Permit Elec 1647 w Park Ter 2011 CITY OF ATLANTIC BEACH
r) 800 SEMINOLE ROAD
j . ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
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Application Number 11- 00002806 Date 10/20/11
Property Address 1647 W PARK TER
Application type description ELECTRIC ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
GFI CIRCUITS
Owner Contractor
MORTON MATT VU ELECTRIC INC
4053 ST AUGUSTINE ROAD
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32241
(904) 396 -1666
Permit ELECTRICAL PERMIT
Additional desc .
Permit Fee . . . 60.40 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 4/17/12
Other Fees STATE ELEC DCA SURCHARGE 2.00
STATE ELEC DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 60.40 60.40 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 64.40 64.40 .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
PII, -4 247 -5826 Fax (904) 247 -5845
JOB ADDRESS: ) to q 7 pg K to S I PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS °OO AMPS 02 c-rd VOLTS ( PHASE
VALUE OF WORK $ UN Der SOD
NEW SERVICE ❑ Overhead ❑ Underground ❑J 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
5 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: 1, 0- 30amps 31- 100amps 101- 200amps
Appliances: 0- 30amps 31- 100amps 101- 200amps
A/C Circuits: 0- 60amps 61- 100amps
Heat Circuits: # circuits @ ky(
Number of Lighting Outlets, Including Fixtures: 15
OTHER ELECTRICAL PROJECTS
J 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: `2-e Y l.(C�:F '� 0 �: 2 h (`7".T` ((Rec. c- o &C \-+� / . itNAGO
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 (>` 6 M 0 C T 0 Imo-/ Phone Number (09' q S1 7 0
Electrical Company M WIT V kA. `T—, CT (2. ( C. • Office Phone Fax
Co. Address: , h (--1. 7 00.Y... l lI & ,/&J City pc ( tEK-i e n_ Z i p3 2) 3 3
License Holder (Print): P c-, C. V A N \Rit Stat rtifi _cation/ gistration # EC l 300/ Clq 4
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Notarized Signature of -- - -;.Y - q .�_ ;*i ii iAlr . V , %.
4 �� ; M OM MISSIDN # 951 60 I
E)tg i t ,scri sed before me this 0 d -of, 0. l`�'J 20/
'�oQj' .. Th . -ry P Ali , 'te
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