Permit Elec wire a/c 2269 Fairway Villas 2011 .,,,./.
, ..,,
;� �' S SA CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
j td, ge :, ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5826
Application Number 11- 00001687 Date 2/16/11
Property Address 2269 N FAIRWAY VILLAS LN
Application type description ELECTRIC ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
FUSE AC CONDENSOR
Owner Contractor
SCHLOBOHM, JOHN AMERICAN ELECTRICAL CONTRACTOR
2269 FAIRWAY VILLAS LN 5065 ST. AUGUSTINE RD #13
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207
(904) 737 -7770
Permit ELECTRICAL PERMIT
Additional desc .
Permit Fee . . . 90.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 8/15/11
Other Fees STATE ELEC DCA SURCHARGE 2.00
STATE ELEC DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 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 -582 Max (904) 247 -5845
• / ! f �'.- �. r) PERMIT #
JOB ADDRESS: Jl-'(,U (2
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK $
NEW SERVICE ❑ Overhead n Underground ❑J Underground up Pole
I 'Residential (Main) Service
110 -100 amps 1 1101 150amps I 151- 200amps 1 amps # of Meters
Commercial (Main) Service
10 -100 amps 1 1 101 150amps 1151- 200amps 1 amps CT Service amps
Conductor Type Size
,Multi- Family (Main) Service
r10 amps 1 101 150amps 151 200amps 1 amps # of Unit Meters
Temporary Pole 1J amps
SERVICE UPGRADE [ 1 amps I CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
1 100 amps 11150amps J 200amps amps I ! CT 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:
OTHER ELECTRICAL PROJECTS
1 Swimming Pool 11 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 $ r.7 , (
REPAIRS/MISCELLANEOUS
(Replace Burnt/Damaged tttr Can 1Safety Inspection ['Panel Change 1OH to UG
C.,.
(Other: �( „... , L'�)(/( /r2J _ Permit becomes void if work does not C e ovitifin.4 six month period or work is suspended or abandoned for six months. 1 hereby certify that I have
read this application and know the same to bue' ndjorrect. All provisions of laws and ordinances governing this work will be complied with whether
specified or not. The permit does not give authgifty ti; violate the provisions of any other state or local law regulation construction or the performance of
construction. �..___._...
I ' � `
Property Owners Name ` n �� 'Si 0 b j -) r Th Phone Number i / 7 V Li r — k9Z-e
Electrical Company I'1 rY e kv 1 `e_ O 1) L1 e 0 'be_ / (Q i, 7T i ?. ° Office Phone 9t1"" 23 / - 277UFax 9) V "1.?2 //
�UI6 Y- , 1 4 , L(45 1 � ,/`-C1' cit G it State ),(L__ Zi �
Co. Address: �__ //1 Cit
License Holder (Print): _ G 7/. = St. e'Cee,t ification/Registration # ZGC% /.5 3/
Notarized Si nat ure„A(Lasenem Holder %. /1 ' �----
r...u..uuu G e
ANNA M. DAL /
0,14`. •Ofnm# DD085 i Sworn and subscribed beft re me t is / da • f /2 C/ 204
= T. je r Expires 1125120 ^ , �
SSA., Inc E Signature of Notary Publi AAi/.'► _ J O&J- _-
'o 't'.. re. Florida Notaiy Assn., Inc i -