Permit 1832 Mayport RoadCITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
Application Number 10-00000795 Date 6/18/10
Property Address 1832 MAYPORT RD
Application type description ELECTRIC ONLY
Property Zoning TO BE UPDATED
Application valuation 0
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Application desc
light,circuits,seal off box
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Owner Contractor
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KOZLT ------ --------------------
VALDAN ELECTRIC CO. ----
338 19TH STREET
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 716-3626
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Permit --------------
ELECTRICAL --------------
PERMIT
Additional desc .
Permit Fee 90.00 Plan Check Fee .00
Issue Date Valuation 0
Expiration Date 12/15/10
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Fee summary -------------
Charged
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Paid Credited
---------- ---------- --- Due
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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.
l ~~ Z ~ ~ ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904)Q247-5826 Faxy~(904) 247-5845
JOB ADDRESS: L ~`3 L ~ ~~r0~ ~~/ PERMIT #
NEW SERVICE ^ Overhead ^ Underground ^ Underground up Pole
^Residential (Main) Service
^0-100 gulps ^ 101-150amps ^ 151-200amps D amps # of Meters
^ Commercial (Main) Service
^0-100 amps ^ 101-150amps ^ 151-200amps ^ amps ^CT Service -
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, REPAIItS, BUILD-OUTS, ACCESSORY STRUCTURES, ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-ZOOamps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
amps
^Sv~rimming 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 WORE $
REPAIRS/NIISCELLANEOUS
^~~R°°eplace Burnt/Dama.ged Meter Can ^ .S#a-fety Inspection ^ Panel Change ^ OH to UG
f~Other: .Z~~~U ~lN ~~ ~}- ~~I ,~J~~ .__ SE~~ DDQ'~ ~bx
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 p ormance of
construction. c ~ ~ - CRS ~~ _ ~ `~ L ' ~~ T
~ ` ~ ~ ~' 0 ~ 2-- Phone Number ~ ~~ 7 ~-- ~ 3 3
Property Owners Name a
Electrical Company ~/ ~~ ~ A ~ ~ L -~ciC- ~- ~ ~~ Office Phone Fax
Co. Address: ~ 3 ~ ~ ~~`~1 ~~ ~ `~~ City ~ (~ ~~State ~z Zip ~~
Lncense ~oleler (Print): ~ ~~ t ~ ~ ~~?--~~'~t-- State Certification/Registration # ~,/ C~ Z~' ~ ~%
l~a~c~~°E~~d' ~i~r~~~rer°e' a~'~cerr~~ L~a~d'er
Sv,~o~~ aid subscribed before irr.e tl~.s ~ day f ,~ t.-~
~ ~ Gail Testa
Signature of Notary Public ~ , - ~< ~ MY Commission DD989051
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