47.--S x .4 2 " f6-‘./,4 2 ADDRESS TELEPHONE SWORN TO AND SUBSCRIBED BEFORE ME THIS and DAY OF 199!.1 'rOTAR PUBLIC IllA:..w..•;1 ,- 1 ' ST NOTE: PHRASES UNDERLINED ABOVE MY COMMISSIO E IR • •= MY COMMISSION (r CC 390148 ARE EMPHASIZED BY THE BUILDING _o ¢, 9, 1997 � ,8 . , Bonded Thru Notary Public Underwriters DEPARTMENT. __ e / , / / / `� �� �fref r k% 5 -- . ,s- - 6 0 1°1°(11 6 la i / 1 / ivis ipiti S .. o A F T 7 / /1 ' i /„„,,),Lii,-.)), , , Z ...,,,c / 5-17" emoJ / 4k /'f 7t�'k T o,b, x y &M ) /QC /aj -e r4 44d / -1+-- ii4// , Z) 491/0e- A/u n/ M f. 3 /MA) 5 e`Se-- &-/V3 ft/ 7 h e /es<- , 1 . P &R•84d � 151 1 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH 1 I ' i P ET MIT I NP"0RMAT I ON .tea. ,rv.... - - LO'CATION I N `'1RMP T I ON ?stmt Number 1510'4 Address: ' 55 SIXTH STREW Periit` Type :ELEC`IRICAL ,AT { LANTIC BEAC T FLORIDA 32233 ,'" ! Class of Work :ALTERAATION .:.__.. _ LEGAL DESCRIPTION - - ----. i . Constr Type :CONCRETE BLOCK B 1o G k: ; Lot : TwP Pra sed use: Section: � 0 Su bl:fl Rngl< wel 1 jogs R 1 Subdivisiion :ATLAN" IC BEACH ` E ta Value: 0.00 c Imp ov Cost} 0.00 1 •, a l Fed : 4 25 00 „,„,1..., . Work ,, *.,es , ,,, �' < ; , REMODEL ION ..,' ' ,, APPLICATION FEES N sm$ N g A '* ,, '' x IT 1 25.00 f # ,Fddik. �' ➢ "'i„rf ♦ nay. RE i +yB FLORIDA 3223f ` ill , , e I I.` +3 Oil � a ro:i / ,4 „n . , ' m� r , a ` r s ° . � nor s � , � 1 — — — - 4,,.. coy , r R �' :. " 011t•SA I O . '" `” j Name .f BILE 't`H : " O C '; LECTRIq- O, INC 1 A TLANTI ' GHQ FL 32233-0150 Lic . ER04�Q09E' d EX . „ F' / f A • ' �4,�.t rte: , ;�. .. �r� ,� ®� wwaaa.,,,,� . �,� „, 1 NOTES: 11 INSPECTIONS MUST BE 24 REQUESTED AT LEAST HOURS t NOTICE - INSPEC PRIOR TO INSPECTION BUILDI , G MATERIAL, F4UBBISH AND DEBRIS FROM THIS WORK MUST NOT BE LACED IN PUBLIC SPACE,<AND MUST BE CLEA UP AND HAULED "AWAY° EITHER:CCNTRACTOR 1, pp ;OR OWNER i l 'FA URE TO COMPLY WITH THE MECHANICS' ' lEN LAS CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUl DING IM ROVEMEN,TS. " ;- ISSUE t ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PER IT AND SUB RE I VIOLA T QN OF APPLICABLE PROVISIONS OF LAW 1 t ATLANTIC B CH BUILDING DEPARTMENT 4 CITY OF ATLANTIC BEACH, FLORIDA Approvwd by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: • O 14 199 / 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. BILL THOMPSON ELECTRIC CO., INC. ' P. O. BOX 330150 / ;!� ATLANTIC BEACH, FL 32233.0150 E�.- %% ��Z� % / ` e , ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE JOURNEYMAN NAME W K tt rl 1IL ADDRESS: L ' St RFD BOX BLDG. SIZE BETWEEN: RES. ( APT. ( 1 COMM. ( ) PUBLIC ( ) INDUS. ( 1 NEW ( ) OLD ( ) REW. ( ADDITION ( ) TRAILER ( ) TEMP. ( 1 SIGNS ( ) SQ. FT. SERVICE: NEW ( 1 INCREASE ( ) REPAIR ( ) FEE CONDUCTOR SIZE AMPS COPPER ( I, ALUM. ( 1 SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST. SERV. SIZE J fa AMPS _ / PH / W T RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES l" CONCEALED OPEN TOTAL 0.30 AMPS. 1131•100 AMPS SWITCHES INCANDESCENT FLUORESCENT & M. V. FIXED 0.100 AMPS. l OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP. MOTOR OTHER MOTORS AMPS CEIL HEAT: KW -HEAT 0.1 I OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: 6 UNDER 600 V. OVER 600 V. ti o co O O SD E N — .. <A FR .�1 O y '1).,...k4., . . • c Cr C) CD O O N ' J - L r) lii ru a =g s s 4' ( 1 ..1_ r 2 . r �, -0 , 1661 aunt '008£ waod Sd 1