Permit Elec 753-2 Atlantic Blvd. 2010 A Al
CITY OF ATLANTIC BEACH
,A
800 SEMINOLE ROAD
r ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5826
4Ji3
Application Number . . . . . 10- 00001449 Date 12/09/10
Property Address 753 ATLANTIC BLVD UNIT 2
Application type description ELECTRIC ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
safety inspection
Owner Contractor
LIGHTHOUSE ELECTRICAL CTR.
2345 URBAN ROAD
JACKSONVILLE FL 32210
(904) 384 -0180
Permit ELECTRICAL PERMIT
Additional desc .
Permit Fee . . . 90.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 6/07/11
Other Fees STATE ELEC DCA SURCHARGE 2.00
STATE ELEC DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 90.00 90.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 94.00 94.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
, CITY OF ATLANTIC BEACH _ I I I I I
� 8 00 SEMINOL ROADATLANTIC BEACHFL 32233 O r )247 -5826 FAX NO.:(904)247 -5845
OFFICE: (904 ) BUILdING- DEPT @COAB.US
,1111* � ,`: ELECTRICAL PERMIT APPLICATION DUVAL COUNTY
1. JOB ADDRESS: ' ' 2. IS THIS THIS A SUB PERMIT: ;; 3. DATE
1 '-'a 1- \- -C-,13 ice tom.. -0 O DYES PERMIT #: 1 -4 °" m to
;PROPERTY OWNER. '
4. NAME: 5. ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6. PHONE:
ELECTRICAL CONTRACTOR ,.
7. NAME OF COMPANY: 8. ADDRESS.:
\.-1 4A - c 6 ( , « e W ` - . ; , ' ` � i a • m ` ° . \..S.r `'N+F ' ' - c.p r --z:-4.0.‘ J 4 A '"" >e#`.°l ew. 1iu. R
R..STATE OF FLORIDA LICENSE,,NNO• 10. CELL PHONE: g�, 11. FAX NO.: Se t l ,,,
12. EMAIL ADDRESS: e.r- { , t 13. OFFICE PHONE: 14 .
15. Application is hereby made to obtain a permit to do the work and installations as indicated. 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) months at any ti e work Is commenced.
)14
CONTRACTORS SIGNATURE:
16. CLASS OF WORK: 17. SERVICE; 18. METER NUMBER:, ` ,
❑ MULTI FAMILY - # OF UNITS: ❑ R,FSIDENTIAL
❑ SINGLE FAMILY ❑ TEMP SERVICE OMMERCIAL
❑ ADDITION ❑ TRAILOR 19. ILDING: , 19. CURRENT CODE;
❑ ALTERATION ❑ SIGN .BOLD ❑ NEW ❑ '05 NATIONAL ELECTRICAL CODE
❑ REPAIR ❑ POOL / SPA ❑ REWIRE ❑ OTHER:
' LI TA L ELECTRICAL WORK: <' I ''
20. TYPE OF SERVICE: ❑ OVERHEAD C3'GNDERGROUND ❑ UNDERGROUND UP POLE
21. NEW SERVICE: CONDUCTORS PER PHASE: ❑ POWER IS ON IW OWER IS OFF
22. SIZE OF CONDUCTOR: AMPACITY: ❑COPPER ❑ ALUMINUM
23. SWITCH OR BREAKER SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE:
24. EXISTING SERVICE SIZE: AMPS: - 2-1->-;' ) PH: W: 4 VOLT: 1 -4 0 RACEWAY SIZE:
25. FEEDERS: # OF AMPS: # OF AMPS: # OF AMPS:
26. LIGHTING FIXTURES: INCANDESCENT: FLUORESCENT & M.V.:
27. AXED APPLIANCES: 0 -30 AMPS: 31 -100 AMPS: OVER 100 AMPS:
28. FIRE ALARM: ❑ YES ❑ NO
29 -31 DO NOT APPLY TO NEW SINGLE FAMILY, MULTI- FAMILY AND ROOM ADDITIONS
29. SMOKE DETECTORS: NUMBER:
30. RECEPTACLES: 0 -30 AMPS: 31 -100 AMPS: OVER 100 AMPS:
31. SWITCHES: 0 -30 AMPS: 31 -100 AMPS: OVER 100 AMPS:
32. AIR CONDITIONING: ,
# OF UNITS: COMP. MOTOR 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 600V: NUMBER: KVA:
OVER 600V: NUMBER: KVA:
35. MISCELANEOUS REPAIRS::: ,
DESCRIBE IN DETAIL: .. .
` ,.= `i - o f c' :,1 b s 4-4 c' At
' COAB FORM BLDG02: REVISED: 1/10/2008