1197 Mayport Rd Unit 1195 2012 safety elecJOB ADDRESS:
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845
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PERMIT #
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JEA INFORMATION REQUIRED ON ALL PERMITS 1iAMPS VOLTS PHASE
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VAL UE OF WORK $ l 3
NEW SERVICE ❑ Overhead
C,'Residential (Main) Service
1 '0-100 amps �_'101-150amps
Commercial (Main) Service
f10-100 amps 101-I50amps
Conductor Type
7 Multi -Family (Main) Service
10-100 amps :1101-150amps
fi Temporary Pole I amps
❑ Underground ❑1 Underground up Pole
1151-200amps -' amps # of Meters
I 151-200amps amps ]CT Service amps
Size
11151-200amps 1 amps
SERVICE UPGRADE [. amps I CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
100 amps ❑ 150amps 200amps i I amps CTService
# of Unit Meters
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
11 Swimming Pool H Sign ]Smoke Detectors_Qty >Transformers .
FIRE ALARM SYSTEM (Requires 3 sets of plans
Qty volts/amps
KVA 1_]Motors
VALUE OF WORK $
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can afety Inspection Panel Change _IOH to UG
I Other:
hp
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's Phone Number
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CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00001540 Date 10/30/12
Property Address . . . . . . 1197 MAYPORT RD
Tenant nbr, name . . . . . . UNIT 1195
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
Safety Inspection 200AMP 120/240V 1Phase
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PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Contractor
Owner
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SAFAR ANTON
VALDAN ELECTRIC CO.
6949 LA LOMA DR
338 19TH STREET
FL 322172668 ATLANTICACH
B
3626
FL 32233
JACKSONVILLE
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Permit . . . . .
. ELECTRICAL
PERMIT
Additional desc .
. SAFETY INSPECTION Plan Check Fee
.00
Permit Fee . . .
. 90.00
10/19/12
Valuation . . .
0
Issue Date . . .
.
Expiration Date .
. 4/23/13
_ _
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STATE ELEC DCA SURCHARGE
2.00
Other Fees
STATE ELEC DBPR SURCHARGE
2.00
Charged
Paid Credited
Due
Fee summary
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Permit Fee Total
----------
90.00
----------
90.00 .00
00
.00
.00
Plan Check Total
.00
.00 .00
.00
Other Fee Total
4.00
4.00
.00
Grand Total
94.00
94.00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.