Permit 168 Sylvan Dr elec 2011 reground ir
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
-5826
INSPECTION PHONE LINE 247
Application Number . . . . . 11-00001675 Date 4/01/11
Property Address . . . . . . 168 SYLVAN DR
Application type description RESIDENTIAL OTHER
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . Soo
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Application desc
repair rotten wood
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Owner Contractor
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GASTON, LOIS OWNER
168 SYLVAN DRIVE
ATLANTIC BEACH FL 32233
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc REGROUND/WIRE FAN AND OUTLET
Sub Contractor AMERICAN ELECTRICAL CONTRACTOR
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 9/28/11
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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 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) 247-5826 Fax (904) 247-5845
JOB ADDRESS: ::�� Z:2 PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS �WO AMPS VOLTS Z PHASE
VALUE OF WORK$
NEW SERVICE F1 Overhead Underground E3Underground up Pole
I ]Residential(Main) Service
:1-�'0-100 amps 1-1101-150amps 151-200amps amps #of Meters
i I Commercial(Main) Service
:' iO-100 amps i 101-150amps 151-200amps :_amps ICT Service amps
Conductor Type Size
'-)Multi-Family(Main)Service
' 10-100 amps i 11 10 1-1 50amps i 151-200amps amps of Unit Meters
Temporary Pole 'I amps
SERVICE UPGRADE i ]_amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
F1 00 amps � �150amps ��-1200amps � _amps i �CT Service amps
ADDITIONS,REMODELS REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 10 1-200amps
Appliances: 0-30amps 3 1-1 00amps 101-200amps
A/C Circuits: 0-60amps 6 1-1 00amps
Heat Circuits: # circuits (?�__kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
F� I Swimming Pool I � Sign F1 Smoke Detectors_Qty Transformers KVA I Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans&Fire Alarm Checklist)
Qty_volts/amps 1-d tc VALUE OF WORK$
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can I Safety Inspection Panel Change OH to UG
I Other: W'I � f�- '101- 1f—(;1n ona)b6 W //h 66ol A- 4--)
Permit becomes void if work does not commence within a six month period or work is suspended oTabandoned 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 Comp Office Phone ;-,�-,U- ax
tate /— zir
Co.Address: X �L� n-35?27el
License Holder (Print): z��A— IZL Z�L/ /<t-- ertification/Registration#
Notarized Signature of License Holder,�—� C
Sworn and subscribed b fore e this day o r 2011
Signature of Notary P lic