Permit Elec 475 Skate 2011 ,,S J
` CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
s-4 ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
Application Number . . . 11- 00002519
Property Address Date 8/19/11
SKATE RD
Application type description ELECTRIC ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
hook up mini split
Owner
Contractor
DODARO
475 SKATE ROAD AMERICAN ELECTRICAL CONTRACTOR
ATLANTIC BEACH 5065 ST. AUGUSTINE RD #13
FL 32233 JACKSONVILLE FL 32207
(904) 737 -7770
Permit ELECTRICAL PERMIT
Additional desc .
Permit Fee . . . 60.00 Plan Check Fee
Issue Date . Valuation 00
Expiration Date . 2/15/12 0
Other Fees STATE ELEC DCA SURCHARGE
STATE ELEC DBPR SURCHARGE 2.00
Fee summary Charged Paid
Credited Due
Permit Fee Total 60.00 60.00
Plan Check Total .00 .00
.00 .00 .00 .00
Other Fee Total 4.00 4.00
Grand Total . .00
64.00 64.00 .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: a C` y
r PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS
AMPS VOLTS PHASE
VALUE OF WORK $
NEW SERVICE 17 Overhead
- Residential (Main) ❑Underground �]T Underground up
Pole
(Main Service
-100 amps 101 150amps ''151 - 200amps amps
' Commercial (Main) Service # of Meters
0 - 100 amps C' 101- 150amps 151 -200am s
Conductor Type Size p amps CT Service amps
! Multi- Fam (Ma Service
10 -100 amps n 101- 150amps ' 1151 -200am s
1' Temporary Pole 11 amps p amps # of Unit Meters
SERVICE UPGRADE
_, amps I CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
1 100 amps 1150amps 11200am s
P amps ! 1CT Service amps
ADDITIONS, REMODELS, REPAIR S
BUILD _ OUTS
Outlets /Switches: , ACCESSORY STRUCTURES, ETC.
0- 30amps 31- 100amps 101 -200amps
Appliances: s 0 -30am
A/C Circuits: ps 61- 100amps 101- 200amps
/ 0- 60am p 61- 100amps
Heat Circuits:
# circuits @ k
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
f 'Swimming Pool 1 Sign f Smoke Detectors Qty Transformers
KVA i 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 I _ i Safety Inspection 1 'Panel Change OH to UG
Other: 6 / 6� L/7 .-----
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 L O i C M(..(' j)-1 D
Phone Number V
Electrical Compa /" ' " ` ; r ✓ �J Offi hone q)(/' / �'FZ(�
Ai. Co. Address' -.c." c- Z gl' /:,2 �,'/
it Stag'/ Zip. 53
License Holder (Print): L,
-® % _ t. to Certification/Registration #
Notarized Signature of Lice — /
ANNA M. D ALY 1
I f
,,, o,,, c _10
085431 i Sworn and subscribed before is day , A 20
:1,:;, '�j � � . Expires 112512013 ,. /
11 A� ���
As sn . , InC Signature of Notary Public
�a�" t�lfifii�i� Wiltflry !� .
l S1� �'
orn i.'.. 15V iiiiiiiBGP111111Y1N .ir��"r "r� -