Permit 2279 Seminole Road Unit 007 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
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Application Number . . . . . 10-00000603 Date 5/20/10
Property Address . . . . . . 2279 SEMINOLE RD UNIT 007
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application aesc
PANEL CHANGE OUT
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Owner Contractor
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DUFFEY, WILLIAM E TRENT ELECTRIC
280 HASTINGS RD
ATLANTIC BEACH FL 32233 ORMOND BEACH FL 32174
(904) 819-0911
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . 5/13/10 Valuation . . . . 0
Expiration Date . . 11/09/10
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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.
ELECTRICAL PERMIT A-PPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
Ph(904)247-5826 Fax (904) 247-5845
JOB�PDRESS: PERMIT#
(3ct�
NEW SERVICE FlOverhead Underground 0 Underground up Pole
DResidential (Main) Service
El 0-100 amps LA01-150amps 73 151-200amps 0—amps of Meters
OCommercbd(Main) Service
00-100 amps 0101-150amps El 151-200amps El _-,amps EjCT Service amps
Conductor Type - Size
LIMulti-Family(Main) Service
110-100 amps 0 10 1-1 50amps 0 151-200amps 0 __Lamps of Unit Meters
ElTemporary Pole 0 _-___axnps
SERV110E UPGRADE 0 ----.amps D CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.)
0100amps 0150amps :)200amps 0_____--mps [ICTService amps
ADDITIONS,REMODELS,REPAIRS,BU11LD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/S witches: 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
0 Swimming Pool [I Sign 0 Smoke Detectors_Qty El Transformers KVA 0 Motors hp
FlRE ALARM SYSTEM (Requires 3 sets of plans&Fire Alarm Checklist)
Qty_volts/amps VALUEOFWORK$
REPAIRS/NHSCELLANEOUS
[I Replace Burnt/Damaged Meter Can 0 Safety Inspection L/anel Change :1 OH to UG
ElOther;
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 sune to be true and corred. All provisions of laws and ordinances governing this work will be complied with whether
specified or not The permit does not give authority toviolate the provisions of any other stare or local law regulation construction or the performance of
consrauction.
Property OAN-ners Name Phone Number
Electrical Company Office Phone 96el
Co.Addrcss:C:1?0L) Civ stater/ zip'�3;�>6 87V
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License Holder(print): )�D C— State Certification/Registration ��56
Notarized Signature of License Holder �w
-C71�1 J'el
Sworn and subscribed before me thj8� day of
MY CONMSSION 0 DD958251
EXPIRES: 0
K.Nou-
14IM3-NOTARY
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