84 W 3rd St (vault) CITY OF
Office of Building Official
REQUEST FOR INSPECTION
Date f
Time Permit No.
Received A.M.
P.
Job Ad
al,1,
Owner's
Name
BUILDING CONCRETE
Framing Footing L] Rough Wiring D PLUMBING MECHANICAL
Re Roofing Lj Slab Rough D Air Cond. &
Insulation Temp Pole E, Top Out
Lintel Final EJ Heating
I' Sewer 17, Fire Place
Mon. REAQY-F,02 INSPECTION Pre Fab
_�jd3 Friday
_ Thurs.
Inspection Made A.M.
Inspect RM.Final Inspection D
1'�IV o,j9TFI� �P
t27ES- Certificate Of Occupancy E,
Date
PRE-SERVICE DIVISION
JACKSONVILLE ELECTRIC AUTHORITY
233 WEST DUVAL STREET
JACKSONVILLE, FLORIDA 32202
THE FOLLOWING FINAL INSPECTION(S) HAVE BEEN MADE AND ARE
SATISFACTORY:
-----------------------
-------------------------------------------------
----------------------------------------------
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Enclosed are the blue copies of the permits.
SINCERELY,
(:?. /�C"�'.'
BUILDING INSPECTION DIVISION
cc : FILE
CITY OF ATLANTIC BEACH, FLORIDA
Approved by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:— I 9_�t�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
ATLANTI�,gA� ORDINANCES.
I s .!lctric Co
1004 South Second St
Jacksonvi Bch FI-32250 r
ELECTRICAL FIR 1: STER ELECTRICIAN SI
NAME DDRESS: —RFD_BOX
BETWEEN:
BLDG.SIZE OLD REW.
RES.( ) APT. (A COMM. I PUBLIC ( I INDUS. NEW( 1
ADDITION ( ) TRAILER I TEMP.( ) SIGNS I ) SO. FT. FEE
SERVICE: NEW( INCREASE ( REPAIR (
mru WIMP Al 7 F COPPER ALIIM-
RACEWAY -------
asmTCH OR BREAKER AMPS PH W VOLT
EXIST.SERV.SIZE AMPS PH W VOLT - RACEWAY
FEEDERS No. SIZE NO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
CONCEALED OPEN TOTAL
RECEPTACLES :31.100 AMP6.
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
FIXED OVER BELL TRANSF.
APPLIANCES H.P. RATING
AIR H.P.RATING -HEAT
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW
------------
0-1 OVER VOLTAGE pHs
MOTORS H.P. VOLTAGE PHS NO. I H.P.
MISCELLANE()11.111�13,
OVER 600 V.
TRANSFORMERS-
UNDER 600
NO. KVA NO. KVA HE
VA. MA. MOTOR SIZE SWITCH FLA
NO.NEON TRANSF. NO.
EACH SIGN
FORWARDED
TOTAL FEES
FOR OFFICE USE ONLY
Date-----------��14�Z---19
Permit .....Fee
CITY OF ATLANTIC BEACH Valuation $ ......0-1).........
..........
FLORIDA House
......................................
............................................................................
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. utomatically responsible to ascertain that all sub-
The Contractor or Owner-Builder who has been issued a Building Permit is a elay or embarrasment regard-
contractors engaged by him are duly licensed in the City of Atlantic Beach,Florida. To prevent d
ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can
'
be verified. 12- n)44
I?ate--. 197-S.....
.......... 4- 1- 110
26.F�0 U N�rl -----------------Address MhAfag"' W_!----------------Telephone NA----
------ --- --------
Owmex-----0001�. . ...........------------- --------- ---
Addres&-A---------- .......
01 0 r7.1 ---e)_'___Telephone
Archit T_JQ
bmllw Telephone No-----------------------------
_11 ..)-----Address----- ---------------
Contractor Builder-ZIC;—---------_----
Lot NoAPT---I--- -----------------Block No...--S ----------------Sub Division .... -----_-_----- -------------------------------------Zone.................
r_ .............
------and---W'�IST------------------
% ------------------Street_ --------
--------2Side Between-------------- ----
-STO ----Type of construction_�............
Valuation ---------For what purpose will building be used-M)"I---- ------ of Footings__M_ON)0�-----------
Dimensions of Building-Air ---- ------Dimensions of Lot-1.04----A A 0-1-, - - ---------
Size of Piers---------- ---------------------Size of Sills---------- _.___GTeatest Sill Span in ft.._----------------------Type Rom------
on r-I
How will Building be Heated?-----t-41rjr------------------------------ ---- -------
-------Will Building be on Solid or Filled Ground? I
1_ 0 ....................
Size of Ceiling Joists--- -------------------. Distance on Centers-- -----( (4---------------------------- Greatest Span........ -............
_Z;*-' ......Distance on Centers- - ---_-_--------------------- Greatest Span--------------------------------------------
Size of Floor Joists-
. .....Distance on Centers ---- ---------------------------------I Greatest Span--------------------------------------------
Size of Rafters----------- .....r.. This rectangle is to represent the lot.
Locate the building or buildings in the
Florida State Registration right position. Give distance in feet from
all lot-lines and existing buildings.
REAR LOT LINE
Two copies of plans ane specifications shall
be submitted with application.
Inspections required.
1. When steel is in place and ready to pour footing. Z Z
2. When steel is in place and ready to pour columns and/or lintel. �i
3. When steel is in place and ready to pour beam. E- E-4
4. When framing is completed.
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.
rn
7. Electrical inspection by City of Jacksonville.
8. Final inspection.
Note: In case of any rejection,re-inspection MUST be called forafter
corrections are made. FRONT OF LOT
r cr
In consideration of pe given for dofft the wo n--ibed in the above statement, we hereby agree to perform said
djs ati s, which are a part hereof, and in accordance with the building
work in accordance with t Tattached pl
regulations of the City 0 ti ti e ch. Address.60-1---- -----�%AA-----
........................... --------------- ----
. ....... .. ...................... .....
Signature of Builder-- ------------------------
Signatureof Owner- ----------------------------------------------------------------------------- Address------------------------------ ------------------------------------------------------------------