Permit 1950 Mipaula Ct safety elec 2011 C,
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 11-00002954 Date 12/01/11
Property Address . . . . . . 1950 MIPAULA CT
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
safety
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
MCKEAN FIRST CHOICE ELECTRIC
1950 MIPAULA COURT 716 VALLEY FORGE RD. N.
ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266
(904) 241-1331
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc - -
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 5/29/12
----------------------------------------------------------------------------
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
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: C�A PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS Z�q6 VOLTS 1 9� PHASE
VALUE OF WORK S
NEW SERVICE F� Overhead F-1 Underground Underground up Pole
[]Residential (Main) Service
E10-100 amps 11101-150amps 11 151-200amps amps #of Meters
�]Commercial(Main)Service
110-100 amps C101-150amps F-1 151-200amps E1_amps CCT Service amps
Conductor Type Size
F]Multi-Family(Main) Service
00-100 amps E 10 1-I 50amps 1�151-200amps 11 amps #of Unit Meters
PTemporary Pole []_amps
SERVICE UPGRADE 0- amps [I CT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
E100amps 11150amps D200amps 0_________.,amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 3 1-1 00amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
El Swimming Pool [I Sign E Smoke Detectors_Qty E Transformers KVA 11 Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans &Fire Alarm Checklist)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
EReplace Burnt/Damaged Meter Can *afety Inspection []Panel Change DOH to UG
,DOther:
Permit becomes void if work does not cornmence 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 -E i g--NI C cee, -OfficePhone -2-4i-k3-31 - Fax 23P�
Co. Address: 71�, t� City (2 Ex�, State-a-Zip 7-,-2,?.�.L
License Holder (Print): State Certification/Registration 4 C, "I'Lo
Notarized Signature of License Holder
Sworn and subscribed be Loore&this' ay of 20//
Signature of T�
3