Permit Elec 1844 Sea Oats Dr I .,I '�j -
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00001959 Date 1/15/13
Property Address . . . . . . 1844 SEA OATS DR
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 5300
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Application desc
laundry room renovation
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Owner Contractor
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LAGOY, EDWARD HOMEOWNER BLDG SVCS, INC (RC)
1844 SEA OATS DRIVE 739 BROOKMONT AVE E
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32211
(904) 322-1054
--- Structure Information 000 000 LAUNDRY ROOM RENOVATION
Occupancy Type . . . . . . RESIDENTIAL
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Sub Contractor . . BILL THOMPSON ELECTRIC CO, INC
Permit Fee . . . . 62 . 80 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 7/14/13
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Special Notes and Comments
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2010 FLORIDA BUILDING CODE, 2008 NATIONAl ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
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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 62 . 80 62 . 80 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 66 . 80 66 . 80 . 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
Ph(904) 247-5826 Fax (904) 24 5845
'Y' j-
JOB ADDRESS: ze�4 5�ea PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS '2
_,�j 0 AMPS 2-47t VOLTS PHASE
VALUE OF WORK$
NEW SERVICE El Overhead Underground ED Underground up Pole
OResidential (Main) Service
00-100 amps F]101-150amps El 151-200amps of Meters
LCommercial(Main) Service
00-100 amps 0101-150amps 11 151-200amps O_amps OCT Service amps
Conductor Type ___ Size
OMulti-Family(Main) Service
00-100 amps 0 101-150amps 0 151-200amps El amps of Unit Meters
0 Temporary Pole []_____amps
SERVICE UPGRADE O-amps 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
11100amps 0150amps 0200amps 0 amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 111� 0-30amps 3 1-1 00amps 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
0 Swimming Pool 0 Sign L1 Smoke Detectors_Qty L Transformers KVA 0 Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans& Fire Alarm Checklist)
Qty_volts/amps VALUE OF WORK$
REPAIRSMSCELLANEOUS
Olkeplace Burnt/Damaged Meter Can OSafety Inspection OPanel Change LOH to UG
OOther:
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 4- a tv Phone Number
Dill I HUMIMun --
Electrical Company P.O.Box 330150 7" Office Phone F ax ZZ0
Co. Address: Atlantic Beach,FL 32233 City State Zip
License Holder(Print): StatigCertification/Registration
Notarized Signature of License Holder
k1M A.HAFTr Sworn and subscribed before mq tj�is day 201-3
MY OMMOM#EE 861935
Anuary 1,2017 Signature of Notary Public
EXPIFS.
8mded Thru Notary Public Underwrtlers