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750 Triton Rd (vault) CITY OF ATLANTIC BEACH s f 800 SEMINOLE ROAD J r ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 �J3�!>'' Application Number . . . . . 09-00000904 Date 6/23/09 Property Address . . . . . . 750 TRITON RD Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 4600 ----------------------------------------------------------- Application desc reroof fl 183 -------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- CRAIN, JERRY R. BERRIER ROOFING & CONSTRUCTION 750 TRITON ROAD 13245 ATLANTIC BLVD ATLANTIC BEACH FL 32233 STE 4-402 JACKSONVILLE FL 32225 (904) 248-9223 --------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . Permit Fee 50 . 00 Plan Check Fee . 00 Issue Date . . . Valuation 4600 Expiration Date . . 12/20/09 ---------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ------- Permit Fee Total 50 . 00 50 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 50 . 00 50 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 7 CITY OF ATLANTIC BEACH 09- 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(904)247-5826•FAX NO.:(904)247-5845 �- BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.VALUATION OF WORK: 13.SO,FT.UNDER ROOF -1!5> l 5 0 Tr r) �1�00, "C' //ZO 4.LEGAL DESCRIPTION: 5.CLASS OF WORK: 6.USE OF STRUCTURE. �1 ,,J L ❑NEW BUILDING ❑DEMOLITION ESIDENTIAL LOT 1I BLOCK J f SUBDIVISION O ? rn5 7 ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7.DESCRIPTION OF WORK: ❑ALTERATION ❑ACCESSORY BLDG, 8.FIRE SPRINKLER: n C ` / Q I REPAIR ❑POOL/SPA El YES ❑N/A /)OD aJ c d,L.Oln �/ !` J ❑MOVE ❑OTHER ❑NO PROPERTY OWNER: CONTRACTOR: ARCHITECT/ENGINEER: 9.NAME � 1 ANONAME' f � r /J� _. 23.COMPANY NAME- e r,rH UO.A ,l IJLJ f)0-k f Icy! 16.NAME^'��`� � 24.LICENSEE NAME. 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: -750 -Tr bred CCC 132-►LOSCi 18.ADDRESS. 26.ADDRESS: 1aI�tG t3C.1�I 37233 13Zy5 ou rcaud quz 11/ ^101 E PHONI: 12.FAX NO.: 19 OFFICE PH ONEi3 20.AX NO..'I L4 ^ 27.OFFICE PHONE: 28,FAX NO.. 13.CELL PHONE: 21.CELL PHONE VJ 29.CELL PHONE: 3oy.7-0153 14,EMAIL ADDRESS: 22.EMAIL ADDRESS: ((�� 30.EMAIL ADDRESS: �2.t'YIA� Dut+n .CA'h FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER: (IF OTHER THAN OWNER) 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. *** WARNING TO OWNER: *** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT CONTRACTOR (If Agent,Power of Attorney or Agency Letter Required) (Qualifier Only) Signed: _2 V` \l W Date: C� - ( ry Signed: < Date: J_9�/ / Before me this 11r day of I r l Y 1CU 2009 in the county of Before me this day of 2009 in the county of Duval,State of Florida,has personally appeared Duval,State of Florida,has personally appeared rru, � - Grp In herin by himselff herself and affirms that all statements and declarations are herrn by himself/herself and affirms that all statements and declarations are true and accurate. t�t true and accurate. Notary Public at Large,State of F L-- County of 1�V�V n I" Notary Public at Large,State of �L County of ❑Personally Known T ❑Perso ally Known Produced Identiflcatio -�v�' �� L `/ duced Iden - do - Notary Signatur C1j(eti - Notary Signatu ' p„ Ug ;z�.� Nota blic-State of Florida PATRICIA A.JINKNER ;`My C ssion Expires Feb 14,2010 _.r Commission DD 676811 =s,• e Commission#DD 518533 h Expires May 21,2011 %%°P.. Bonded By National Notary Assn. BLDG01 Permit Application Bldg:REVISED:12/1 dd�P, BondedThiu?royfrrinMwrerw��06b70t� NOU-4-2000 03:14 FROM:CLERK OF COURTS 904 270 1512 70:92475845 NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. _ _ Tarr FOOD No. Stale Of FLORIDA County of DUVAL To whom it may eoncem: The undersigned hereby Informs you VM improvement&will be made to certain real property,and in accordance with Section 713 of the Florida Stabilm the follow/mg irdomtatlon is stated in this NOTICE OF COMMENCEMENT. Legal description of property being improved: _ 31-1 39-2S-29E — ROYAL PALMS UNIT 2A _ _ — LOT 17 BLK 14 Address of property being Improved' _ 750 TRITiON RD _ CenefW description of improvements: RE-ROOF ROOFING SYSTEM— - Owner JERRY CRAIN _ Address 750 TRITON RD Own@fs interest in aIle Of the improvement —. — Fee Simple Titleholder(if other then owner) Name — Address_ Contractor B RRIER ROOFING&CONSTRUCT".INC. _.. Address 13245 ATLANTIC BLVD.STE.402 Jk FL.32225 Phone No. 904,248.9223 Fax No. 904.212,1146 — Surety(if any) Address Amount idt bond S — Phone No. Fax No. _ Name and address of any person making a loan for the construction Of the improvemerft Name _ Address Phone No. Fax t+ro, — 1 Name of person within the State of Florida,other than himself,designated by owner Upon vutlom rKAtes Or Other documents may be nerved: Name Address Phone No. Fax No. In addldon to himself,owner designates the fONOwing person to receive a copy of the L ionor's NOtme as provkled nl Section 713.08(2)(b),Florida Statues,(Fill in at Owner's option)- Nome . Address -. — Phone No._ _ o Fax No ETPb�21 O-W of notice of Comimancerrse;; (tee expi 000 date%one(i)year from the date of recording unless a N g15ACIE Fri p� s t tl {Z wr"VER `� 5twe nTm tancI7, 1 rOf TlKne �U� inter L '� bhM C-.-iW-. '�'_"`�'"' RecwdPd 09/23/2t)(t9 at 10'43 AM :.��y is. v= IProC.sy!n4A!�tsrr�Q!�A�DL�FJvp� '_ �- CITY OF: fD E�� r4 �i:�st`rc /dei r R / 1 Office of Bui ;ng icial REQUEST FO SPECTION Date 3 -19-96 Permit No. Time %-A.M. Received RM. _ /7_ O — Job.\de -- Aalityr-�— Owr.pr'sName _ _ContractorBUILDING CONCRETE ELECTRICAL ING MECHANICAL Rough Wiring r h D Air Cond. & C Framing _ Footing — p g Heating Re Roofing Slab Temp Pole _- Top Out 9 j Insulation _ Lintel Final _ Sewer Fire Place C Pre Fab READY FOR INSPECTION A M � Mon. Tues Wed. Thurs. Friday j A.M. Inspection Made �i PM' nal Inspection Certificate of Occupancy I j Date CITY OF ATLANTIC BEACH, FLORIDA proves x APPLICATION FOR ELECTRICAL PERMIT &� TO THE CHIEF ELECTRICAL INSPECTOR: DATE: q o 19 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 ELECTRICAL4GULATIONS, CI IIES AND CITY OF ATLANTIC BEACH ORDINANCES. ��� 77✓ L/, ' ELECTRICAL FIRM MASTER ELECTRF AN SIGNATURE Q JOURNEYMAN NAME "� 4 T ADDRESS: -RFD-BOX- BLDG. t� �� I � -1� RFD BOXBLDG.SIZE BETWEEN: RES. I� APT. ( 1 comm. ( 1 PUBLIC ( 1 INDUS. 1 1 NEW ( 1 OLD ( 1 REW. ( 1 ADDITION ( ) TRAILER ( 1 TEMP. ( 1 SIGNS ( ) SO. FT. SERVICE: NEW( 1 INCREASE ( ) REPAIR ( 1 FEE CONDUCTOR SIZE AMPS COPPER ( 1 ALUM. ( ) SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE AMPS PH � W Z4r-VOLT RACEWAY FEEDERS NO. SIZE NO. ::SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL O.30 AMPS. 31-100 AMPS. SWITCHES INCANDESCENT - - FLUORESCENT&M.V. FIXED !H.P. AMPS. OVER APPLIANCES BELL TRANSF. AIR ATING H.P. RATINGCONDITIONING MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. I VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS rC [- TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. IKVA NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN _ FORWARDED TOTAL FEES _ FREDERICK M. COX, REALTOR BROKER-SALESMAN MANAGER W, -W01-1 k WATSON Realty Corp.REALTORS° 2238 WINTER WOODS BOULEVARD,WINTER PARK,FLORIDA 32792-(305)677-090 Gza' yz FOR OFFICE USE ONLY ,r Date-------3. -_14"--•-19 6/ Permit #- /'-a� .Fee$..l___.V_-.- . CITY OF ATLANTIC BEACH Valuation $_. ✓- -aQ�s-��------•--••--••- FLORIDA House #..-�a7.._---_../-_f'- 12` e✓..../&> �1{� --- .---------•---------------------•---•----•-------•----------•_-----•----••-- v APPLICATION FOR BUILDING PERMIT ---------------------------------------------------------------------------- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach,Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list ofsub-- r tors be submitted to this office so that licenses can be verified. /,J � 9/f— 7GJ c� /�� ,, Date---�.CL�t-�-------J--------•-------------------- 19------�-- Owner_. /1 -----------(--6/----------.-Address--•--------------------------------------------------------Telephone No.----•-------------------•--- Architect--------------------- ........Address-----------------------------------------------------------Telephone No-----------_---------------- Contractor Builder--- ,._.... Address----------- -------------------------------------------- ----•---------------- -------•-••----------------Telephone No.--------------------------- Lot No-----------------1 ------------------------Block No.------64--------------Sub DivisionlJ- -�C U� � _... Zone lyn.z .xc% l Street Side Between and Sts. d Valuation $_ -..'_.............For what purpose will building be used--------------.._._--__.._...--_----_-Type of construction-------------------------..-___._____- Dimensions of Building-.2 ---.Dimensions of Lot---- _--I'-----Size of Footings.___ -________________ Size of Piers.--- _____________________-Size of Sills--------------------------------Greatest Sill Span in ft---------------------------Type Roof__ How will Building be Heated?/.t/�1 � Will Building be on Solid or Filled Ground?._, .-------•---- Size of Ceiling Jaists1 _________________ Distance on Centers........;—*."-..___------.--_-----, Greatest Span---------------------------------.----__-__- " Sizeof Floor Joists--------------------------------------------- Distance on Centers---------- -------------------_-------- Greatest Span------------------------------------------- Size of Rafters--------------_------------------------------------., Distance on Centers ----- ---- Greatest Span------------------•----------------------- This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. W W 2. When steel is in place and ready to pour columns and/or lintel. z Z 3. When steel is in place and ready to pour beam. a a 4. When framing is completed. S 5. When rough plumbing is completed,and ready to cover up. 6. When septic tank drain field or sewer is laid but before it is covered. A A 7. Electrical inspection by City of Jacksonville. M 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. FRONT OF LOT In consideration of permit given for doing the work as described in the above 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 building regulations of the City of Atlantic B ach. Signatureof Builder,. :. - - ---------����s Address------------------------------------------------------------------------------------------------ Signatureof Owner-------------------•------•-•-•------••-•---.--..-------•-•------------------.--- Address---------------------------------------------------------------------------------------------------- CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT • JOB LOCATION: `] Co7-;;L; of OWNER OF PROPERTY: PLUMBING CONTRACTOR: CONTRACTOR'S ADDRESS: / , O, 13O}- STATE LICENSE NUMBER: G'�GG$"66�f TELEPHONE: HOW M"Y OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORIES WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINES FLOOR DRAINS SHOWER PANS OTHER �' �',�G/f`�t �✓� TOTAL FIXTURES: X 3.50 + $15.00 MINIMUM PERMIT FEE _ $25.00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: ----------------------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE 1994 STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 SEWER CONNECTIONS MUST BE CALLED IN TO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - (904) 247-5834. PSR_3a44. .,y 6 1„ A O DEPARTMENT OF BUILDING i. 'J "7 CITY OF ATLANTIC BEACH - PERMIT INFORMATION ._ _ _ . _ _ ___ LOCATION INFORMATION _ .. ...._ _. . ._ Permit Number: 16140 Address : 750 TRITON ROAD Permit Type: PLUMBING ATLANTIC BEACH , FLORIUR 322_x_ Class of Work:ALTERATION ------- LEGAL DESCRIPTION -------__ Constr . Tgpe:WOOD FRAME Block -, Lot : Twp : Proposed Use : SINGLE FAMILY Section: 0 Subd: Rna : Dwellinas : 0 Subdivision: Est . Value: 0 . 00 Improv. Cost : 0 .00 Total Fees ', 25 . 00 An,-,•.int Pa; d< 95 .00 to F-_ 1� .REPLACE SEWER LINE - --- -- OWNER INFORMATION --- ... . ____ .__.__ APPLICATION FEES Name : PONTEE PERM 1T Addr . "11',-1 TRITON ROAD ATLANTIC BEACH , FLORIDA '— Phone: ' n04 � 345-1266 COPITFACTOR INFORMATION ----- Name : A. S .A. F . PLUMBING CO . Addr . P n . BOX 16 .;ti JACKSONVILLE , FL 32245 Li CFCC19195 Exp : f Type: 3 NOTES: NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION 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 DEPARTMENT By: CITY OF ATLANTIC BEACH BUILDING DEPARTMENT INSPECTION REPORT '- JOB LOCATION ���� PERMIT# �S/ //`�/ SUBDIVISION V"✓ �/, *,Oo*G CRAiH t ) OWNER NAME PHONE MECHANICAL LEGAL DESC: LOT BLOCK SECTION PERMIT TYPE NEW �(ho WILLIAM & SONS HEATING & AIR CLASS OF WORK SINGLE FAMILY CONTRACTOR PROPOSED USE w wi► REPLACE EXISTING SYSTEM, 2. 5 TON 0 WORK DESCRIPTION ak ; IS FINAL PM y toINSPECTION REQUIRED INSPECTOR O cc z -- DATE INSPECTED-5 BY�41�� 4 -- APPROVED REJECTED ❑ a j' COMMENTS l� 000659 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT I NFORMATION LUCATION INFORMATION Permit Number : 659 Address: 750 TRITON ROAD Permit Type; MECHANICA1ATLANTIC BEACH, FLORIDA 322,'J Class of Work- NEW LEGAL DESCRIPTION Constr. Type: N/A Lot : Block% Section: Propos�d Usip: ;SINGLE FAMILY Plat Book: Page: 0 Dvellings-­ 10 Cnde: 0 Subdivision: ROYAL PALMS Est.imeted $0. 00 OWNER INFORMATION $10. 00 Name: CRAIN *40. dtl *dd, erm. 1�58 lfitf+8141 fte*E) $ 40. 00 ,."'T.-ANTIC BEACH, FLORII .89 pho E, ExisTING SYSTE�M, 2. 5 TON at APPLICATION FEES , COLM MR*:Al'fNG & AIR PERMIT $4000 WATER IMPACT FEE $0. 00 SEWER IMPACT F'Foru sQ. 00 WATER METER L so.00 RADON GAS--H. R. S. eta. bo RADON GAS $0 00 WATER TAP s-o:W7 SEWER TAP $U. 00 HYDRAULIC SHARE ME}. 7 1 RE--INSPECT FEE $0 ENGINEERING $0. 00 OTHER ("I f"r NOTES: NOTICE —ALLCONCRETE FORMS AND FOOTINGS MUST BE HNISPECTED 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 DEPARTMENT By: BUILDING SAND ZGNiNG INSPECTION D Vi IGN CITY OF ATLANTIC BEACH r ATLANTIC REACH, Fi_9Ftl0A 32233 APPLICATI N FORTECH ANICAL PERMIT __-CALC NUMBER IMPORTANT — Appl',cant to complete all items in sections !, 1!, III, and IV. r. '7Sa ff Ilan _ LOCATION Street Address: — -- — t IJ 1 i OF I Intersecting Streets: Between__._ Ir C And BUILDING II. IDENTIFICATION — To be completed by all applicants In consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work n accordance l with the attaclLed plans and specifications which are a part hereof and in acccrdance with the City of Jacksonville ordinances and standards j of good practice listed therein. Name of Mechanical I r r Contractors i Contractor (Print) I M t+faxter "/ 1 Name of I F le(;5l Stt°c:til©t1 00 1(9 '- 2 Property Owner Signature of Owner . <:gnafure of or Authorised Aqent -_ Archifect or I ngineer 11111. GENERAL INFORMATION A, Type of heating fuel: s ' IS OTHER CONSTRUCTION BEING t<�ON Electric THIS BUILDING OR SITE? ❑ Gas--❑ LP [] Natural ❑ Central Utility ; IF YES, GIVE NUMBER OF CONSTRUCTION 0 Oil t PCRMIT ❑ Other — Specify I IV. MICHANICAL EQUIPMENT TO BE INV. ALLE0 NATU OF WORK (►rev' mplete list of components on back of this form) Residential or C1 Commercial Heat ❑ Space 13Recessecat d ' central O Noor ❑• Ne Building �r Conditioning: ❑ Room ❑ Central Zeplai;ement ting Building : of existing system Ouct System: Material._- -- Q Maximum capacity 5, e.4.m. ❑ New Installation(No system previously Installed) r..S.L..�� �. � it ❑ Extension or add-on to existing system [) Refrigeration ❑ Other -- Specify _�----- (] Cooling tower: Capacity 4•P�Ps• _��_.__ __� ❑ Fire sprinklers: Number of heads . - - ❑ Elevator ❑ Manlift Q Escalator Inumber) THIS SPACE POOL OrfiCE US& ONl.y (3 Gasoline pumps (number) t (Rauwi+wrQl ® Tanks_ (number) Remarks -- - ❑ LPG conteineK (number) ❑ Unfnvd pauure veuer Perini! Approved by---- Dale.... Q Bollen Q Otter — Specify I Permit r", _. i LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT �ee� ao � � . provilliliff Number Unita Derlptfan Sltadal Number Manufacturer ( o") � : I HEATING FURNACES, BOILERS. FIREPLACES Capadty A C Number Units Deecriptfoes Model Number Manuf'actaurrr () 'LT) ,N� DCS CC4 -IQV I TANKS now Many Nosy ow Capacity Type Liquid NIRme at Serial A'P�E I am Db7 MWAIooe Contained Icanut roturlor No. Y� CITY OF Office of Building Official REQUEST FOR INSPECTION Date Permit No. �K Time A.M. Received c 1` P,MA� y ' tract No. Jo dress Locality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ e ❑ Top Out ❑ Heating Lintel /, Fire Place ❑ lam/ Pre Fab FOR.! ECTION A.M. Mon. Tues. Wed. Thurs. Frid A.M. inspection Made P.M. Inspectors Final Inspection❑ U 3- Date 000662 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH '3: /'J0 1,11 LT011 W I DA ATI.A til TG 131;At A 1, Ov I.E.AjAl. IlEt I�culv-rltm Plat Daut- 5 - *OYAI,. VA1.11 v Im iiin F. l '114 FOP IiA I f I k 11"-i va I 1w . 1. -- OWNER ff'lpvcwv, firs e: (..RAIN Vi. tlo I A hirerm, 750 Tfit'll-IN 1,f,1AP '1C LIEA(Al, 1:1.,Il I? I I)A -Ill:-115. CIO ATL A N't I'lione: (`904)766-61402 Afll`l� ALIl iiW/6 1 tfllil. 3W 12012401 A11111, 1"AlAtIll 1�1,. WATER I M P A(,'I* I`E L r,"t t,4 f., If)-,At' T Ft- "T Eli p 1)01`01#� , 0 0 N VVIN-� -- ")X Al LR TAI` T A P U W El Z (to NOTES: EXIST SERVICE SIZE 100 NIPS 1111 311 120/240 VOLT 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.99 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 DEPARTMENT By: CITY OF ATLANTIC BEACH, FLORIDA Approvod by APPLICATION FOR ELECTRICAL. PERMIT April 3, 1989 TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 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. R & R Electric Co. Robert A. Sallette, Jr. E EC'YRICAL FIRM: MASTER ELECTRICIAN SIGNATURE JOURNEYMAN NAME Crain ADDRESS: 750 Triton Road RFD BOX BLDG.SIZE BETWEEN: RES. ) APT. ( ) COMM. ( ) PUBLIC ( 1 INDUS. ( 1 NEW ( 1 OLD ( ) REW. ( ) A ADDITION ( 1 TRAILER ( ) TEMP. ( 1 SIGNS ( 1 SQ. FT. FEE SERVICE: NEW( 1 INCREASE Ix) REPAIR ( ) CONDUCTOR SIZE AMPS 12f)o COPPER ( 1 ALUM. (�) SWITCH OR BREAKER GO AMPS PH 3 W /AhzVOLT RACEWAY EXIST.SERV.SIZE AMPS / PH 3 W ' uVOLT 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 H.P. VOLTAGE PHS I MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. 1KVA _NO. NEON TRANSF. NO. A. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED TOTAL FEES 3s�U