Permit Elec 364 10th St 2010 . Y43 4 r t/ra
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ss1 CITY OF ATLANTIC BEACH
Utliii "' " 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
I INSPECTION PHONE LINE 247 -5826
Application Number
Property Address . . . • • 10- 0 0001380
App 364 10TH ST
lication t Date 12/10/10
A p p ert ype description RESIDENTIAL OTHER
p y Zoning ,
Application valuation TO BE UPDATED
- - - - -- - - - - -- - -- 5000
Application desc ----------------------- - - - - -- ___________
addition _of _laundry _room
_________________________________________________________________________
Owner
BOYD, - - - -- Contractor
CHERE _ _
364 10TH STREET YOUNG AMERICANS HOME INC
ATLANTIC BEACH PO BOX 24076
FL 32233 JACKSONVILLE
--- - - - -- -- --------- ------ (904) 759 -9302 FL 32241
Permit ELECTRICAL PERMIT
Additional desc .
Sub Contractor MUNSON & BRYAN ELECTRICAL CO.
Permit Fee
Issue Date 56.80 Plan Check Fee .
Expiration Date Valuation .00
------------------ - - - - -- 6 /08/11 0
------------ - - - - -- _____
-- _______
Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/2009 REVISIONS
NATIONALELECTRIC CODE
*SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED
CONTROL COMPANY PRIOR TO C.O. PEST
* REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
_ -_- -_ Roll off container company must be on City approved list
and _container _ cannot_ be placed_ on_ City right -of -way.
Other Fees --- - - - - -- ________ • . • • • . STATE ELEC DCA SURCHARGE
STATE ELEC DBPR SURCHARGE 2.00
2.00
Fee summary Charged g Paid Credited
Due
Permit Fee Total 56.80
Plan Check Total 56.00 .00 .00
Other Fee Total
.00 • .00
Grand Total 4.00 4.00 .00
60.80 60.80 .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
JOB ADDRESS: (,) 0 Ste, �D - ����
NEW SERVICE PERMIT #
❑Overhead
❑Residential ❑ Underground ❑Underground up Service
❑ 151 200amps ❑
00 -100 amps 0101 -150am P Pole
s
p
❑Commercial (Main) Service amps # of Meters _
E10-100 amps ❑ 101 -150
Conductor Type amps ❑ 151 200amps ❑
Size - amps OCT Service
❑ Multi -Family amps
s (Main) Service
❑ 0 -100 amps ❑ 101- 150amps ❑ 151- 200amps
❑Temporary Pole ❑ - ---- - amps # of Unit Meters
SERVICE UPGRADE - - amps
❑ __ amps ❑ CT Service
NEW FEEDER (ADDITIONS amps
❑ 100 am s ACCESSORY STRUCTURES, ETC.)
p ❑ 150amps 02 00amps ❑
ADDITIONS, ❑ C T Service
amps
DDITIONS, REMODELS REPAIRS, BUILD p 031TSp ACCESSORY STRUCTU
____0 -30am s ,ETC.
Appliances: _3__0 -30am s p 10 1 -200am s
_
A/C Circuits: Oamps __31- l OOamps p
Heat Circuits: 0- 60amps -- __ 61.100amp s - - -- 101- 200amps
Number of Lighting Outlets, Including Fl x u kw
OTHER ELECTRICAL PROJECTS
❑ Swimming Pool ❑ Sign ❑ Smoke Detectors Qty ❑ T
FIRE ALARM SYSTEM y Transformers KVA
sets of plans & Fire Alarm Checklist) Motors h
(Requires 3
Qty volts /amps VALUE OF WORK $
REPAIRS /MISCELLANEOUS
❑ Replace Burnt /Damaged Meter Can ❑ Safety Inspection ❑Panel Change ❑ OH to
�l'Other: UG
J __
V V
'ermit 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
tad 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
pecified or not. The permit does not give authority to violate the provisions of any other state or local law re gulation construction or the performance of
onstruction.
roperty Owners Name yo ' r G- R YV�a��C ,4 tii , - rit2sy Phone Number `7 C1 - °I..3;o � -
;lectrical Company ( v N Soc "1"-- 127"&-- y c i (��- Nt c-' Office Phone 9. o Fax 3 °too l 1' 34
0. Address; 34 3L S POG - A'STr Ale-- (� 0� C A>< State Ft- Zip 3 Z 2-07
icense Holder (Print): a k,.i c-k'l A.' State Certification/Registration #
r • , . l I t , • , i , . 0 der dM /
ji e.rt+Quy CAUC�I�N w orn % d subscribed before me this l o' day of 6.e-c -m b- - 20 ( o
tli�ssloti DD 667664
kg _ .. .. ;res.Iuly 76, 2011 pro„ i of No tary Public (.4- if'. , ;: , Bonded ThN pry FMS nommen