Permit 2279 Seminole Rd Unit 3 elec 2011 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 11-00001604 Date 1/27/11
Property Address . . . . . . 2279 SEMINOLE RD UNIT 003
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
panel change 150 amp single phase 120/240
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Owner Contractor
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STALTER, TIMOTHY & CAROL CURRENT ELECTRICAL CONTRACTORS
2279 SEMINOLE RD, UNIT 3 11787 WORDSWORTH CT
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32223
(904) 724-8588
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 7/26/11
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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 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.
ELECTRICAL PERMIT APPLICATION
CITY oF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
Ph(904)247-5826 Fax (904)247-5845
JoBADDRESS: 'SCMTMC)L(:.'R a �5 PERMIT
NEW SERVICE FlOverhead Underground El Underground up Pole
OResidential (Main) Service
00-100 amps 0101-150amps 0 151-200amps 11 ___�amps #of Meters
0 Commercial(Main) Service
00-100 amps 0101-150amps 0 151-200amps O—amps 0 CT Service amps
Conductor Type Size
OMulti-Family(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,BU]ILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 3 1-1 00amps 101-200amps
Appliances: 0-3 0amps 3 1-I 00amps 101-200amps
A/C Circuits: 0-60amps 61-1 00amps
Heat Circuits: # circuits
Number of Lighting Outlets, Including Fixtures: V�
OTHER ELECTRICAL PROJECTS
0 Swimming Pool 0 Sign 0 Smoke Detectors_Qty 0 Transformers KVA 0 Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans& Fire Alarm Checklist)
VI
E OF WORK$ C C__
Qty volts/amps VAL U
REPAIRS[MISCELLANEOUS
0 Replace Burnt/Damaged Meter Can OSafety Inspection Xpanel. Change 0OH to UG
OOther: �AQTEJ(c EMTi�Y — _STn LTr R—WTE12—
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 I Phone Number q Q Lj 1,4 Sq5 Q
Electrical Company�-(.k el R G�jkl I 0_)"1C-'QGy T_(-j Lis Office Phone.9 D 1-1 3 5-A0 ax
Co.Address: a I a L Csk-r,_4C-_C?L(�A P to P_' city -t' State FL Zip
License Holder(Print): :Tc>4,,.a 0-t-k -T r State Certification/Registration#
Notarized Signature of License Holder
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