Permit 1708 W Park Terr Elec 2011 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 11-00001566 Date 1/27/11
Property Address . . . . . . 1708 W PARK TER
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 1000
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Application desc
RELOCATE WALL AND CLOSET
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Owner Contractor
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MITRICK, JOE YOUNG AMERICANS HOME INC
PO BOX 24076
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32241
(904) 759-9302
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Permit ELECTRICAL PERMIT
Additional desc MOVE AND ADD REC. LIGHTS
Permit Fee . . . . S9 . 20 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 7/26/11
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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.
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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 59 .20 59 . 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 DDRESS: r?ob N.-ck 'tecro-(� PERMIT# (0
Am Ac
rr- — —
NEW SIVICEO' El Overhead El Underground D Undeffrog'wrwound up Pole
Ll Residential (Main) Service
110-100 amps 11 101-150amps El 151-200amps E1_amps of Meters
El Commercial (Main) Service
LIO-100 amps Ll 10 1-I 50amps 0 151-200amps Ll_amps Ll CT Service amps
Conductor Type Size
L]Multi-Family (Main) Service
[10-100 amps El 101-1 50amps F11 151-200amps --]___amps # of Unit Meters
ETemporary Pole E amps
SERVICE UPGRADE E-amps 11 CT Service amps
NEW FEEDER(ADDITIONS, ACCESSORY STRUCTURES, ETC.)
E100amps l�1150amps L1200amps E1_amps 11CT Service amps
ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS, ACCESSORY STRUCTURES, ETC.
Outlets/Switches: rl 0-30amps 3 1-I 00amps 10 1-200amps
Appliances: -0-30amps 3 1-I 00amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @_kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
El Swimming Pool 11 Sign El Smoke Detectors_Qty E Transformers KVA --'Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
El Replace Burnt/Damaged Meter Can FJ Safety Inspection 0 Panel Change I]OH to UG
DOtner:
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 Phone Number
Electrical Company ft�- ON50cA '+ 9V-y4+J Office Phone 5ct(,, 6B cA Fax
Co. Address: ffuc--usn'je 02- A-�o City �S—?Ar-�4- State Ft- Zip 3-Z-Z-C),7
License Holder (Print): _ Z�&KW _e -,-7StateCertific ion/Registration # RC-000t79,��
Notarized tKknature 9 1 It 2-3
f License Holder
EJOSEPH GUY CAUCHON
Commission DD 667684 Sworn a- -fore me this Ar� day of 3�"-j 20 tj
Expires Jul�16,2011 t
8W48dnNTmyF*mwvwW45-7010 ignature of Notary Public !�N4� ,Is
k,I. .- - (j ,