586 N Nautical Blvd elec safety 2012 X51 , 1-11
CIT)r OF ATLANTIC BEACH
1 ? 800 SEMINOLE ROAD
? ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12- 0001214 Date 9/12/12
Property Address . . . . . . 586 N NAUTICAL BLVD
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Application desc
safety inspection
--------------------------------------- ------------------------------------
Owner Contractor
------------------------ ------------------------
LUNING DONNA MARIE WIREWORKERS, INC
586 N NAUTICAL BLVD 9989 LEAHY ROAD
ATLANTIC BEACH FL 322334119 JACKSONVILLE FL 32246
(904) 237-8245
--------------------------------------- ------------------------------------
Permit . . . . . . ELECTRICAL PE IT
Additional desc . . SAFETY INSPEC ION
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 3/11/13
--------------------------------------- ------------------------------------
Other Fees . . . . . . . . . STAIE ELEC DCA SURCHARGE 2 . 00
STA E ELEC DBPR SURCHARGE 2 . 00
---------------------------------------- ------------------------------------
Fee summary Charged Faid 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
I
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OFA LANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic l3each, FL 32233
Ph(904) 247-5826 Fax k904) 247-5845 J
.JOB ADDRESS: -6((} ucto LCq �j PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS P AMPS 24)0 VOLTS PHASE
VAL UE OF WO K$
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
❑Residential(Main) Service
10-100 amps 11101-150amps 151-200amps -I amps # of Meters
l Commercial (Main) Service
770-100 amps -1101-150amps 1151-200amps amps 1ICT Service amps
Conductor Type Size
[1 Multi-Family(Main) Service
110-100 amps 1101-150amps 151-200amps I_ amps # of Unit Meters
i-1 Temporary Pole : ' amps
SERVICE UPGRADE L I amps CT Se ice amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
17100 amps 1]150amps 11200amps ❑ amps I CT 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 I
I Swimming Pool I Sign ]1 Smoke Detectors Qty Transformers KVA I Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
]Replace Burnt/Damaged Meter Can Safety Inspection I_]Panel Change I OH to UG
I I Other:
Permit becomes void if work does not commence within a six month period or work issuspended 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 of r state or local law regulation construction or the performance of
construction. 2
Property Owners Name 0 t G�a� G1 C- C`' Phone NumberZz^
Electrical Company CG-t or Vic Office Phone 23-7-$24'K- Fax
Co. Address: Q f Q City OAC State Fl, Zip 322 �O
License Holder (Print): �A C" \4VeX- l Pq S to Certification/Registration# 130 l33$Z
Not older
„ DEBORAH AMANDAWMX-2
r_ MY COMMISSIONMEE057349 Sworn and subscribed before this
day f 0
-' " EXPIRES:May 21,2015
BwWedThruNe.MPublic underwrbrs Signature of Notary Public
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