66 18th St (vault) q X V
CITY OF
���°curtic �e�� - �Qcvuda
716 OCEAN BOULEVARD
-----__ _-- P.O.BOX 25
ATLANTIC BEACH,FLORIDA 32233
TELEPHONE(904)249-2395
MAY 8, 1990
TO: DON FORD
CODE ENFORCEMENT OFFICER
FROM: JOAN HUNTER ���% /�✓� �`''
WATER DEPARTMENT
ATTACHED IS A COPY OF THE GARBAGE BILL FROM 66 18TH STREET. TO DATE
THIS ADDRESS HAS A BALANCE OF $188.00 FOR UNPAID GARBAGE SERVICES.
OUR SANITATION WORKERS HAVE BEEN PICKING UP THE GARBAGE AT THIS ADDRESS
AND IT APPEARS TO BE OCCUPIED.
PLEASE CHECK INTO THIS MATTER, AT YOUR EARLIEST CONVENIENCE, AND ADVISE
ME HOW TO PROCEED.
CITY OF ATLANTIC BEACH
MECHANICAL PERMIT
800 SEMINOLE ROAD-ATLANTIC BEACH, FL 32233-TEL: 247-5826-FAX: 247-5877
PERMIT INFORMATION _ _
� LOCATION INFORMATION
Permit Number: 19008 Address: 66 EIGHTEENTH STREET
Permit Type: MECHANICAL ATLANTIC BEACH, FL 32233
Class of Work: NEW Township: Range: Book: 20
Proposed Use: SINGLE FAMILY Lot(s):34 Block: Section: 2
Square Feet: Subdivision: OCEAN GORVE UNIT NO 2
Est. Value: Parcel Number:
Improv. Cost: OWNER INFORMATION_
Date Issued: 10/19/1999 Name: SKEELS, BRUCE AND LINDA
Total Fees: 43.00 Address: 66 18TH STREET
Amount Paid: 43.00 ATLANTIC BEACH, FL 32233
Date Paid: 10/19/1999 Phone: (000)000-0000
Work Desc: INSTALL CENTRAL HEAT AND AIR
- CONTRACTORS — APPLICATION FEES: -
A COMFORTABLE ENVIRONMENTAL PERMIT 43.00
i
g—lim
I
i
pections Required'
i
I
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 CONSTRUCTION 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.
$43.00 14
Date: 10/19/99 81 Receipt: 000463076
CHECKS
08180803221008
ATLANTIC BEAC BUIL G DEPT
JOB ADDR (o �v ��r►��-K tom. �t. TYPE WORK
PROPERT Y OWAER 5,�� (-o /3iu �°,"J PH®NE
CONT'TtACT OR 6,n,,, TEL EPff0NE
PERWT NUAMER DATE 9/o
IMPEC77GNS: FOOTEVG
TIE.BEAM
LEV=
NAH-17IGISHEAT HSG
ERAMWG/CGVER UP
MULATI®N
. 17VAL RULLDLIG
CERTTCAT E OF OCCUPANCY
c4L PES
EVSPEC17ONS ROUGH
FINAL
3ECMMC4L PERM / 9 02
MPECTIO NS ROU(�I�
FINAL
PLLTAM-EVG PEAS
EVSPEC 7ONS ROUGMJ7I 3ER SLAB
T•GPOUT
WAT'E"ER'ER
FINAL
NOTES:
i
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC BEACH, FLORIDA 32233
APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER
IMPORTANT — Applicant to complete all items in sections I, II, III, and IV.
Street Address: Q
LOCATION _1
OF Intersecting Streets: BetweenM J 1 //�G� ___ ____And l AZUL A J
BUILDING
Sub-division
11. IDENTIFICATION — To be completed by all applicants
In consideration of permit given for doing the work as described in the abcve 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 City of Jacksonville ordinances and standards
of good practice listed therein.
Name of MechanicalContractors r
Contractor (Print) 14 CoA FA� �I L [�i✓ 0_1
,)M
Master
Name of /� t
Property Owner10 1 fj/�;✓C £' NCzC, L J
Signature of Owner Signature of
or Authorised Agent / Architect or Engineer
III. GENERAL INFORMATION
A. Type of heating fuel: B.
IS OTHER CONSTRUCTION BEI G DONE ON
4 l�tric THIS BUILDING OR SITE?
❑ Gas —❑ LP ❑ Natural ❑ Central Utility
IF YES, GIVE NUMBER OF CONSTRUCTION
[3Oil PERMIT J 1p 9 1 �—
❑ Other — Specify _
IV. MIKMANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK
(Provide complete list of components on back of this form) Residential or U Commercial
Q Heat ❑ Space ❑ Recessed * Central O Floor ❑ New Building 1 v
(D Air Conditioning: [IRoom CQ Central El Existing Building
Is
d Duct System: Material J�'L-y Gc `� Thickne•• L ❑ Replacement of existing system
Maximum capacity ��C.G c.f.m. New installation(No system previously installed)
❑ Extension or add-on to existing system
❑ Refrigeration
❑ Other — Specify
❑ Cooling tower: Capacity 9•P-rn-
❑ Fire sprinklers: Number of heads--
[3
ead•❑ Hevator ❑ Manlift ❑ Escalator (number)
THIS 5*ACE FOR OFFICE USE ONLY
❑ Gasoline pumps (number) (Reeefved)
❑ Tanks (number) Remarks
❑ LPG containers (number)
❑ Unfired pressure vessel
Permit Approved by Defe`
❑ Boilers
❑ Other — Specify Permit Fee --
LIST ALL EQUIPMENT
AIR CONDITIONING AND REFRIGERATION EQUIPMENT ppp
Number Units Description Model Number Manufacturer COD-City) wJlj�
HEATING - FURNACES, BOILERS, FIREPLACES
Capacity Approving
Number Units Description Model Number Manufacturer (BTU) Agency
A G -15
L)
TANKS
How Many Nominal Capacity Type Uquid Name of Serial Approving
and Dimensions Contalned Manufacturer No. Agency
08/24/99 15:34 FAX 904 292 0119 E G CONTROLS,INC 002
4�
M A P S H O W I N�--
S U R V E Y O F
Grove Unit No, Z +
accore.ing to the plat thereof recorded
20 of County ,
' ot 34 , 2(�,Ocean
in Plat Book
Page the �urresi.L Public Records of Duval
�lordia . AND
CERTIFIED TO: DANIEL J . ARLINGTON ,
FIRST AMERICAN TITLE INSURANCE COMPANY
f 3
dr•SA[ lY. y S " 9 3 Co r 2 5• 2 2 �v, 'fZ
2S
,! A ✓ r rvf r "/ i h
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O
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 SEMINOLE ROAD-ATLANTIC BEACH, FL 32233-TEL: 247-5826-FAX: 247-5877
- PERMIT.INFORMATION- _-- 1--__ - --;LOCATION INFORMATION- _
Permit Number: 18822 Address: 66 EIGHTEENTH STREET
Permit Type: REMODELING ATLANTIC BEACH, FL 32233
Class of Work: REMODEL Township: Range: Book: 20
Proposed Use: SINGLE FAMILY Lot(s):34 Block: Section: 2
Square Feet: Subdivision: OCEAN GORVE UNIT NO 2
Est. Value: Parcel Number:
Improv. Cost: 6,500.00 OWNER INFORMATION __ _T____ —�
Date Issued: 9/10/1999 Name: SKEELS, BRUCE AND LINDA
Total Fees: 45.00 Address: 66 18TH STREET
Amount Paid: 45.00 ATLANTIC BEACH, FL 32233
Date Paid: 9/10/1999Phone: (000)000-0000
Work Desc: NEW ROOF, SINKS, PAINT AND DOOR
CONTRACTORS T----- APPLICATION FEES
PROPERTY OWNER PERMIT 45.00
i
i
i
I I
i
COVER UP FRAMING INSULATION
FINAL BUILDING
i
f
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 CONSTRUCTION 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.
I
I
C—
$45.0014
Date: 9/20/59 01 Receipt: 808 976
ATLANTIC BEACBUILDIN T. CHECKS
4706
00100003221000
R E CL:;.., 9'"4
q''" 9 1999
CITY OF ATLANTIC BEACH r ,
PERMIT APPLICATION REMODEL, ADDITIONS, un��"oning
.
MOVING,DEMOLITIONS
Owners) rVC-r 4' 'k If1L9A
Job Address: �D� Iy��-h �'ti�P+ Phone:
Lot # 314 Block or Unit # Subdivision:
Contractor: State License #
Address: Phone No:
City State Zip Code
Describe work to be done: w �n n� a> �''�ey ����`�
►'U� v�, I-+vP� �,i��.� CAh►��ctS � rU� yJ 5, ��1� 6�Ain1- It>���-►�
ry e w 0-( e,
Present use of building: kivlfl
Valuation of Proposed Construction: (r f)00ok
Proposed use: �Iv
Is this an addition? Al 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 (COMMERCIAL) TWO (RESIDENTIAL) COMPLETE SETS OF PLANS, INCLUDING
SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND
OWNER/CONTRACTOR AFF T, IF OWNER IS CONTRACTOR.
Signature OWNER: ill Date:
Signature CONTRACTOR: Date:
AS TO OWNER:
Sworn to and subscribed before me this
_day of 19fl.
i2
NOTARY pU<CSUELLEN --_•
IMER
AS TO CONTRACTOR: •` '�r'R MY COMMISSION#CC 617289
EXPIRES:Apra 5,2001 , 19
Sworn to and subscribed before me this BmftdThwuNotoyPublic —
NOTARY PUBLIC
CITY OF
Ee l - 5'&ue4
800 SEMINOLE ROAD
ATLANTIC BEACH.FLORIDA 32233-5445
TELEPHONE(904)247-5800
FAX(904)247-5805
SUNCOM 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 REQUIRED BY STATE LAW AND BY
COUNTY OR MUNICIPAL LICENSING ORDINANCES.
ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY
USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER $2,000) BE 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 BE 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. 455-228( 1). 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 IS 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.
PROPERTY
(�OWNER/BUILDER
ADDRESS TELEPHONE
SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY OF 19j�
NOTARY PUBLIC
NOTE: PHRASES UNDERLINED ABOVE MY COMMISSION EXPIRES:
ARE EMPHASIZED BY THE BUILDING •�" SUELLEN REIMER
DEPARTMENT. -YQ' •• MY COMMISSION N CC 817289
EXPIRES:ApdI 5,2001
�'•F qd °"•' Bonded Thlu NOLry Public Umbr rihn
FLA. 1907 LAWS „J RAMCO rORM A09
` F3 717.11 w�
HCl # - t ' [t ��:��ltlli �YY� 'i1��'lt
1/R[I11R[ IM UU►LICAT61 B00k 9412
i 2 P 9 582
�Ci•o Ittllont it ittujl co cerit: �f 1 F
The undersigned hereby informs all concerned that improvements will be made to certain real
property, and in accordance with section 713.13 of the Florida Statutes, the following information
is stated in this NOTICE OF COMMENCEMENT.
Description of property................
I
............................................................................................................................................................................................_................................................
General description of improvements........... . :. !�....y...C.�. .�.....s1 .1:.4� i......1.�.�.1.�....:j...... ...........................
�)' �1 . .:? ......................iL .....VAE� ..S.
ttS
%....O�-;.t.Q.t r...............`�.I a.n.1....... ........................................
C
Owner..........h..{...1!..C.Y� .,-..... ...:......j1.41.. ? ............. .�1..��. ►........ ..... :�.`�'.�.. " J............................................
Address .... ..U.. .Q.........� F..i��.....1. .1�...�i.li:k............1 .. ...............,.�...�....`... :.`?.... .�..._: �1-3.
,..
Owner's interest in site of the improvement .................................................................................................................................................
fee Simple Tills holder (if other than owner)
Name .............................................................................................................................................................................................................................
. I
Address...............................................................................................................................................................................................................................
Set.
................................ ..................`.�..................................I.....................Contredor.........�� ....... `�' . ..... .....L..
�:,,\ ? ���N C{v" p9-.k
Address............... . ....... ....
Surety (if any)..............�•J.....................................................................................................................................................................................
Address.........................`... .................................................•..............................................................Amount of bor►ds..............I..............
...
Name of person within the State of Florida desipnaled 6y owner upon whom rxAk*s or other docu ants may
6s served:
A
Name J �6�L
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice
as provided in Section 713.13 (1) (F), Florida Statutes. (Fill in at Owner's option).
Name................................................................................................................................................................................... ............................................. I
1
Address
I T1/19 $PACK EOR RSCOFtAKf.'s Li¢ WILT
Mf
Bk e 9412
5821
Doef# 9 228780
Filed Recorded
Sworn to and subscribed before me tips..
0 /11&7/99 LLll /) q
HENRY11:09.,18 C0 k- M. ..01..7..........dayof..,..,1.99...........................19.1... .
CLERY, CIRCUp%
DUVAL COUNTY COURT
REC. 7 FL
E.OQ
otarM1L EIMER ( �
My COMMISSION NCC 617289
U0,
EXPIRES:April 5.2001 1
p, .. Bonded Thru Notary Fublic Ond8wMt8,, I
CITY OF ATLANTIC BEr,CH
DEPARTMENT OF BUILDING
800 Seg;nole Road -Atlantic Beach, FL 32233 - Tei: 247-5826 - Fax: 247-5877
PLUMBING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 20709 Address: 66 EIGHTEENTH STREET
Permit Type: PLUMBING ATLANTIC BEACH, FL 32233
Class of Work: ALTERATION Township: Range: Book. 20
Proposed Use: SINGLE FAMILY ( Lot(s):34 Block: Section:2
Square Feet: Subdivision: OCEAN GORVE UNIT NO 2
Est. Value: Parcel Number:
i improv. Cost: OWNER INFORMATION
Date Issued: 9/29/2000 Name: SKEELS, BRUCE AND LINDA
Total Fees: 32.50 Address: 66 18TH STREET
Amount Paid: 32.50 ATLANTIC BEACH, FL 32233
Date Paid: 9/29/2000 Phone: (000)000-0000
Work Desc: REPIPE 5 FIXTURES
CONTRACTORS APPLICATION FEES
LARRY TEAGUE AND SONS PERMIT 32.50
i
Ins dons Rqquired j
TOPOUT FINAL
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 CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPEIM
OWNER PAYING i iiiCE 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.
(32.51; 14I
Date: 9/29/98 91 Receipt: 8892694
AT TIC BEACH BUIL DEPT. CHS CKS 827718876
�919ti9932�19ea
CITY OF A'TILWTIC =74CH
APPLICATION FOR PLU26MING P22M. M.1m
OB LCCATION:_1
OWNER OF PROPERTY: � �� � DNE NO•
PLU�131NG C0N:RPCT0R RY TME PLUMBING
CONTRACTOR' S FDDR_SS: 3a3�L :5cLD�� �z�2gt :4 Gy1Z
STATE LICEtiSE ;v'Ln'gER =Cy�C056776 TELEP
HOW MANY OF THE FOLLOWING FIXTURES INSTALLED
SINKS ► SHOWERS
_LAVATORY _ // A I ER HEAT=RS
—5ATH =CJBS 77---DIS:WASHERS
_ -'RIVALS DT_SPOSA7 S
,CLOSETS WASHING r`-n CHINE
FLOOR DRAINS SHOWER PA-NS
SEWE. WATER
REPIPE OTHE-R
TOTAL FIX-URES: x $3. 50 4- $15. 00
MINIMIUM PEPMIT FEE - $25. 00
SIGNATURE 0- OWNER:
SIGNATURE OF ;:GNTRA
INSTALLATION OF PLL225ING AND FIXTURES MUS_ BE IN ACCCRDAINCE WITH
THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE.
CALL A DAY" AHEAD TO SCHEDULE INSPECTIONS - (904) 247-582c
SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPEECTION
PRIOR TO COVERING UP - (904; 247-5834
Vi i-f OF ATLANTIC BEACH
f\!--71 Tp AFNT n RI_'i Lnmi
bUU Seminole Road -Atlantic Beach, FL 32233 'Tel: 247-5826 - Fax: 247-5877
ELECTRIC;-1 D-DUIT
€RMiT.IE" .Or i�tTiv�i LOCATION-WFORMA
—.
P..rmit Address: EIGHTEENTH STREET
r��Permit Type: ELECTRICAL i "�" res' 06
ATLANTIC BEACH, FL 32233
Class o:Work: REMODEL I Township: Range: Book: 20
Proposed Use: SINGLE FAMILY Lot(s):34 Block: Section:2
Square Feet: Subdivision: OCEAN GORVE UNIT NO 2
Est. Value: Parcel Number:
improv. Cos;:
Date Issued: 4/05/2000 Name: SKEELS, BRUCE AND LINDA
Total Fees: 25.00 Address: 66 18TH STREET
Amount Paid: 25.00 ATLANTIC BEACH, FL 32233
Date Paid: 4/05/2000 Phone: (000)000-0000
Work Desc. WIRE FOR REMODEL
ERICKSON ELECTRICAL CONTRACTOR PERMIT 25.00
ROUGH ELECTRIC FINAL ELECTRIC
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 CONSTRUCTION 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.
$25.0614
C_ nate: 4/85/88 81 Receipt: 884712895
CHECKS
88188883221888
ATLANTIC BEACH B ILDING EPT.
. -ACCOUNT NUMB -IRS
--.
A fY OF ATLANTIC BEACH T CLASS
MAIL
�)O(�' 0 2 7 a
US POSTAGE
18TH f Tf' C T t FORWARDING AND ADDRESS PAID
CORRECTION REQUESTED PERMIT
NO
SERVICE PREVIOUS CURRENT CONSUMPTION AMOUNT CITY OF °"
DESCRIPTION READING READING
uAt- 17Aa44 C
(�r 71.OCEAN BOULEVARD
G A R R AGF S E 2 •�/ I L S 36,00
{ B I0 0 ATLANTIC BEACH.FLORIDA 32233
PREYICUS
n,ALANC V 147.OF"
PILLS MAY 8E PAIP AT C F. S
BANK DY MAY 4, 1990 PFNINY eONNY
2979 ST. JOHNS AvFNUF
BILLS DtfF UPO"! kECFIPT JACKSONVILLE , FL.
32205
t_CCATION :
LL
p6f1,. Ii •T HSTPEET
LATE AtM!
O•UN
T D
UEAMOUNT DUE
CALENDAR YEAR OUARTER BILLING DATE n0 7
?t!{ ()Tr
BEST ATECHMGE 8pEAOW.PCAYMpT AFiLATCAPGEDpTE DUE DATE ACCOUNT NO.
1 / 7' ') 1 ' P • 00 O) i34/CIO IQ()()0027
0 / 4 - 5123 ,
3
PLEBE RETURN WITH PAYMENT
_.-___._-_-_____ _-
CITY OF ATLANTIC BEACH, FLORIDA
Approved by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:._._-
IMPORTANT NOTICE:
WING, WE
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK
�HE ATTACHED AS BPLANS AND SPECIFICATIONS,ED IN THE 0
HEREBY AGREE TO PERFORM SAID WORK IN CC,bRDANCE WITH
WHICH ARE A PART HEREOF, AND IN ACCORD E WITH THE ELECTRICAL REGULATIONS, CODES AND CITY
ATLANTIC BEACH ORDINANCES. j
ELECTRICAL FIRM: MASTE _ CTRICIANN SIGNATURE
tb
{ t�^�l%_ ` '✓ RFD -BOX
NAME_ -
ADDRESS:
BETWEEN:
BLDG.SIZE r /
RES.,()( APT. ( ) COMM. ( 1 PUBLIC ( 1 INDUS. ( ) NEW l ) OLD
(� REW. ( )
ADDITIO.. TRAILER ( 1 TEMP. ( )
SIGNS t I SO. FT.
FEE
SERVICE: NEW ( ) INCREASE ( ) REPAIR
CONDUCTOR SIZE
AMPS COPPER ( ALUM.
AMPS
PH W VOLT RACEWAY
SWITCH OR BREAKER
RACEWAY
EXIST.SERV.SIZE AMPS
PH WVOLT
SIZE NO. SIZE
FEEDERS NO. SIZE
NO.
LIGHTING OUTLETS CONCEALED
OPEN TOTAL
RECEPTACLES CONCEALED
OPEN TOTAL
31.100 AMPS.
O.30 AMPS.
SWITCHES
INCANDESCENT
FLUORESCENT &M.V. -----
FIXED D•l00 AMPS. OVER BELL TRANSF.
APPLIANCES
N.P. RATING H.P. RATING
THER MOTORS
AIR AMPS CEIL HEAT: KW HEAT
CONDITIONING COMP.MOTOR O
0 1 OVER
} H.P. VOLTAGE PHS
MOTORS H.P. VOLTAGE PHS NO.
MISCELLANEOUS
TRANSFORMERS:
UNDER 600 V. OVER 600 V.
NO.
KVA NO. KVA
NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER
EACH SIGN
FORWARDED
J
TOTAL FEES