539 Selva Lakes Cir 2012 reground elec CIT OF ATLANTIC BEACH
^' ✓' 800 SEMINOLE ROAD
j r ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . 12-00001109 Date 8/24/12
Property Address . . . . . . 539 SELVA LAKES CIR
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO EE UPDATED
Application valuation . . . . 0
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Application desc
REGROUND ELECTRICAL SERVICE
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Owner Contractor
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ALBRECHT, SUSAN E WATSON ELECTRIC
539 SELVA LAKES CIR 4456 SUNBEAM RD #200
ATLANTIC BEACH FL 322334361 JACKSONVILLE FL 32257
(904) 899-6836
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Permit . . . ELECTRICAL PE MIT
Additional desc . . REGROUND SERVICE
Permit Fee 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 2/20/13
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Other Fees . . . . . . . . . STA"E ELEC DCA SURCHARGE 2 . 00
STA-E ELEC DBPR SURCHARGE 2 . 00
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Fee summary Charged aid 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
JOB ADDRESS: K-Ar c-S C/,,t PERMIT# /I f
JEA INFORMATION REQUIRED ON ALL PERMITS /SO AMPS DYO VOLTS PHASE
VALUE OF WO K$ ?ACV "cry
NEW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up Pole
-i Residential (Main) Service
10-100 amps Ll 101-150amps 151-200amps amps # of Meters
'I:Commercial (Main) Service
0-100 amps Ci 101-150amps 151-200amps amps CT 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 C' amps I CT Sen ice amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps 150amps 200amps amps CT Service amps
ADDITIONS,REMODELS,REPAIRS, BUILD-OUTS,ACCESSO Y 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
1Swimming Pool ❑ Sign [-]Smoke Detectors Qty 1Trans ormers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
[1Replace Burnt/Damaged Meter Can Safety Inspection Panel Change OH to UG
Other: I`C eUn 71P
Permit becomes void if work does not commence within a six month period or work is spended 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 a id ordinances governing this work will be complied with whether
specified or not. The permit does not give authority to violate the provisions of any oth r state or local law regulation construction or the performance of
construction.
Property Owners Name 4�105Phone Number
Electrical Company Office Phone rdy 51��-,Q!36 Fax
Co. Address: S6 City Tulle-"1114- State AL- Zip 3425-7
License Holder (Print): /jctcn- State Certification/Registration # L�13:k2315177
Notarized Signature of License Holder
WANDAY GUESS worn and subscribed before Me this ,.�,4__day of 11A3, 20�
*. Commission#EE 070987
Expires April 16,2015
�. , 9a4bdR-TMYF*mMWanceMMS.7019 ignature of Notary Public