Permit 388 8th St 2011 car charger CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
0 ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 11-00003050 Date 12/29/11
Property Address . . . . . . 388 8TH ST
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
car charger
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Owner Contractor
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SELHARST KEHR ELECTRIC
9438 PANDA ST
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32220
(904) 778-2100
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Permit * ' * . . . ELECTRICAL PERMIT
Additional desc . -
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . valuation . . . . 0
Expiration Date . - 6/26/12
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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
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: 0's C— P�er,.,--� —PERMIT
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS �Z 0 VOLTS PHASE
.4V
VALUE OF WORK$ 00
NEW SERVICE F-1 Overhead Underground EDUnderground up Pole
OResidential (Main) Service
00-100 amps 11101-1 50amps 0 151-200amps 0______amps of Meters
OCommercial(Main) Service
00-100 amps 0 101-1 50arnps 0 151-200amps 0 amps OCT Service amps
Conductor Type Size
OMulti-Family(Main) Service
00-100 amps 0 101-150amps 0 151-200amps 0 amps of Unit Meters
OTemporary Pole 0 amps
SERVICE UPGRADE 0 __amps 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100amps 0150amps 0200amps 0_________Amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUIL ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 1-100amps 101-200amps
Appliances: 0-30amps 3 1-1 00amps 10 1-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: 4 circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
DSwimmingPool OSign E Smoke Detectors_Qty DTransformers ___ KVA 0 Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans&Fire Alarm Checklist)
Qty volts/amps VALUE OF WORK S
REPAIRS/MISCELLANEOUS
OReplace Bumt/Damaged Meter Can El Safety Inspection 0 Panel Change E OH to UG
X.Other: C 's4c�A �;= EttLCA"�'- CC-Lf-
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 goveming 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 Ge ,3-S��
r 6.t:. Phone Number - 3 L.) �z
Electrical Company K e�VK- L-- c-- --Office Phone?) /0 0- Fax Q Z
Co. Address: ?,P, C-So�s City StateFt, Zip .322321
License Holder(Print): _ State Certification/Registration#/—/?C)OI ,�906
Notarized Signature of License Holde
Sw 1 - I-srribed before me this day of 20
Signature of Notary Public