430 11th St (vault) CITY OF
r /I \ Office of Building Official
REQUEST FOR INSPECTION
Q'X Permit No.
Date / U A.M. District No.
Time i P.M. ,
Received
Loc
Job Address
Owner's Contractor
Name PLUMBING MECHANICAL
ELECTRICAL Air.Cond.&
CONCRETE
BUILDING Rough WiringRough Heating-
Footing �: /Top Out
Framing Temp Pole Fire Place
Slab Sewer pre Fab
Re Roofing Final
Lintel —
A.M.
READY FOR INSPE ON P.M.
Thus Friday�
Tues. Wed. V—
Mon.
InspectionMade Final Inspection❑
Inspector Certificate of Occupancy
Date
CITY OF ATLANTIC BEACHI FLORIDA
gpprovad by APPLICATION FOR ELECTRICAL PERMIT
19 �
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE
NCE E WO HE ATTACHE IK AS BP ANS AND ED IN THE FOLLOF WING,
SE
HEREBY AGREE TO PERFORM SAID WORK IN ACC
WHICH ARE A PART HEREOF, AND IN ACCORDANCEE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
YMAhl
MASTER ELECTRICIAN SIGNATURE
ELECTRICAL FIRM:
ADDRESS: i� 9L--RFD-BOX-
NAME
RFD BOXNAME �
BETWEEN:
BLDG.SIZE
RES.I, )
APT. ( 1 comm. ( 1 PUBLIC ( 1 INDUS. ( ) NEW ( 1 OLD ( REW.
1 ( 1
ADDITION ( ) TRAILER ( 1 TEMP.( 14" SIGNS ( 1
SO. FT.
FEE
SERVICE: NEW( 1 INCREASE ( ) REPAIR l 1
2 AMPS p d COPPER 1 1 ALUM. (
CONDUCTOR SIZE �
PH W VOLT RACEWAY
SWITCH OR BREAKER Oa AMPS
EXIST.SERV.SIZE AMPS
PH W VOLT RACEWAY
FEEDERS NO. SIZE NO.
SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED
OPEN TOTAL
OPEN TOTAL
RECEPTACLES CONCEALED 37.100 AMPS.
0-30 AMPS.
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
100 AMPS. OVER —
FIXED BELL TRANSF.
APPLIANCES
AIR H.P. RATING H.P. RATING
OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
CONDITIONING COMP.MOTOR
OVER
0-1 PHS NO. 1 H.P. VOLTAGE PHS
MOTORS H.P. VOLTAGE
MISCELLANEOUS
TRANSFORMERS: UNDER 600 V.
OVER 600 V.
KVA NO. KVA
NO.NEON TRANSF.
NO. VA. MA. MOTOR SIZE SWITCH FLASHER
EACH SIGN
FORWARDED
TOTAL FEES -�-