Permit Elec Safety 800 Mayport unit 6 2012 ` CITY OF ATLANTIC BEACH
:-4 A ) 800 SEMINOLE ROAD
J t = ` ATLANTIC BEACH, FL 32233
\ N INSPECTION PHONE LINE 247 -5814
Application Number 12- 00000349 Date 3/27/12
Property Address 800 MAYPORT RD
Tenant nbr, name UNIT6 UNIT 6
Application type description ELECTRIC ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
SAFETY INSPECTION
Owner Contractor
PAN AM INVESTMENTS MUNSON & BRYAN ELECTRICAL CO.
7880 GATE PKWY SUITE 300 3434 ST.AUGUSTINE RD
JACKSONVILLE FL 32256 JACKSONVILLE FL 32207
(904) 396 -6689
Permit ELECTRICAL PERMIT
Additional desc . SAFETY INSPECTION
Permit Fee . . . 90.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 9/23/12
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 12--
JOBADDRESS: $ ® 0 l 2 in poiftZ 'O,, (NIT 6 3033 PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS a. Q AMPS 2 '70 VOLTS _ y PHASE
VALUE OF WORK$ /a,S m‘
NEW SERVICE n Overhead n Underground 1 jJ Underground up Pole
LiResidential (Main) Service
❑ 0 - 100 amps ❑ 101 - l 50amps ❑ 151- 200amps ❑ amps # of Meters
El Commercial (Main) Service
❑0 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi- Family (Main) Service
00 -100 amps ❑ 101- 150amps [11 51- 200amps ❑ amps # of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
[1100 amps ❑ 150amps 0200amps ❑ amps OCT 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 61- 100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
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 $ /elao s c
REPAIRS/MISCELLANEOUS
❑ Replace Burnt/Damaged Meter Can I(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. / nn
Property Owners Name S/ PP o 7:1- Phone Number n4 - 9i79" 7 /f
6'00
Electrical Company a7 , Q - - 4.9-41 Office Phone 3 Q (c, 66 8 Fax Z96 i' /'(
Co. Address: </--,51 0),,n, City CJ/1r1/Sg (i State t L Zip 267
License Holder (Print): a i Cis < _,ffr7 _ tate Certification/Registration # E -606i ?Q,S
Notarized Signature of License Holder �.a -, _ „
,,..4:1 KIRK L. HEDRICK Sworn ant subscribed before me this dg of -- 20 /2
. im .. Commission # EE or r
Expires July 7, 2015 Si e of Notary Public
,R n Bonded Thin Troy Fain Insurance 80: