Permit 387 Skate Rd 2012 elec safety CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
b-A
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00000210 Date 2/21/12
Property Address . . . . . . 387 SKATE RD
Application type description ELECTRIC ONLY
Property zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
SAFETY INSPECTION
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Owner Contractor
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HECTOR, VALDA B & G REFRIGERATION
387 SKATE ROAD 3230 KLINE RD.
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32246
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 8/19/12
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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 ONLV IN ACCORDANCE WITH ALL CITV 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: 5�,'j S�4C& Pj PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS PHASE
_L _Q_AMPS A4�_) VOLTS
VALUE OF WORK$ �GL-) ,C)U
NEW SERVICE El Overhead Underground EDUnderground up Pole
lResidential (Main)Service
E
F 0-100 amps �]101-1 50amps 151-200amps amps #of Meters
)Commercial(Main) Service
i-10-100 amps 151-200amps amps ICT Service amps
Conductor Type Size
IMulti-Family(Main)Service
F-'O-100 amps 101-1 50amps 1 151-200amps amps # of Unit Meters
Temporary Pole E amps
SERVICE UPGRADE I� amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
:'1100amps F150amps 7200amps amps CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 6 1-I 00amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
I Swimming Pool 1 1 Sign I �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 XSafely Inspection !:Panel Change 1OH to UG
1 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 Phone Number
Electrical Company ..p L__\ 1-i I'ux).%
N�Y` vn:)�cx� Office Phon Fax ON
Co. Address ine-
: 2Lb — City ,�O.P_V-&(Nnt A StateQ_zip n14Lp
License Holder (Print): _�&A-T k-ck State Certification/Registration#
Notarized Signature of License Holder
W om and subscribe`d�7�m=s, / day of 20./,,)
11c
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