Permit Elec 1902 N Sherry Dr 2012 JT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00001541 Date 10/22/12
Property Address . . . . . . 1902 N SHERRY DR
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 12200
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Application desc
bath remodel
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Owner Contractor
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PETERS, DONALD E WISE CHOICE PROPERTIES OF
1902 NORTH SHERRY DR JAX INC
ATLANTIC BEACH FL 322334520 1902 OCEAN DR S
JAX BEACH FL 32250
(904) 372-9024
--- Structure Information 000 000 BATH REMODEL
Occupancy Type . . . . . . RESIDENTIAL
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Permit ' * * * ' * ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 56 . 20 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date 4/20/13
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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 56 . 20 56 . 20 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 60 . 20 60 . 20 . 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 0-
JOBADDRESS: _j2Z) 2, N PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK$
NEW SERVICE El Overhead Underground EDUnderground up Pole
IKesidential(Main) Service
10-100 amps F1 101-1 50amps 11 151-200amps amps of Meters
I Commercial(Main) Service
'�10-100 amps 11 51-200amps amps J CT Service amps
Conductor Type size
-!Multi-Family(Main) Service
__10-100 amps [ 101-150amps L �151-200amps amps of Unit Meters
'Temporary Pole -amps
SERVICE UPGRADE 1� �_amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
F-:1100amps 1150amps _1200amps amps 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 31-100amps 10 1-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
'Swimming Pool I I Sign � I Smoke Detectors
_Qty I �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 I I Safety Inspection Panel Change ]OH to UG
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 &Mh.)) 1E 4 kN. —office Phone (,S 4--S Fax
Co.Address:
citym , StaM� I Zip3;!7
License Holder (Print): _5",A_n State Certification/RegistratioO '21
Notarized Signature ofLicense Ho r
S JFiLEY L.GiRAHAW.
rotAfAISSION f;DD,957760 3 orn and subscribed bef e this ay 6 T_ 2 OLZ
PIRES:February 14,2014
Bonded Thru Notary Public uniierwite
W_ nature of Notary��blic