Permit Elec 670 Plaza 2012 r 'r~ y'
:� f CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
j' - ATLANTIC BEACH, FL 32233
WV
INSPECTION PHONE LINE 247 -5814
J13 ,'�
Application Number 12- 00000326 Date 3/22/12
Property Address 670 PLAZA
Application type description RESIDENTIAL ALTERATION
Property Zoning TO BE UPDATED
Application valuation . . . 2000
Application desc
DRYWALL REPLACEMENT IN LIVING ROOM /DINING
Owner Contractor
JACKSON, TREASA ANNE OWNER
670 PLAZA
ATLANTIC BEACH FL 32233
- -- Structure Information 000 000 DRYWALL REPAIRS
Occupancy Type RESIDENTIAL
Permit ELECTRICAL PERMIT
Additional desc . SWITCHES /PANEL CHANGE
Sub Contractor . RIGHTWAY ELECTRICAL CONT. INC
Permit Fee . . . 135.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 9/18/12
Other Fees STATE ELEC DCA SURCHARGE 2.03
STATE ELEC DBPR SURCHARGE 2.03
Fee summary Charged Paid Credited Due
Permit Fee Total 135.00 135.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.06 4.06 .00 .00
Grand Total 139.06 139.06 .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 2
,JOB ADDRESS: 674 PLA2/� AT LAN7le VA(A FL 32 2 3 3 PERMIT # / — 3z /
JEA INFORMATION REQUIRED ON ALL PERMITS 206 AMPS 2 ey O VOLTS 1 PHASE
VALUE OF WORK $
NEW SERVICE ❑ Overhead n Underground nT Underground up Pole
❑Residential (Main) Service
00 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps # of Meters
❑ Commercial (Main) Service
00 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps 0 C Service amps
Conductor Type Size
❑ Multi- Family (Main) Service
❑ 0 -100 amps ❑ 101- 150atnps ❑ 151- 200a1nps ❑ amps # of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
❑ 100 amps ❑ 150amps 0 200amps ❑ amps 0 C Service amps
ADDITIONS, REMODELS, REPAIRS, BUILD -OUTS, ACCESSORY STRUCTURES, ETC.
Outlets /Switches: ' /c/ 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: 1
OTHER ELECTRICAL PROJECTS
❑ Swimming Pool ❑ Sign ❑ 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 El Safety Inspection anel 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 OA 0 f _T,qC /f Sl) hi Phone Number A - &/O - QG G z
Electrical Company 0/61-IT/VA Y FLECTitIC.R I Co/`imAcTGM1 -f Office Phone �5) - /G 5 Fax $51 - .2 .ZC c -
Co. Address: 'i5S5 t c,41. T l K V (1/4 y S' - City ,fit )c f3 CAC f' State l' C Zip ,3.22 5
License Holder (Print): TAl'r i L/,t/'fi G C State Certification/Registration # 1 3 00 ci/z/ c
Notarized Si nature o LicerySe Holder t��
'e, , SHIRLEY 1
eV .i� my comMIS5IGN4D OS 1 and subscribed befor - - r •_•1 -- I ay / // 4 2d 20 / 2 .
i s .1 ^'... ! EXPIRES: February 14, 2014 1
"'• oF4 Bonded Thru NotaryPublkU - of Notary Public it _ _ L..i
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