Permit Elec 668 Selva Lks Cir 2011 Alf
.. CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5826
4-4 Vlii9
Application Number 11- 00001545 Date 2/23/11
Property Address 668 SELVA LAKES CIR
Application type description RESIDENTIAL ALTERATION
Property Zoning TO BE UPDATED
Application valuation . . . 10780
Application desc
Enclose Porch
Owner Contractor
FOX WILLIAMS CONSTRUCTION
1129 NECK ROAD
ATLANTIC BEACH FL 32233 PONTE VEDRA BCH FL 32082
(904) 545 -4884
Permit W /W /O ELECTRICAL PERMIT
Additional desc . ADD 8 SWITCHES & OUTLETS
Permit Fee . . . 122.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 8/22/11
Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/2009 REVISIONS
NATIONALELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
WINDOW AND DOOR INSPECTION:
*INSTALLATION INSTUCTIONS REQUIRED
*ALL STICKERS ARE TO REMAIN ON THE WINDOWS
*PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS
Other Fees STATE ELEC DCA SURCHARGE 2.00
STATE ELEC DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 122.00 122.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 126.00 126.00 .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
JOB ADDRESS: c' 6 e- Jc A(Zo- t r
PERMIT # / / / y ys --
JEA INFORMATION REQUIRED ON ALL PERMITS ____ AMPS _ VOLTS
PHASE
VALUE OF WORK S' I 0 v, u 6
NEW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up Pole
❑Reaidontial (Main) Service
00.100 amps 0101- 1S0amps 0151- 200amps ❑ # of Meters
❑Commercial (Main) Service
00.100 amps 0101- 150amps ❑ 151- 200amps 0 amps OCT Service amps
Conductor Type Size
OMulti- Family (Main) Service
00.100 amps O l 01- 150amps ❑ 151- 200amps 0 amps # of Unit Meters
OTemporary Pole ❑ amps
SERVICE UPGRADE 0 ❑ CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
0100 amps D I S0amps 0200amps 0 amps OCT Service amps
ADDITIONS, REMO r - • . PAIRS, BUILD -OUTS, ACCESSORY STRU TURES, ETC.
Outlets/Switches: ; 0- 30amps 31- 100amps 101- 200amps
Appliances: 0- 30amps 1- 100amps 101- 200amps
A/C Circuits: _ 0- 60amps 61- a s
Heat Circuits: # circuits c w
Number of Lighting Outlets, Including Fixtur : _ oL
OTHER ELECTRICAL PROJECTS
OSwimming Pool ❑ Sign OSmoke Detectors __ Qty ❑Transformers KVA ❑Motors - hp
FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist)
Qty volts /amps VALUE OF WORK 3
REPAIRS/MISCELLANEOUS
O Replace Burnt/Damaged Meter Can ❑Safety Inspection DPanel Change OOH to UG
0 Other:
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, ti y , fi f ,l-e 0, Office Phone3g 32( edifogax al% g4(, 4 E1
Co, Address: I (Q(' r-,3 _
� City State Pl Zip 3Zt 77
License Holder (Print): (\ .1/4,, CacAtr State Certification/Registration # gGI 3CO 1245
Notarized Signature of License Holder , Zi
Sworn and subscribed before m is day of Z0
36 s C l ` ' /b Signature of Notary Public � .•, ' / /
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