Permit Elec 1945 Francis Ave 2010 r J'
s A
6' A CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5826
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Application Number 10- 00001459 Date 12/13/10
Property Address 1945 FRANCIS AVE
Application type description ELECTRIC ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
hook up ac /heat
Owner Contractor
FLYER AMERICAN ELECTRICAL CONTRACTOR
1945 FRANCIS AVENUE 5065 ST. AUGUSTINE RD #13
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207
(904) 737 -7770
Permit ELECTRICAL PERMIT
Additional desc .
Permit Fee . . . 65.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 6/11/11
Other Fees STATE ELEC DCA SURCHARGE 2.00
STATE ELEC DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 65.00 65.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 69.00 69.00 .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 ax (904) 247 -5845
JOB ADDRESS: / 9 V � �6/ /7(/'`.. (f ERMIT # / /O /
('�
NEW SERVICE nOverhead i Underground (l Underground up Pole
❑ Residential (Main) Service
❑ 0 - 100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps # of Meters
❑ Commercial (Main) Service
00 -100 amps ❑ 101 150amps ❑ 151- 200amps ❑ amps OCT Service amps
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 0 amps ❑ CT Service amps
ADDITIONS, REMODELS, REPAIRS, BUILD -OUTS, ACCESSORY STRUCTURES, ETC.
Outlets /Switches: 0- 30amps 31- 100amps 101- 200amps
Appliances: 0- 30amps 31- 100amps 101- 200amps
A/C Circuits: / 0- 60amps 61- 100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑ Swimming Pool 0 Sign ❑ Smoke Detectors Qty ❑Transformers KVA ❑Motors _ hp
FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist)
Qty volts /amps VALUE OF WORK $
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑ Safety % 77 V ction ❑Panel Change ❑OH to UG
0 Other: WOOL, 4 / ! a e/f(!u/ r gr:,:5,4, /
.......
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.
Phone Number
Property Owners Name ( l'X2 i (.1 P/ // 4''2
�� / C
Electrical Compan (0 7/ a p') _7 _ /� . / /. • / / 'lif Phone 7:,' 7�// Fax 7.5% /O/ /
Co. AddressU , ) ,57 > O */' r ! 0 -Ro gnoi // State --7 a) i53� Zip _� G� �/
e 1
License Holder (Print): 1 _ , L , S � e Certification/Registration g istration # 1
Notarized S ag(imm •� Holder /4., % _ 1
............. ANNA M. DAL ��Cy,./ 2 �
,�u� }urn, Comm# DD08543 c Sworn and subscribed bef• re m �,tihis /_ day of /L! "-� ! T)
s . j. Expires 1125/2013 P4/2
'' Assn., Inc = Si gnature of Notary Public -1,1 / . ,.2 . .. Florida Notary ...... `,.._