Permit Elec 329 11th St 2010 'A1
f CITY OF ATLANTIC BEACH
.,..„,)
A . 800 SEMINOLE ROAD
J ilt Z" ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5826
- 4r)st19
Application Number 10- 00001477 Date 12/17/10
Property Address 329 11TH ST
Application type description ELECTRIC ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
add w/d circuits, move lights, add out for TV
Owner Contractor
HAYES, JARROD E4 ELECTRIC
329 11TH STREET 523 CRUISER LN
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 246 -3936
Permit ELECTRICAL PERMIT
Additional desc . ADD CIRCUITS W/D LITES TV
Permit Fee . . . 61.40 Plan Check Fee . . .00
Issue Date . . . Valuation . . 0
Expiration Date . 6/15/11
Other Fees STATE ELEC DCA SURCHARGE 2.00
STATE ELEC DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 61.40 61.40 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 65.40 65.40 .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: r X^ 6 1 Do Si- J PERMIT # /) -- "47'
NEW SERVICE ❑ Overhead ❑ Underground ❑ Underground up Pole .
❑Residential (Main) Service
00 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps # of Meters
❑ Commercial (Main) Service
00 -100 amps ❑ 101- 150amps ❑ 200-. ps ❑ amps , ►i CT Service amps
. Conductor Type S ‘e
❑Multi Family (Main) Servi e
00 -100 amps 0101 -1 ' ps
■ - 1 -20i.. ps ❑ . Ili :, fc/nitMe rs
1 /
❑Temporary Pole ❑ .►i ps
•
SERVICE UPGRADE ❑ : 11/4 u C ► Service am
NEW FEEDER (ADDITIONS, ACCE ` ' STR T '1 RES, ETC.)
❑ 100 amps ❑ 150amps ❑ 200. u ■ s ■ F. amps ❑ CT Service amps
ADDITIONS, REMODELS, REPAIRS, BUIL b 0 ! ACCESSORY STRUCTURES, ETC.
Outlets /Switches: 0- 30amps 3 - 100amps 101- 200amps
Appliances: 'i. 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 ❑ 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 Inspection (39Pane1 Change ❑OH to UG �-, /
Other: l Wu�l,.er Ag �1 iYPrr C'.i iCA.A -i' { 5) Yl'Ib l/P d bni" (t , C� 0 -ro V 1 '
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 r) ( 0 d N6c Phone Number 14-i "
an C r
Electrical Company ( 2 '7 & — -iSFax
p y � �.��/ t` j �. fl Office Ph
Co. Address: CO2 G`t u -Jr / Z-41--k City k" ( State TI . Zip ? 2
License Holder (Print): i i,t,, (2,c% 0 C /� State Certification/Registration # /4C) (; ?i;
Nptgr ;ed Signature o 'License Holder .. / . -4-nZ ie r- ._
,,; V °',%a , ESSIE MERRITT gworn'and subscribed before me this i ' day of 20 /O
,0,7� •
„` � Notary Public - State of Florida M
: ' • • My C omm. E xp i re s Feb 9: 2013 9 t7 q
I • .r �� R of Notary Public 4 9 . 4 � 7
;,,- ��� P A; Commission # DD 831667
',,,,op . , `" Bonded Through National Notary Assn.