Permit Elec 680 Mayport Rd 2011 CITY OF ATLANTIC BEACH
-' .. , Y..r 800 SEMINOLE ROAD
;r
i ATLANTIC BEACH, FL 32233
V .. INSPECTION PHONE LINE 247 -5814
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Application Number . . . . . 11- 00002979 Date 12/07/11
Property Address 680 MAYPORT RD
Application type description ELECTRIC ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
outlets switches
Owner Contractor
CHURCH, ASSEMBLY OF GO MCCLURE ELECTRICAL CONTRACTORS
680 MAYPORT ROAD 537 5TH AVENUE N
ATLANTIC BEACH FL 32233 JAX BEACH FL 32250
(904) 237 -4701
Permit ELECTRICAL PERMIT
Additional desc .
Permit Fee . . . 71.80 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 6/04/12
Other Fees STATE ELEC DCA SURCHARGE 2.00
STATE ELEC DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 71.80 71.80 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 75.80 75.80 .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: l: So lc( g, p, D PERMIT #
JEA INFORMATION REQUI tED ON ALL PERMITS AMPS 2,o o VOLTS 3 PHASE
VALUE OF WORK $ 1 ° .
NEW SERVICE ❑ Overhead n Underground (lJ Underground up Pole
❑ Residential (Main) Service
00 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps # of Meters
❑Commercial (Main) Service
❑0 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps El CT Service amps
Conductor Type Size
❑ Multi-Family (Main) Service
00 -100 amps ❑ 101- 150amps ❑ 151- 200 amp s ❑ amps # of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps LI 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: Sr 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: Z4-
OTHER ELECTRICAL PROJECTS
❑ Swimming Pool ❑ Sign ❑ Smoke Detectors _Qty LI 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:
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 \ << '�J�'r`(- �Sev - of 0 Phone Number
Electrical Company � Office Phone Z31 - 1° ( Fax
Co. Address: S 3"1 / E- N °'-� City .T..c,,S State t_ Zip 3 22 S
License Holder (Print): ( z State Certification/Registration # 6 6 €
Notarized Signature of License Holder
Sworn -nd subscribed before - thi. - 7 a, of £ C— 20 1 I
Signature of Notary Public 1 ie
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