Permit 1901 Sherry Dr 2011 elec CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
-5826
INSPECTION PHONE LINE 247
Application Number . . . . . 10-00001427 Date 1/04/11
Property Address . . . . . . 1901 N SHERRY DR
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 5000
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Application desc
remove kitchen wall raise ceiling
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Owner Contractor
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BOUMAN ROBBERT & RUTH P & P REMODELING
1901 N. SHERRY DR 2783 SELMA ST
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32205
(904) 993-6988
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Permit " ' * ' ' ' ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 59 . 20 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 7/03/11
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Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/2009 REVISIONS
NATIONALELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
CALL FOR FRAMING INSPECTION PRIOR TO COVERING UP NEW BEAM
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Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00
STATE ELEC DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total S9 . 20 S9 . 20 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 63 . 20 63 . 20 . 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 1 PERMIT#/0 �Z,2 7
NEW SERVICE F�Overhead F-1 Underground D Underground up Pole
OResidential (Main) Service
00-100 amps 0101-150amps 0 151-200amps 0 amps #ofMeters'
OCommercial(Main) Service
00-100 amps 0101-150arnps 0 151-200amps 0 'amps OCT Service amps
Conductor Type Size
OMulti-Famfly(Main) Service
00-100 amps 0101-150amps 0 151-200amps 0 --amps of Unit Meters
OTemporary Pole 0 'amps
SERVICE UPGRADE .0 —.-amps 0 CT Service amps
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 3 1-1 00amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @___�w
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
0 Swimming Pool 0 Sign 0 Smoke Detectors_Qty 0 Transformers KVA DMotors lip
FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist)
Qty volts/ainps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
OReplace Burnt/Damaged Meter Can 0 Safety Inspection OPanel Change OOH to UG
,)�Other: .._ -�e
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 win 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 Phone Number�(Q cl- ? 2 9-
Electrical Company -e e—k 'r ) C— Office Phone Fax
Co.Address: E 0 A� city Z�� — StateE(,, zip 3 23�
License Holder (Print): State Ceitification/Registration#
Notarized Signature of License Hof.dgr",,,�'
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Signature of ot