Permit Elec 647 Amberjack 2011 rt f ..�
.°' A CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
r ATLANTIC BEACH, FL 32233
� V INSPECTION PHONE LINE 247 -5814
Application Number . . . . . 11- 00002470 Date 8/29/11
Property Address 647 AMBERJACK LN
Application type description RESIDENTIAL OTHER
Property Zoning TO BE UPDATED
Application valuation . . . 13000
Application desc
general interior repairs drywall, kitchen cabinets
Owner Contractor
GEORGE, KENNETH B. RONALD P ARDARY CONSTRUCTION
647 AMBERJACK LANE INC
ATLANTIC BEACH FL 32233 1360 SORRELLS CT
JACKSONVILLE FL 32221
(904) 509 -4565
Permit ELECTRICAL PERMIT
Additional desc .
Sub Contractor . R & R ELECTRIC COMPANY
Permit Fee . . . 90.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 2/25/12
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 .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
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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: '' .\)bi PERMIT # / ` — °s 7 V
NEW SERVICE ❑ Overhead ❑ Underground n Underground up Pole
❑Residential (Main) Service
00 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps # of Meters
❑Commercial (Main) Service
00 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps OCT 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: ��� \ O`(cI_C\V.QY ( > \Y N c\V «c kV.-
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 �QXti'N: Phone Number c )\-\ () \ -
Electrical Company \ C _ Office Phone \4y' 3 Fax --- Ao%
Co. Address: Q. • Cit \ \ \L- State Zip '3"Y c
License Holder (Print): - 'O .X . �, State Certification/Registration # CC 1"
/ 16 Notarized Signature of License Holder Gtr G� k
\ �,dc� a. Sworn and subscribed before me is `Q (0 y of IAS 20
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e$Amotl AnDePu00 ,o s �
ztoz'oz AWN :S3bIdX3 Signature of Notary Public
L09611 oa # NOISSINIO0 p,W
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