Permit Elec Misc 2363 Seminole Rd 2012 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
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INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00000719 Date 6/08/12
Property Address . . . . . . 2363 SEMINOLE RD
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
SWITCHES/OUTLETS
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Owner Contractor
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MCDONALD, NANCY M TRUST MCDONALD ELECTRIC
%FIDUCIARY TRUST INTERNATIONAL 6915 WEST BEAVER STREET
OF THE SOUTH JACKSONVILLE FL 32254
MIAMI FL 33131 (904) 356-9473
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 70 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 12/05/12
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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 70 . 00 70 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 74 . 00 74 . 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: 231, 3 & ad. PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VAL UE OF WORK$_ /, -70D,0 0
NEW SERVICE 0 Overhead Underground D Underground up Pole
Residential(Main) Service
i .0-100 amps I !101-150amps '151-200amps amps #of Meters
Commercial(Main) Service
0-100 amps 101-150amps 11 51-200amps
amps ;CT Service amps
Conductor Type Size
'Multi-Family(Main)Service
1,0-100 amps 101-150amps 11 51-200amps amps of Unit Meters
.:Temporary Pole ' amps
SERVICE UPGRADE I i—amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
� '!100 amps 1 :15 Oamps _,200amps , I amps !CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 3 1-1 00amps 101-200amps
Appliances: 0-30amps 3 1-I 00amps 101-200amps
A/C Circuits: 0-60amps 61-1 00amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures: 10 /7
OTHER ELECTRICAL PROJECTS
1 !Swimming Pool '� i Sign 1 Smoke Detectors_Qty 1 Transformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist)
Qty_volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS OH to UG 146(dtc�
Replace Burnt/Damaged Meter Can 'Safety Inspection Panel Change
,1 A_ 1 4, 4,11 . I
]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 jo-ce Phone Number coko
Electrical Company /V1 L j 0/V 041 (�76 L M1 6 Office Phone 3510—9V 7� Fax -786 9
(71 Stater-7, Zip 3Z2N
Co. Address: �(r 6ecei,�,- C:>r City I_Leb�
License Holder (Print): a ry�O StatpC-e_�tificat' n/Registration e-C OW t_7q
f License Holde,
Notarized Signature o
CHRIS M.THOMAS S rn and subscabefore me this day of 2017
Notary Public-State of Florida
*j:My Comm.Expires Nov 12,2 ature of Notary Public
Commission#EE 144025