Permit Elec 128-11 Seminole Rd 2012 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00001757 Date 12/21/12
Property Address . . . . . . 128 SEMINOLE RD 11
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 25000
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Application desc
Convert existing porch to habitable space
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Owner Contractor
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BLACK DON ALL FLORIDA CUSTOM HOMES
2146 HAWKCREST DR E 5459 RIVERWOOD RD N
ST JOHNS FL 32259 ST AUGUSTINE FL 32092
(904) 838-8822
--- Structure Information 000 000 COVERT PORCH TO LIVING SPACE
Occupancy Type . . . . . . RESIDENTIAL
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc ADD/REPLACE 12 OUTLETS
Sub Contractor ROBBINS ELECTRICAL SERVICES
Permit Fee . . . . 62 . 20 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 6/19/13
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Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONAl ELECTRIC CODE
*SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST
CONTROL COMPANY PRIOR TO C.O.
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
WINDOW AND DOOR INSPECTION:
*INSTALLATION INSTUCTIONS REQUIRED
*ALL STICKERS ARE TO REMAIN ON THE WINDOWS
*PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS
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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
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Permit Fee Total 62 . 20 62 . 20 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 66 . 20 66 . 20 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BULDING 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: ,',n o le- koc, W 17 PERMIT# /Z -0/75 7
JEA INFORMATION REQUIRED ON ALL PERMITS '20 0 AMPS Z-'l 0 VOLTS PHASE
VALUE OF WORK$
NEW SERVICE 7 Overhead Underground D Underground up Pole
Residential(Main) Service
� 10-100 amps i 11101-150amps 151-200amps amps # of Meters
Commercial(Main) Service
i ii 0-100 amps IA 01-1 50amps 151-200amps I amps CT Service_amps
Conductor Type Size
Multi-Family(Main) Service
10-100 amps 10 1-I 50amps 151-200amps
amps of Unit Meters
Temporary Pole , amps
I i 1 1
SERVICE UPGRADE amps i , CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
,100 amps ri 150amps � 1200amps � 1 amps ICT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 12 0-30amps 3 1-1 00amps 101-200amps
Appliances: 0-30amps 3 1-1 00amps 101-200amps
A/C Circuits: 0-60amps 6 1-I 00amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
1 1
I Swimming Pool ! i Sign 1.1 Smoke Detectors_Qty Transformers KVA I I Motors_hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty_volts/amps VALUEOFWORK$
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can Safety Inspection Panel Change I I]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 1)gj4 Phone Number
E I ectri cal C ompany tr,:10-C�rs'C.-,I <:�- r-Vje'-C-e- C 0 ffic e Phone 70 ZZ-9--/7 2-5Fax
Co. Address: 7 7 JkMAAAJ4 )3/y J A 5 city—75�, >e- State !0 Zip
r t
License Holder(Print): V,14:�A e, j A—j j%tate Certification/Registration#rEek 130 70 Y
Notarized Signature of License Holder
Before me this dayof
Notary Public State of FlordWda 20 / -2-
4P IN Nancy E Baky
My commission EE 156 1 IS Signature of Notary Public
Expires 0210812016
OF 1W