Permit Elec 221 Seminole Rd 2012 J-1
CITY OF ATLANTIC BEAVII
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00001905 Date 12/21/12
Property Address . . . . . . 221 SEMINOLE RD
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
safety
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Owner Contractor
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FANNIE MAE-BANK OWNED ELITE ELECTRICAL SERVICES LLC
11611 CAPE HORN AVE
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32246
(904) 353-0190
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Permit ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 6/19/13
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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 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 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
JOB ADDRESS: C ALd_1PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS . PHASE
VALUE OF WORK$
NEW SERVICE El Overhead F-1 Underground Underground up Pole
Residential(Main) Service
0-100 amps D 10 1-1 50amps I �151-200amps I_amps of Meters
Commercial(Main) Service
1 10-100 amps 1�10 1-I 50amps I 151-200amps 11 amps CT Service amps
Conductor Type Size
Multi-Family(Main) Service
-100 amps Ll 10 1-I 50amps
11 51-200amps I_amps of Unit Meters
Temporary Pole I I amps
SERVICE UPGRADE 1 I-amps I- CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps I 150amps I-1200amps � I 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 101-200amps
A/C Circuits: 0-60amps 61-1 00amps
Heat Circuits: # circuits @_kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
I Swimming Pool Ll Sign I I Smoke Detectors_Qty I I Transformers KVA 'Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty_volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can x1safety Inspection I lPanel Change IOH 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 pen-nit 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 ff(j 4&1 Allt� Phone Number
Electrical Company ?17? ffice Phone 2�3_allz� Fax
Co.Address: . aW Cit, State L Zip
n/Registration#
ti icatio
License Holder(Print) Slate Co
Notarized IV' i i
RA AM
1,,3HIRLEY L.GRAHAM
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me this dayof j 3c.
q Fpb 'ry 14
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Fpbrua-y 14,
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ru Notary Public,
ure of Notary Publip,