Permit Elec 2059 Selva Marina 2011 r CITY OF ATLANTIC BEACH
r 4 , , , � 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
Application Number 11- 00002249 Date 6/22/11
Property Address 2059 SELVA MARINA DR
Application type description ELECTRIC ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
circuit for irrigation pump
Owner Contractor
COLEY, ALVIN FRANKLIN ELECTRIC SERVICE
P.O.BOX 50617 4 TALLWOOD RD
JAX BEACH FL 32240 JAX BEACH FL 32250
(904) 629 -4925
Permit ELECTRICAL PERMIT
Additional desc .
Permit Fee . . . 57.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 12/19/11
Other Fees STATE ELEC DCA SURCHARGE 2.00
STATE ELEC DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 57.00 57.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 61.00 61.00 .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 061 Say/ac M/kRI,N lk DR . PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS 2-OO AMPS ItsAgo VOLTS 1 PHASE
VALUE OF WORK $
NEW SERVICE ❑ Overhead 1 1 Underground IJ Underground up Pole
❑Residential (Main) Service
❑0 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps # of Meters
❑ Commercial (Main) Service
❑0 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi- Family (Main) Service
El 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 ❑200amps ❑ 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 Fix ures:
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
1] Replace Burnt/Damaged Meter Can El Safety Inspection ❑Panel Change ❑OH to UG
X Other: tPs Aye CtRc FoR TRQS4AT8 ,0 Poµ �° o �' �
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 f r` /..)1C u.0 E t.E c a R It ERA) e E Office Phone Fax
Co. Address: 1 0. $ox. 5) 3 7 City JAx. &Eric• i State Ft Zip 3zzv0
License Holder (Print): . 1\R(2E't' f/U.*o&) t State Certification/Registration # ER 130/3
411
Notarized Signature o r
� — ;
■ •' .., SHIR� lr "r' )7 /I
_•: -S' :* re it t ibed before - ZZ of ji 20 11
� ,
EX P Thru Notary P a ruublic ary Underwriters
' •�
: • B ondd
S _ ry Public I __