Permit Elec 664 Beach 2011 ~' ` Y CITY OF ATLANTIC BEACH
A 'p ) 800 SEMINOLE ROAD
J =' -" ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5826
Application Number . . . . . 11- 00001806 Date 3/23/11
Property Address 664 BEACH AVE
Application type description RESIDENTIAL OTHER
Property Zoning TO BE UPDATED
Application valuation . . . 7500
Application desc
BATH REMODEL /REPAIR
Owner Contractor
MELANCON, DEJEAN OWNER
664 BEACH AVE
ATLANTIC BEACH FL 32233
Permit ELECTRICAL PERMIT
Additional desc .
Sub Contractor . FIRST CHOICE ELECTRIC
Permit Fee . . . 67.60 Plan Check Fee . . .00
Issue Date . . . Valuation . . . 0
Expiration Date . 9/19/11
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 67.60 67.60 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 71.60 71.60 .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: / j-/ ' cc A✓C__) PERMIT # 4 / g 6( –
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK $
NEW SERVICE ❑ Overhead ❑ Underground nT Underground up Pole
❑Residential (Main) Service
El 0-100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps # of Meters
❑Commercial (Main) Service
❑0 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps 0 C Service amps
Conductor Type Size
❑ Multi - Family (Main) Service
❑0 -100 amps ❑ 101- 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 ❑CT Service amps
ADDITIONS, REMODELS, REPAIRS, BUILD -OUTS, ACCESSORY STRUCTURES, ETC.
Outlets /Switches: J S 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
❑ 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 $
REPA RSIMISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑ Safety Inspection ❑ Panel Change ❑ OH to UG
❑ 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 pc ,71-...0,,j-- Phone Number
Electrical Company sz.., CI.n -c, �_) r__, Office Phone Z' 1 ' 1331 Fax
Co. Address: Nt= pi* u,,,NP, arc -r i r City iJ p se, I State FL Zip 32 ZC,G-
License Holder (Print): ` _ca...w r r.c�. \ N, State Certification/Registration #
Notarized Signature of License Holder --'% ...—
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