Permit Elec Repair UG 1731 Seminole 2010 TIC BEACH
CITY OF ATLAN
SS 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
-5826
INSPECTION PHONE LINE 247
Application Number . . . . . 10-00001279 Date 10/20/10
Property Address . . . . . . 1731 SEMINOLE RD
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . To BE UPDATED
Application valuation . . . . 0------------------------------
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Application desc
repair under ground secondary ----------------------------------------
------------------------------------
Contractor
Owner ------------------------
------------------------ R & R ELECTRIC COMPANY
JONES, WAYNE P.O. BOX 60665
1731 SEMINOLE ROAD JACKSONVILLE FL 32236
ATLANTIC BEACH FL 32233 (904) 768-6166
--------------------------- ------------------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc - - 90 . 00 Plan Check Fee . 00
Permit Fee . . . . Valuation . . . . 0
Issue Date . . . .
Expiration Date - - 4/18/11 --------------------------------
------------------ -------------------------EC DCA SURCHARGE 2 . 00
Other Fees . . . . . . . . . STATE EL
STATE ELEC DBPR SURCHARGE 2 . 00
-------- ---
------------------ ------------------------------Credited Due
Fee summary Charged Paid -- ---------- ----------
------ --- ----- -----
Permit-Fee-Total 90 . 00 90 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
4 . 00 4 . 00 . 00 . 00
Other Fee Total 94 . 00 94 . 00 . 00 . 00
Grand Total
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845
JoBADDRESS: 1731 Seminole Road PERNUT
NEW SERVICE ElOverhead F-1 Underground 0 Underground up Pole
DResidential(Main) Service 0 151-200amps 0 __arnps # of Meters
00-100 amps 0101-150amps
0 Commercial(Main) Service 0 151-200amps 0 ___amps OCT Service amps
00-100 amps 0 10 1-15 Oamps
Conductor Type Size
OMulti-Family(Main) Service
00-100 amps 0101-150amps 0 151-200amps 0 ---amps #of Unit Meters
OTemporary Pole 0—amps amps
SERVICE UPGRADE 11 --amps 0 CT Service
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 1-1 00amps —10 1-200amps
A/C Circuits: —0-60amps —61-I 00amps
Heat Circuits: # circuits @—kw
Number of Lighting—0utlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS ctors_Qty 0 Transformers—KVA OMotors_hp
OSwimmingPool 0Sign OSmokeDete
FIRE ALARM SYSTEM (Requires 3 sets of plans &Fire Alarm Checklist)
Qty—volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS 0 Safety Inspection OPanel Change COH to UG
0 Replace Burnt/Damaged Meter Can
VOther; Repair burnt underground secondary
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 Buck & Buck Realty Phone Number (904) 641-9466
Electrical Company R & R Electric of North Fl, Inc—office phone 764-5555 Fax 768-8240
Co.Address: P.O. Box 60665 City Jacksonville State Fl Zip 32236-0665
License Holder(Print)! Robert A. Sallet Jr .—State Certification/Registration# EC1318
f Lic H r
Notarized Signature of License Holder
Sworn and subscribed before me t day of 20/,/)
c KATHY L ANSLEY
MY COMMISSION#DD T79607 Signature of Notary Public
EXPIRES:May 20,2012
11117 OF F700 Bonded Thru Budget Notary Seftes