Permit 1600-1 Seminole Rd Medin CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 10-00000120 Date 2/04/10
Property Address . . . . . . 1600 -1 SEMINOLE RD MEDIN
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
INSTALL 100 AMP ATT
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Owner Contractor
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FIRST COAST ELECTRIC, LLC
P.O. BOX 60995
JACKSONVILLE FL 32236
(904) 779-5491
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 8/03/10
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 90 . 00 90 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 90 . 00 90 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD,ATLANTIC BEACH,FL=33 09-
OFFICE:(904)247-5826 0 FAX NO.:(904)247-5545
BUILDING-MPTQCOAB.US
ELECTRICAL PERMIT APPLICATION DUVAL COUNTY
ADDRESS:
7-IS THIS A—SUS PFJMrr- =3-DATE
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OYES PERMIT#-_
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4.NAME: 5,ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE:
—i
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ELECTRICAL COV4TRACTOR*
7.NAME OF COMPANY: 8.ADDRESS..�
'PO C%�X' (10 e7�-;; Jo Y,FL , sz z.
t�vc"k- coa':A [3: C C IV L LC
9 STATE OF FLORIDA LICENSE NO,
150 1 Z q 10.CELL PHONE. 11 FAX NO.:
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12.EMAIL ADDRESS* 13.OFFICE PHONE: 7-7,1, 14.
d avla 60 �-f e Iec' com- 1
15. plication is hereby made to obtain a permit to do the work and installati nsasindicated. I certify that all work will be performed to meet
the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)
months,or if construction or work is suspended or abandoned for a period of six(6)mon s at any time aft work is commenced.
CONTRACTORS SIGNATURE:
x
16.CLASS OF WORK: 17.SERVICE: is.-METER NUM!VR-
0 MULTI FAMILY-#OF UNITK 13 RESIDENTIAL
13 SINGLE FAMILY 13 TEMP SERVICE E)/COMMERCIAL U
11 ADDITION 0 TRAILOR 19.BUILDING: 19.CURRENT COD—E:
0 ALTERATION 0 SIGN 0 OLD 13 NEW 0'05 NATIONAL ELECTREAL CODE
0 REPAIR 0 POOL/SPA 0 REWIRE 0 OTHER:
LIST ALL ELECTRICAL WORK:
— 20.TYPE OF SERVICE: E3 OVERHEAD [2(UNDEWG--ROUND 0 UNDERGROUND UP POLE
- 21.NEW SERVICE: CONDUCTORS PER PHASE: 0 POWER IS ON WPOWER IS OFF
22.SIZE OF CONDUCTOR:—- -- AMPACITY: 102-- 13COPPER Q�ALUMINUM
23.SWITCH OR BREAKERSIZE: AMPS: 100 PH: W.-a— VOLT: C) RACEWAY SIZE: ;L
24.EXISTING SERVICE SIZE: AMPS: PH: W.— VOLT: RACEWAY SIZE:
25.FEEDERS: #OF— AMPS: #OF— AMPS:— III OF AMPS:
26.LIGHTING FIXTURES: INCANDESCENT: FLUORESCENT&M.V.:
27.FIXED APPLIANCES: 0-30 AMPS: 31-100AMPS: OVER 100 AMPS:
28.FIRE ALARM: 0 YES EiNO
29-31 DO NOT APPLY TO NEW SINGLE FAMILY,MULTI-FAMILY AND ROOM ADDITIONS
29.SMOKE DETECTORS: NUMBER:
30.RECEPTACLES: 0-30 AMPS: 31-100AMPS: OVER 100 AMPS:
31.SWITCHES: 0-30 AMPS: 31-IOOAMPS: OVER 100 AMPS:
32.AIR COW—IONING
#OF UNITS: COMP. MOT��R HP RATING: AMPS: HEAT KW:
#OF UNITS.- COMP. MOTOR HP RATING: AMPS: HEAT KW-
33.MOTORS:
NUMBER: VOLTAGE: HP: KVA.-
NUMBER: VOLTAGE: HP: KVA:
34.TRANSFORMERS:
UNDER 60OV: NUMBER:— KVA:
OVER 60OV: NUMBER: KVA:
35.MISCELANEOUS REPAIR&
DESCRIBE IN DETAIL:
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BLOG02 Pwmit Appliceftn Elec:REVISED:12118/2008