Permit Elec 1089 #18 Atlantic 2011 lAi
r`' jrl
6 4 ' r > CITY OF ATLANTIC BEACH
' v 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
.. jt - ,;
INSPECTION PHONE LINE 247 -5814
Application Number 11- 00002755 Date 10 /10 /11
Property Address 1089 ATLANTIC BLVD UNIT 18
Application type description ELECTRIC ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
service for business
Owner Contractor
ASHLAND INVESTMENTS DAN'S ELECTRICAL CONTRACTING
7880 GATE PARKWAY SUITE 300 6451 BEACH BLVD.
JACKSONVILLE FL 32256 JACKSONVILLE FL 32216
(904) 838 -9882
Permit ELECTRICAL PERMIT
Additional desc .
Permit Fee . . . 56.80 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 4/07/12
Other Fees STATE ELEC DCA SURCHARGE 2.00
STATE ELEC DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 56.80 56.80 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 60.80 60.80 .00 .00
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: / D S al J +- icm\ c ZCc * U n A-16 PERMIT # 11— a,(pgq
JEA INFORMATION REQUIRED ON ALL PERMITS t DO AMPS), 0 VOLTS 1 PHASE
VALUE OF WORK $ ? Oo OO
NEW SERVICE ❑ Overhead I I Underground 1 U Underground up Pole
❑Residential (Main) Service
00 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps # of Meters
❑ Commercial (Main) Service
❑ - 100 amps ❑ 101 150amps ❑ 151- 200amps ❑ amps ❑CT Service amps
Conductor Type Size
❑ Multi- Family (Main) Service
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: k 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: gN
OTHER ELECTRICAL PROJECTS
❑ Swimming Pool ❑ Sign ❑ Smoke Detectors Qty ❑ Transformers KVA ❑ Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist)
Qty volts /amps VALUE OF WORK $
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection El Panel Change ❑OH 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 As 1 akndk 1 IN de_*- 0 \ Phone Number QR / —C M
Electrical Company DO C ( Cal CoAkt Tin G . Office Phone Fax
Co. Address: 19 et k T AA) � s- P . City S State R-- Zip `9--1,0
License Holder (Print): LOVV1i e \ b IJVI'' I State Certification/' -:istration # fe 1364P-Bg ti
Notarized Signature of License Holder f )- /'
; : DEBORAH AMANDA' m p nd subscribed before e t,,is � �� / d. . � ��i/ 20/7
;4 MY COMMISSION # EE 057349 / /
f EXPIRES: May 21, / 2a-/-6-*--
L , a f
Bonded Thn1 Notary Public unae t _re of Notary Public
A I
r '6- ..1 S-a v 3 O