Permit Elec 1197 Mayport Rd Unit 1 2012 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00001540 Date 10/19/12
Property Address . . . . . . 1197 MAYPORT RD
Tenant nbr, name . . . . . . UNIT1
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Safety Inspection 200AMP 120/240V 1Phase
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
SAFAR ANTON VALDAN ELECTRIC CO.
6949 LA LOMA DR 338 19TH STREET
JACKSONVILLE FL 322172668 ATLANTIC BEACH FL 32233
(904) 716-3626
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc . . SAFETY INSPECTION
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 4/17/13
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00
STATE ELEC DBPR SURCHARGE 2 . 00
----------------------------------------------------------------------------
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 ONLV IN ACCORDANCE WITH ALL CITV 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
/Ot
JOB ADDRESS: PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUEOFWO-RK$ / ,�ZS'
NEW SERVICE El Overhead Underground EIJ Underground up Pole
� 'Residential (Main) Service
I-10-100 amps F1 101-1 50amps 151-200amps F'—amps # of Meters
i Commercial (Main) Service
[10-100 amps 1110 1-I 50amps 1151-200amps I I_amps J CT Service amps
Conductor Type Size
I Multi-Family(Main) Service
1-10-100 amps 1101-150amps 151-200amps ]—amps #of Unit Meters
I Temporary Pole amps
SERVICE UPGRADE "I amps I CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
11100amps 11150amps 11200amps I amps I I 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 1-1 00amps 101-200amps
A/C Circuits: 0-60amps 6 1-1 00amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
I �Swimming Pool i I Sign � I Smoke Detectors_Qly i I Transformers KVA 1 !Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans
Qty_volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
� Replace Bumt/Damaged Meter Can 1,��afety Inspection I �Panel Change 1OH to UG
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 Phone Number
Electrical Company 004-4' Office Phone —Fax
Co. Address: - — q I&�j City LWI-4-�f Cc 1/)f4tate /Z__Zip
License Holder LPrint): CP k- State Certification/Registration
Notariz fu*N=&'r#pk r
EXPIRES:May 21,2015
80ndW Thru NoWy Pu*Un&rw*9,lorn and subscribed befor
g Signature of Notary Publi
3 -3 2- 0