Permit 434 Skate Rd 2011 elec reground CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 11-00002893 Date 11/15/11
Property Address . . . . . . 434 SKATE RD
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
reground elec
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Owner Contractor
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PONS AMERICAN ELECTRICAL CONTRACTOR
434 SKATE RD 5065 ST. AUGUSTINE RD #13
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207
(904) 737-7770
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . valuation . . . . 0
Expiration Date . . 5/13/12
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Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00
STATE ELEC DBPR SURCHARGE 2 . 00
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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
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION 4" 40d
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247-582�_�ax (904) 247-5845
JOB ADDRESS: L) zjcu_�j v 0 )q1__ PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS _��)OOAMPS ��)C/OVOLTS PHASE
--;';I
VALUEOFWORK$
NEW SERVICE 0 Overhead F1 Underground DUnderground up Pole
-',Residential(Main) Service
10-100 amps 1-_!101-150amps 151-200amps amps # of Meters
Commercial(Main) Service
�'0-100 amps 'I 101-150amps 151-200amps --amps CT Service amps
Conductor Type Size
--!Multi-Family(Main) Service
-10-100 amps 10 1-1 50amps 151-200amps —amps #of Unit Meters
'Temporary Pole
SERVICE UPGRADE amps CT Service_amps
NEW FEEDER(ADDITIONS, ACCESSORY STRUCTURES,ETC.)
!CT Service amps
" .1100amps �_150amps �1200amps j '___________,amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-1 00amps 10 1-200amps
Appliances: 0-30amps 31-1 00amps 101-200amps
A/C Circuits: 0-60amps 61-1 00amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS Motors hp
I �Swimming Pool �-1 Sign ':-Smoke Detectors_Qty Transformers KVA
FIRE ALARM SYSTEM (Requires 3 sets of plans& Fire Alarm Checklist)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS 'il
Replace Bumt/Damaged Meter Can i Safety Inspection -,Panel Change k-(5H to UG
�- i - 0 � ( -e--
Other: ke 0 ( (_ko �Z�(
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 oTnot. 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 American Electrical Contracting, Inc Office Phone 904-737-7770 Fax 904-737-1099
Co.Address: 5065-3-StAuaim*rn Road Q Jacksonville Vfidlte FL_Zip 32207
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Licensellot4o &,M# State Ce on/R gistration # ER0015316
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Notarile, urPVTORAg,4& r
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Sworn and subscribed befor me is 5 dayAf 20
Signature of Notary Publi �9,