Permit Elec 1708 Park Terrace West 2012 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Vill,
Application Number . . . . . 12-00001441 Date 10/02/12
Property Address . . . . . . 1708 W PARK TER
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
hot tub crkt
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Owner Contractor
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MITRICK JOSEPH M & LAURA A MUNSON & BRYAN ELECTRICAL CO.
1708 PARK TER W 3434 ST.AUGUSTINE RD
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207
(904) 396-6689
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 65 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 3/31/13
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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 65 . 00 65 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 69 . 00 69 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALI, 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
JOBADDRESS: 008 ea,,11- Wcsi.L: PERMIT#
L-7 t3t-7,v_�'SO-4"J 5141!—
JEA INFORMATION REQUIRED ON ALL PERMITS AAPS 2,, 1Z.,tz)VOLTS PHASE
VALUE OF WORK$ )0 0 0 ,0,0
NEW SERVICE E Overhead Underground Underground up Pole
Residential(Main) Service
0-100 amps i 110 1-1 50amps 11 51-200amps amps of Meters
Commercial(Main) Service
0-100 amps -11101-150amps 151-200amps
amps CT Service amps
Conductor Type Size
Multi-Family(Main) Service
0-100 amps �10 1-15 Oamps :1 51-200amps !_amps of Unit Meters
Temporary Pole !. ]!_amps
SERVICE UPGRADE amps CT Service amps
NEW FEEPER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
',100amps �-.1150amps �. 200amps �,_amps 'iCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 3 1-1 00amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps V 61-1 00amps
Heat Circuits: # circuits @ kw
b
Number of Lighting Outlets, Including kFixiu��r�es:
OTHER ELECTRICAL PROJECTS
'i Swimming Pool ' j Sign ; I Smoke Detectors_Qty Transformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty_volts/amps VALUE OF WORK$
REPAIRSIMISCELLANEOUS
Replace Burnt/Damaged Meter Can Safety Inspection '!Panel Change �OH to UG
-6t-her: kAY-i7 —P.0 C��
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 L-a-u C-6"i-
Phone Number
Electrical Company No�,i'so QA AW.0 4� fL-tA-61 —Office Phone 3'16 (o 6" —Fax-3 (3 6
Co. Address: 3q3t( city C".j "1(ke- State (�-C- Zip S2Z-07
License Holder (Print): -7::�'aVxN 'Sc-',A�,NJ State Certification/Reuistration#Cap o 7 9 E
Notariz. er
JOSEPH GUY
rommission#EE 077677
wom and ubscribed before me this day of Qc--h
20
Exores July 16,2015
av,ded Thm Tmy F*kmrxm
ignature o Notary Public--\.,,j,.� A L