25 10th St (vault) CITY OF ATLANTIC BEACH, FLORIDA �,� - 7�
Approved by----] APPLICATION FOR ELECTRICAL, PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:- _ .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 ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
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LJ C)N �ITC' �-c�-� �'- 7 Y
ELECTRICAL FIRM: I 1 jj /ffr-MASTER ELECTRICIAN SIGNATURE JOURNEYMAN
i
NAME 2 �,/2Tw�� /A/DDRESS:_c;) �- 1i - _ RFD BOX
BLDG.SIZE BETWEEN:
RES.V) APT. ( 1 COMM. ( 1 PUBLIC ( ► INDUS. ( 1 NEW ( I OLD ( 1 REW. ( 1
ADDITION ( ) TRAILER ( ) TEMP. ( ) SIGNS ( ) SQ. FT.
SERVICE: NEW( 1 INCREASE ( 1 REPAIR 04 FEE
CONDUCTOR SIZE AMPS COPPER ( I ALUM. (
SWITCH OR BREAKER AMPS PH W VOLT RACEWAY
Z
EXIST.SERV.SIZE 5 L' AMPS PH 3 W / ,�V VOLT I� 1 RACEWAY
FEEDERS NO. SIZE NO. SIZE NO. SIZE
LIGHTING nt!TI_r-TR C^":C�^. cr-I "--"
-^-- - GPEN 70 iAL
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. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS
MISCELLANEOUS
TRANSFORMERS: UNDER 600 V. OVER 600 V.
NO. KVA NO. lKVA
NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER
EACH SIGH
FORWARDED
TOTAL FEES
nC
1 cITY of ATI
MECHANICALPERMIT
800 SEMINOLE ROAD-ATLANTIC BEACH,FL 37233-TEL:. 247-9M'FAX: 247
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LOCATIONEN111,
TOH SIRE ON
Address: ANTIC BEACH, FLORIDA 32233
PERMIT 1NFORMA710N Book:
22471 Range: 0
Permit Number: MECHANICAL Township: 0 Block: Section:0
Permit Type: ALTERATION Lot(s):
class of Wow= Subdivision:
Proposed Use: Parcel Number:
Square Feet: OWNER IN
Est.Value: Name: GUNTHER
cost: 8/0912001 Address: 35 TENTH STREET LO 32233
Improv,
Date issued: 37.00 (x)38 -63 BEACH,
Total Fees: 37.00 Phone.
Amount Paid: 8/09/2001 37-00
Date Paid: APPLICATION FEES
sc: REPLACE AIR HANDLER AND CONDENSER
Work De CONTRACTOR S ERNWT 4 -
AIR NOW
Al
FINAL
.Mrs } ji, Sjlx All:Yb• I
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x.74 HO TC3 INS-pr
E$ 4, IC SPACE,AND
a .d ED Ilsl P
NOTiC _ Ec
r OTOR OR O
DING MATERIAL, RU681 Y E COPITF��`.
BUIL AND : .. IN THE
MUST BE CLEARED _ EN
"FAILURE TO COM . _" 1IN IMP T O REO TIO
F�.B
-- N� _ EC T �/ CA �
PROPERTY OWNER p MvD SO
RT ,
S P
ISSUED ACCORDING TO APPI�
FOR VIOLATION OF APPLICABLE
$37-0814
Date: 6/16/81 81 . Receipt: M79559J�_-
LA
c EA H UILDING DEPT• ®g19�e3zzleee
881888832218 .-r y«
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANUC
ATLANTIC BEACH, I'LOPIDA 31133
APPLICATION FOR ME(::HANICAL PERMIT CALL-IN NUMBER
IMPORTANT — Applicant to complete all items in sections I, II, III, and IV.
I,
LOCATION Strut Address:
And
DF Intersecting Streets. Between
BUILDING _
Sub-division _
II. IDENTIFICATION — To be completed by all applican-f,; .
In consideration of permit given for doing the work as descr;bed in the ,,I)ove statement we hereby agree to perform said work in eccortdence
which are a part hereof and it accordance with the City of Jacksonville ordinances and sandard
with the ettectted plans and specifications
s
of good practice listed therein. _
(:ontractorsn_ / OCf—r ') '
Name of Mechanical - IAaste► f'"T�Ci J I
Contractor (Print) —
Name of
Property Owner —
Signature of
Signature of Owner �y /�rchifeet or Engineer
or Atithorhed Agent
III. GENERAL IN ATIO _
E3.
A, Type of Meting fuel: IS OTHER CONSTRUCTION BEING DO?E ON
THIS BUILDING OR SITE? /
Electric \
[]
Gas--❑ LP ❑ Natural ❑ Central Utility IF YES. GIVE NUMBER OF CONSTRUCTION 1
PERMIT
❑ Oil
❑ Other — Specify
IV.
NATURE OF WORK
MICHANiCAL EQUIPMENT TO �E INSTALLED
Residential or ❑ Commercial
IPMAdo complete list of components an back f this form)
Heal ❑ Space ❑ Recessed Central 0 Fir
❑ New Building
Existing Building
/sir Conditioning: ❑ Room �6_ Central //
1p� Replacement of existing system
❑ Duct, System: Material Thkknk, ((
❑ New Installation(No system previously Installed)
Masimum capacity c.f.m.
❑ Extension or add-on to existing system
[3 Refrigeretion ❑ Other — Specify
0 Cooling to for: Capacity gip m'
E] Fire sprinkler: Number of head
❑ Elevator ❑ Manlift ❑ Escaleter (number) THIS SPACE POR OFFICE USE ONLY
❑ .6asofina gum
(number)
❑. Tank, (number) Remarks
❑ LPG container, --(number)
(] Unfired pe"sura vessel Permit Approved by ata
❑ Beller+
Permit Fee
Q Other — Specify. J�1
LIf3T ALL EQUIPMENT
AIR CONDITIONING AND REFRIGERATION EQUIPMENT. adty A"T*Ytng
NUrnber Unitl I)Wrlptlon Model Number Manufacturer (�)
HEATING . FURNACES, BOILERS, FIREPLACES C"dty AVP'rAg
NumMr Unlb I7eactiptlas X0001 Number _ Manufactum (BTU) _
TANKS Serial AP�o`i"t
HI>aow Many NOMI CsPwdb Tree Ted Nalm a Cf No. 1
RM Dtmendoes Contained >Katsnitrottaas