2321 MAYPORT RD - FIRE ALARM CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
j t;;;,- ATLANTIC BEACH, FL 32233
r () INSPECTION PHONE LINE 247-5814
FIRE ALARM
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-MCHF-1581
Job Type: MECHANICAL FIRE PERMIT
Description: FIRE ALARM SMOKE DETECTORS
Estimated Value:
Issue Date: 7/16/2015
Expiration Date: 1/12/2016
PROPERTY ADDRESS:
Address: 2321 MAYPORT RD
RE Number: 169398-0410
PROPERTY OWNER:
Name: AMERADA HESS CORP.
Address: PO BOX 696419 PO BOX 696419
GENERAL CONTRACTOR INFORMATION:
Name: JACKSONVILLE SOUND & COMM
Address: 5832 S MARTRAM CIR QA BRYAN A STROSS
Phone: - -
PERMIT INFORMATION:
FEES:
Fire Alarm Systems $35.00
Fire Sprinkler System $30.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $124.00
PERMIT IS APPROVED ONLY IN ACCORDANCE MTH ALL (III OF ATLANTIC BEACH ORDINANCES AND TIIE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
( Ph (904) 247-5826 Fax (904) 247-5845 (l rp ,!TL! 0f I II 1
23 Z I
JOB ADDRESS: 11
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS 1Z0 VOLT'S '- 5 HASE
VALUE OF WORK$ %pO°.00
NEW SERVICE ❑ Overhead (1 Underground I U Underground up Pole
Residential(Main)Service
0-100 amps 101-150amps 151-200amps amps # of Meters
Commercial (Main) Service
0-100 amps 10 l-150amps 151-200amps amps CT Service amps
Conductor Type Size
Multi-Family(Main)Service
0-100 amps 101-150atnps —151-200amps amps # of Unit Meters
Temporary Pole : amps
SERVICE UPGRADE amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps 150amps 200amps amps CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 3 1-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
ETHER ELECTRICAL PROJECTS
Swimming Pool Sign xSmoke Detectors . 0ty ,Transformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 set of plans)
Qty 1 I volts/amps Z LI V VALUE OF WORK$ ti,,ovo..QO
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can _ Safety Inspection Panel Change OH to UG
Other: e, .k£ll y k)s e s sr£rns • Aif'r
'ermit 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
ead 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
;onstruction.
'roperty Owners Name Do 11cr 'kl f_ ,}�P�,hoone Number I`x`7-7 - 530 -R7 3
electrical Company SC_. SYS!Th-S -Dm -AK'SoJ'vtLL Sa f e Phone `l'DL/?373571 Fax °1717 6 3
7,o. Address: S C7 Z ) Sin +If— . City k--.D1•3 Ul t State fL Zip 3 37-/ea
_Acme Holder(Print):-1-4- /O/iii /4L6)N to Certification/Registration# C�f20000 3 ?5
t�
Votarized Signature of License Holder ', el
401.:(-f!'kc. VICK!E L.HART Sworn and subscribed before me t is ��}-��l day of 20/5
* \i -, * MY Cl MM5SION it FF 052183 4
'1; EXPIRES:October 23,2017 Signature of Notary Public Nr',rFOF Fliz=ar Ronde.Thru Budget Notary Services
^. risz J, City of Atlantic Beach `'
? ,<: ,.
s ; Building Department 4� APPLICATION NUMBER
f 800 Seminole Road
11,16T, L (To be assigned by the Building Department.)
Atlantic Beach, Florida 32233 5445 �„ ,(/Phone(904)247-5826 Fax(904) 247 584 rl ��/✓�'" `�(�l
t`°-,- E-mail: building-dept @coab.us � 2
)i t Date routed: /
City web-site httpJ/www coab.us
APPLICATION REVIEW AND RACKING FORM
232. 1
Property Address: �� , 11 - _// / d Department review required Yes No
uilding -
Applicant: 3 _ arming &Zoning
— — ----
--___ 9 _
Tree Administrator
Project: /iV S .. �, 1 4 — Public Works
)v i e7 E ` Public Utilities
L l• J Public Safety
re Services
~
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt
• — ___ of Permit Verified By Date
Florida Dept.of Environmental Protection — -.
Florida Dept. of Transportation
St. Johns River Water Management District
I Army Corps of Engineers
Division of Hotels and Restaurants _
Division of Alcoholic Beverages and Tobacco
Other: ---
APPLICATION STATUS
Reviewing Department First Review: 4pproved.
Denied.
(Circle one.) Comments:
BUILDING
PLANNING&ZONING —
Reviewed by: 1
TREE AMAIN — Date: ? I C
Second Review: ❑Approved as revised. HDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by:
Date:
E SERVICES Third Review: DApproved as revised. ODenied.
Comments:
Reviewed by:
------- -- Date:
!evised 07/27/10
<,-s�ri,,f,. City of Atlantic Beach 11 1
r �`'' Building Department Jft` APPLICATION NUMBER
II00 Seminole Road
11';6-fd:i:It' (To b e assigne by the Building Department.)
r 1 /I?�� rAtlantic Beach, Florida 32233 5445 /� ,(/� /�(j
Phone(904) 247-5826 • Fax(904)247-584 r n y�✓� "' i Q /
'.r�;; E-mail: building-dept @coab.us „� (r� 2 l
City web-site: http://www.coab.us ��'`" Date routed:
r
APPLICATION REVIEW AND RACKING FORM
2321
Property Address: ; I� , _/,,QT d Department review required Yes No
— uilding
Applicant: V` arming &Zoning
/ Tree Administrator
Project: _ i€L f $ " 1 Public Works
�
! Public Utilities
)v rL �J L e Public Safety
re Se rvices ---
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt
of Permit Verified By Date
Florida Dept.of Environmental Protection
Florida Dept. of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco -
Other: - -
APPLI ION STATUS
Reviewing Department First Review: Approved. nDenied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING
Reviewed by: Date:
TREE ADMIN. —
Second Review: nApproved as revised. nDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY _ __ — - Reviewed by: Date:
FIRE SERVICES Third Review: nApproved as revised. nDenied
Comments:
--.'-„-. :yam Date:
01
-7 , , ` i,
Revised 07/27/10
Patg to num
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233 �
-3 Z 1 Ph (904) 247-5826 Fax (904) 247-5845 0 l5 jJ 7 ril
JOB ADDRESS: ma,-/poi-4— Rr , 14)--IG„34_ ), FL
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS t ZO VOL ;y S )'ePHAS
VALUE OF WORK$ cf n°p•no
NEW SERVICE ❑ Overhead n Underground I U Underground up Pole
Residential(Main) Service
0-100 amps 101-150amps 151-200amps amps # of Meters
Commercial (Main)Service
0-100 amps 101-150amps 151-200amps amps CT Service amps
Conductor Type Size
Multi-Family(Main)Service
0-100 amps 101-150amps 151-200amps amps # of Unit Meters
Temporary Pole amps
SERVICE UPGRADE amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps 150amps 200amps amps CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS /�
Swimming Pool Sign c Smoke Detectors M4ty : Transformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 set§of plans)
Qty 1(9 volts/amps "Z-11 VALUE OF WORK$ ll 1,0Co..cam
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can Safety Inspecction Panel Change OH to UG
Other: e, . iGlIyOJsa s sr£rns • Nt r
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 Do f Icr 4-ct e . Phone Number I`Y77 — Sg30L—R-7'?3
Electrical Company S� S'{.51-NA- DB4 -lac_ owviu-L to e Yhone �'0�7373S?/Fax Ca 7 o
Co. Address: �C7 Z I Sin �f- . Cityik�.0NUt t-t-e- State rt., Zip 3 32-/e0
License Holder(Print):? flZ4 k(/el—AN itate Certification/Registration# Ef20000 3-)s—
Notarized Signature of License Hol der .-- (677.<-7/(t-ti---
46,'.Y.P,.8e1., VICKIE L.HART Sworn and subscribed before me t is --) day of `' 20/5
* (, < * MY COMMISSION#FF 052183 /
,,; ExPIR,:octohet 23,2ot7 Signature of Notary Public eir:
u'+tE��,�c BondeGThroBudgetN0lary5erviCeS