Permit Elec Police Station 2010 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
WIN INSPECTION PHONE LINE 247-5826
Application Number . . . . . 10-00001234 Date 10/08/10
Property Address . . . . . . 850 SEMINOLE RD
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . RES SF DISTRICT
Application valuation . . . . 0
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Application desc
INSTALL 20 AMP CIRCUIT
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Owner Contractor
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R & R ELECTRIC COMPANY
P.O. BOX 60665
JACKSONVILLE FL 32236
(904) 768-6166
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 58 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 4/06/11
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Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00
STATE ELEC DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 58 . 00 58 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 62 . 00 62 . 00 . 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
JOBADDRESS: 850 Seminole Road PERMIT
NEW SERVICE FlOverhead Underground 0 Underground up Pole
OResidential(Main) Service
00-100 amps 0101-150amps 0 151-200amps 0 __amps of Meters
0 Commercial(Main) Service OCT Service amps
00-100 amps 0 10 1-I 50amps 0 151-200amps 0 —amps
Conductor Type Size
OMulti-Family(Main) Service
00-100 amps 0101-150amps 0 151-200amps 0 ___,amps #of Unit Meters
OTemporary Pole 0 amps
SERVICE UPGRADE 0 ____�amps 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100amps 0150amps 0200amps 0 ___,amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 3 1-I 00amps 101-200amps
A/C Circuits: 0-60amps 61-I 00amps
Heat Circuits: # circuits @______jw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
El Swimming Pool 0 Sign 0 Smoke Detectors_Qty 0 Transformers KVA 0 Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans &Fire Alarm Checklist)
Qty_volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
OReplace Burnt/Damaged Meter Can 0 Safety Inspection OPanel Change OOH to UG
VOther: Install 20amp circuit with (5) sets of trip lights for station alarm
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 City of Jacksonville PhoneNumber 630-5401
Ejectijeal Company R & R Electric of North Fl, Inc Officephone 764-5555 Fax 768-8240
Co.Address: P.O. Box 60665 City Jacksonville State Fl Zip 32236-066
License Holder(Print): Robert A. Sallette/)Jr jState Certification/Registration# EC1318
Notarized Signature ofLicense Holder
OL1 PUA4, K03"yLkov Sworn and subscribed before me this day of .201Q_
my COMMISSON#00 7M7 I
EXPIRES'Mq 20,202 Signature of Notary Public
Bondoft;��%O%rjsef*66 411