469 Atlantic Blvd # 5 2014 plumb ir
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
PLUMBING PERMIT INSPECTION PHONE LINE 247-5814
ALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOBINFORMA
Job ID: 14-FLEM-220
Job Type: PLUMBING ONLY
Description: 13 fixtures
Estimated Value:
Issue Date: 10/14/2014
Expiration Date: 4/12/2015
PROPERTY ADDRESS:
Address: 469 ATLANTIC BLVD UNIT 05
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: MIKE BROWN PLUMBING
Address:
Phone:
FEES:
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Plumbing Fixtures $91.00
Trade Permit Base Fee $55.00
Total Payments: $150.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax.(904) 247-5845
JOB ADDRESS: 1-16-7 02aignin Alvid -*-S-- PERMIT # 6IPt
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE oF Fixmpm QTY TYPE oF FixTuRE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain 6- Three Compartment Sink
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray — Water Connected Appliances
Lavatory !3 Water Heater
Other Fixtures Water Treating System
RE-PIPE:
TYPE oF FixTuRE QTY TYPE oF FixTuRE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System
MISCELLANEOUS:
o Sewer Replacement 1:1 Back Flow Preventer 1:1 Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
Ei Lawn Sprinkler System-Number of Heads Ei Well
**SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection."
Ei Other
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.I hereby certify that I have read
this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified
or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name Phone Number
Plumbing Company C to _,__Office Phone (46-7QU Fax
-_Tgr - MF-1q7
Co. Address: 1692 E/nrff-'*'(CJ 7--46 coe city I)AK State -P Zip A22"
License Holder(Print): &tVA&1 Mi%CC J_�ratkr�J State Certification/Registration#
%IF 6
Notarized Signature of License Holder
Before me this day of 20
Signature of Notary Public
ACH
CITY OF ATLANTIC BE
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
ELECTRICAL PERMIT INSPECTION PHONE LINE 247-5814
ALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOBINFORMA
---jot)IV:
Job Type: ELECTRIC ONLY
Description: 8 SWITCHES
Estimated Value:
Issue Date: 10/13/2014
Expiration Date: 4/11/2015
PROPERTY ADDRESS:
Address: 469 ATLANTIC BLVD
RE Number: 170690-0000
PROPERTY OWNER:
Name: DIAMOND REAL ESTATE PROPERTIES
Address:
GENERAL CONTRACTOR INFORMATION:
Name: PERFORMANCE ELECTRICAL CONTRACTING
Address: 8638 Phillips HWY#4
Phone:
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Switch Outlets $4.80
Trade Permit Base Fee $55.00
Total Payments: $63.80
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, Fl, 32233
Ph(904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: 11,111,41-12 C" & LI'll., � "')<— PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUEOFWORK$ 1260, C-L)
NEW SERVICE 0 Overhead El Underground Underground up Pole
OResidential (Main)Service
00-100 amps 0 10 1-I 50amps 0 151-200amps E_amps #of Meters
OCommercial(Main)Service
110-100 amps 0 10 1-I 50amps E 151-200amps L_amps OCT Service amps
Conductor Type Size
OMulti-Family(Main)Service
00-100 amps [110 1-15 Oamps 0 151-200amps Ej— amps #of Unit Meters
OTemporary Pole El- amps
SERVICE UPGRADE O—amps ri CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
E 100 amps 11 150amps 0200amps 11 amps EICT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Dutlets/Switches: 0-30amps 3 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 10 1-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @_____kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
ri Swimming Pool 0 Sign 0 Smoke Detectors_Qty [I Transformers KVA 11 Motors hp
FUZE ALARM SYSTEM (Requires 3 sets of plans)
Qty_volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
OReplace Burnt/Damaged Meter Can E Safety Inspection OPanel Change DOH to UG
[]Other:
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have
read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether
specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of
construction.
Property Owners Name &&m6eL) Phone Number
Office Phone 9��/-2W 4 Fax
Electrical Company
State R_ Zip 3 a 11
Co.Address: J<7&�'p A.— sk C/
t
ta Certification/Registration# L-_)C13WL1,Lq f;
License Holder(Print): M.'I
Notarized Signature of License Holder
Before me this 20_/
Signature of Notary Publii