339 11th St elec reground 2012 .4' a CITY OF ATLANTIC BEACH
` ew , 800 SEMINOLE ROAD
J= ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number 12-00001806 Date 12/13/12
Property Address 339 11TH ST
Application type description ELECTRIC ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
reground
Owner Contractor
RENTZ HARRY G JR & NANCY M AMERICAN ELECTRICAL CONTRACTOR
339 11TH ST 5065 ST. AUGUSTINE RD #13
ATLANTIC BEACH FL 322335531 JACKSONVILLE FL 32207
(904) 737-7770
Permit ELECTRICAL PERMIT
Additional desc .
Permit Fee . . . 90 . 00 Plan Check Fee . . . 00
Issue Date . . . Valuation . . . . 0
Expiration Date . 6/11/13
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 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 OP Ph(904) 247-5826 Fax (904) 247-5845 `� '
JOB ADDRESS: 3 9 1 t ,-i- fet PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 150 AMPS _2400_VOLTS _1-PHASE
VALUE OF WORK$ l /v. v6
NEW SERVICE ❑ Overhead n Underground n1 Underground up Pole
Residential(Main) Service
0-100 amps i 101-150amps ❑151-200amps L amps #of Meters
Commercial(Main) Service
I- 0-100 amps _1101-150amps [7151-200amps amps 7 CT Service amps
Conductor Type Size
Multi-Family(Main)Service s #of Unit Meters
;0-100 amps -1101-150amps (7151-200amps amps
Temporary Pole amps
SERVICE UPGRADE _I amps i CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
-100 amps ❑150amps i 1200amps [' amps J CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
P
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 Transformers KVA Motors hp
Swimming Pool I Sign ❑Smoke Detectors_Qty ❑
FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK$
Qty volts/amps
REPAIRS/MISCELLANEOUS
=i Replace Burnt/Damaged Meter Can ❑Safety Inspection E Panel Change L OH to UG
I Other: ' ��e C>C(3°•(- 6' P (4-.....m...m...mm••••••mommimmoomm......m........■1(1--
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 Harry Wrentz
Phone Number 249-5880
Electrical Company American Electrical Contracting, Inc. Office Phone 737-7770_Fax 737-1099
Co. Address: 5065-3 St Augustine Road City Jacksonville State FL •• 32207
License Holder (Print): Earl W Frick State C- - cation/Regis' .ti 10 • E'0015316
Not,. - _ ' ,, • . , , • •
K2.% Notary Public State of Florida worn and subscribed heft re me t' is _ da, of VF(i.
Anna M is Commission EE 850790
''�i�„ �x�in.o,rz�so,� ,ignature of Notary Publi I AL AL1 I A P