2133 Seminole Rd Unit 4 elec safety 2013 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00001996 Date 1/15/13
Property Address . . . . . . 2133 SEMINOLE RD UNIT 004
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
safety inspection
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Owner Contractor
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_ ------------------------
STRUBEL, THOMAS J & DES JARDIN ELECT. SVC. , INC.
JENNIFER M WALSH 13 ROBIN ROAD
2133 SEMINOLE RD APT 4 ORANGE PARK FL 32073
ATLANTIC BEACH FL 32233
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . . . 00
Permit Fee . . . . 90 . 00 Plan Check Fee
Issue Date Valuation . . . . 0
Expiration Date 7/14/13
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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 ONLV IN ACCORDANCE WITH ALL CITU OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH, FLORIDA
APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR DATE: o 1 - (S- 201{
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING,WE HEREBY AGREE TO
PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,WHICH ARE A PART HEREOF,
AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS,CODES AND CITY OF ATLANTIC BEACH ORDINANCES.
ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE:
r)_ CS )AKDlru - ICct S_IC -
OWNERS NAME: FdSTc;N S ,'t� ADDRESS: '2 13 3 Sc-�✓0l '��1 BOX
BLDG. SIZE BETWEEN: I'�'
RES.( APT.( ) COMM.( ) PUBLIC( ) INDUS.( ) NEW( ) OLD( REW.( )V" /
ADDITION( ) TRAILER( ) TEMP.( ) SIGNS( ) SQ.FT.
SERVICE: NEW INCREASE REPAIR(
CONDUCTOR SIZE AMPS: COPPER( ALUM.( FEES
SWITCH OR BREAKER AMPS PH W VOLT RACEWAY
2�(u 12. 0
EXIST. SERV. SIZE 5 G AMPS ( PH 3 W VOLT RACEWAY
FEEDERS NO. SIZE NO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
0.30AMPS 31.100 AMPS
SWITCHES
INCANDESCENT
FLOURESCENT&M.V.
FIXED 0.100 AMPS. OVER
APPLIANCES BELL TRANSF.
AIR H.P.RATING H.P.RATING CEIL. KW-HEAT
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS HEAT
0-1 OVER
MOTORS H.P. VOLTAGE PHS NO. I H.P. VOLTAGE PHS
MISCELLANEOUS A r� ,u
S%4 338
UNDER 600V OVER 600V
TRANSFORMERS:
NO. IKVA NO. IKVA
NO.NEON TRANSF. NO I VA I MA I MOTOR SIZE I SWITCH FLASHERS
EACH SIGN
Updated 5/20/2002