Permit Elec 2279 Seminole #6 2011 LA-N:1' ,
'y ri; CITY OF ATLANTIC BEACH
1 „�'� 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
, .
Application Number 11- 00002112
Property Address 2279 SEMINOLE RD UNIT 006ate 5/20/11
Application type description ELECTRIC ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
replace outside disconnect and interior panel box
Owner Contractor
BREITBART, JERRE G ADVANCED WIRING SERVICES INC.
ATLANTIC BEACH 3061 PHILLIPS HIGHWAY ST 101
FL 32233 JACKSONVILLE FL 32207
(904) 744 -4446
Permit ELECTRICAL PERMIT
Additional desc .
Permit Fee . . . 90.00 Plan Check Fee .
Issue Date 00
Valuation 0
Expiration Date . .
11/16/11
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
Plan Check Total ,00 .00
00 • .00
4
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: 2 179 Se iM + v. o(c RSAA # 6, PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS 2-ao AMPS ZY 0 VOLTS 1 PHASE
VALUE OF WORK $ ?CV. 00
NEW SERVICE ❑ Overhead ❑ Underground 01 Underground up Pole
❑ Residential (Main) Service
00 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps # of Meters
❑ Commercial (Main) Service
110 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps ❑ CT 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 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:
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 ❑ OH to UG
❑Other: Re-ptp.cc t)ef c ouacult 0aSeo.te.k.7 a,-.4- to' - Tcrto/t 1 )4,.1iC 000..
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 Te l r , Q 2 ("Pr( c.f. Phone Number 6a 2- r e27
Electrical Company A ) Va.' Ca. (J i r . „' SG r, c es , 37 Office Phone 7 4141-11 "
Fax 7z2 -122q
Co. Address: ' 06P( f.)0r7n,. ek; U..? 5 /F•?' S..t.t7 /0/ City 1 %A - ckro - w .lie State ft Zip 32206
License Holder (Print): W et t,7er GI C- ../1.'4... State Certification/Registration # ne 00 (S/ , Z
Notarized Signature of L • n FTvldar - _ .4".&._
r;/,! . i;I SHIRLEY GRAHAM
a:T.1 S' SAMittRifidg§MeCtib d befor - .e.. • v a �)7 cr 20
5 %.; % mod EXPIRES: February 14, 2014 /
• R P:fh` , ded Thru ubF otary. P o t
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