Permit 1999 Selva Marina Dr ELEC 2011 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
SO
ATLANTIC BEACH,FL 32233
~ INSPECTION PHONE LINE 247-5826
Application Number . . . . . 11-00001641 Date 2/08/11
Property Address . . . . . . 1999 SELVA MARINA DR
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
wire for ceiling fans and 2 light fixtures
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Owner Contractor
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PECK LEE H AMERICAN ELECTRICAL CONTRACTOR
1999 SELVA MARINA DR. 5065 ST. AUGUSTINE RD #13
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207
(904) 737-7770
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 8/07/11
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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
�j Ph (904) 2247-5826 Fax (904) 247-5845
JOB ADDRESS: 9/ Lo U` PERMIT#
NEW SERVICE ❑Overhead ❑ Underground ❑ 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 0101-150amps ❑151-200amps ❑ amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.)
❑100 amps ❑150amps 0200amps ❑ amps OCT 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: C -
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 ❑Panel Change OOH to UG
El Other: re 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 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 C.-
Phone Number
Electrical Compan �/ �� 1"/. /` ffce Phone Fax
Co.Address:-� J Ci Stater Zip_9,94'
License Holder(Print): 1y��%G1 ,� State �fti ation/Registration
Notarized Signature of License Holder
G....._-
Sworn and subscribed befor me flus day of b ("U Ct (,A 20
Signature of Notary Public i, �
From:American Electrical Contract 9047371099 02/04/2011 14;07 #426 P.0011001
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
J C/ Ph(904)247-5826 Fax(904)247-5845
.TOB ADDRESS: ! �! - �L(I �/�/ GC. r���61'e PERAUT##
NEW SERVICE ❑Overhead ❑ Underground ❑ Underground up Pole
❑Residential (Main) Service
❑0-100 amps ❑101-150amps ❑151-200amps D amps #of Meters
❑Commercial(Main)Service
❑0-100 amps 0101-150amps ❑151-200amps ❑ amps D CT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
70-100 amps D 10 1-150amps 0151-200amps 0 amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER (ADDITIONS,ACCESSORY STRUCTURES,ETC.)
D 100 amps ❑150amps ❑200amps ❑ amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-l 00amps 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 ❑ Sign OSmoke Detectors_Qty []Transformers KVA DMotors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist)
Qty`^volts/amps VALUE OF WORK S
REPAIRS/MISCELLANEOUS
OReplace Burrit/Damaged Meter Can0Safety Inspection ❑Panel Change OOH to UG
Pi Other: C U C. t E� 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. C
Phone Number
Property Owners Name
Electrical Compan ff ce Phone �� Fax 7✓1
Co.Address:-� `� J lJJT/"� Ci State Zip
License Holder Print): Y— / �C�.____ State ' tion/Registration# r
Notarized Signature of License Holder `'y
AL
77
Sworn and subscribed before/me this �tday of -41-' IJ l'�%