540 Sailfish Dr elec safety 2012 CITY OF ATLANTIC BEACH
r j 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00000846 Date 7/05/12
Property Address . . . . . . 540 SAILFISH DR
Application type description ELE TRIC ONLY
Property Zoning . . . . . . . TO ME UPDATED
Application valuation . . . . 0
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Application desc
safety inspection
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Owner Contractor
------------------------ ------------------------
BAC HOMES LOANS SERVICING LP RIGHTWAY ELECTRICAL CONT. INC
% COUNTRYWIDE HOMES LOANS INC 3551 SANCTUARY WAY S
7105 CORPORATE DR JAX BEACH FL 32250
PLANO TX 75024 (904) 955-1630
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 1/01/13
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Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00
STA E 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 ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTI C BEACH
800 Seminole Rd, Atlanti Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: y6 _5,41e fIS14 PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS20rAMPS 2y0 VOLTS / PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
❑Residential (Main) Service
10-100 amps ❑101-150amps 1151-200amps amps # of Meters
I i Commercial(Main) Service
❑0-100 amps 1101-150amps 0 11 51-200amps [_7 amps [ICT Service amps
Conductor Type Size
❑Multi-Family(Main) Service
10-100 amps 101-150amps 151-200amps amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE amps CT Sei vice amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
[1100 amps 11150amps f 1200amps -1 amps ['.CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-l 00amp 101-200amps
Appliances: 0-30amps 31-100amp 101-200amps
A/C Circuits: 0-60amps 61-100amp
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
I ISwimming Pool ❑ Sign 11Smoke Detectors Qty Transformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire AlarmChecklist)
Qty volts/amps VALUE OF WORK$
REPAIRSIMISCELLANEOUS
I lReplace Burnt/Damaged Meter Can Safety Inspection Panel Change [70H to UG
C:Other:
Permit becomes void if work does not commence within a six month period or work i 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 ind 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 7JOH eA A j2A 4 Phone Number 4/ - /G 6 2
Electrical Company 1116147wAY EL EcTitteAe c 7. T P Office Phone 'SSJ-2 / O S Fax?n-,2 2 of-
Co.
f-Co. Address: A c City 14 AC A/ State l-I Zip 312 4G
License Holder (Print): State Certification/Registration# 1 p0 y/yS'
Notarized Signature of License Holder
:NY& SHIRLEY L.GRAHWo nd subscribed before this day o 20
•tp••• fI 0 MY COMMISSION#DD 95776
4' EXPIRES:February 14.2014
I Bonded Thru Notary Public UdtlD@Mt e of Notary Pub