50 17TH ST ELEC PERMIT CITY OF ATLANTIC BEACH
Ss) 800 SEMINOLE ROAD
-,r ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00002560 Date 4/26/13
Property Address . . . . . . 50 17TH ST
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
---------------------------------------------
Application desc
OUTLETS AND SWITCHES
------------------------------------------------
Owner Contractor
----------
------------------------
BEACH CASTLES OF NE FL LLC FIRST CHOICE ELECTRIC INC
1730 OCEAN GROVE DR 716 VALLEY FORGE RD. N.
ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266
(904) 241-1331
----------------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee 62 . 20 Plan Check Fee . 00
Issue Date . . . Valuation 0
Expiration Date . . 10/23/13
------------------------------------------------------
Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00
STATE ELEC DBPR SURCHARGE 2 . 00
-------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
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
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 247-5126 Fax (904) 247-5845
j t' \.r t�T PERMIT#
JOB ADDRESS. �� 7 � `
JEA INFORMATION REQUIRED ON ALL PERMITS CAMPS ZqC) VOLTS 1 PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
;Residential(Main) Service
❑0-100 amps [-.110 1-150amps 11151-200amps ❑ amps #of Meters
Commercial(Main) Service
!:IO-100 amps [1101-150amps 01151-200amps f i amps ❑CT Service amps
Conductor Type Size
Multi-Family(Main)Service
10-100 amps [-1101-150amps 11151-200amps [] amps #of Unit Meters
JTemporary Pole ❑ amps
SERVICE UPGRADE CI amps Ci CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps [ 1200amps 1_I amps I ICT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
outlets/Switches: w 0-30amps 31-100amps 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: Co
OTHER ELECTRICAL PROJECTS
1Swimming Pool [] Sign [:]Smoke Detectors _Qty C1Transformers KVA C]Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
SPAIRS/MISCELLANEOUS
.-Replace Burnt/Damaged Meter Can III Safety Inspection IJ Panel Change [l 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 Phone Number
Electrical Company Office Phone z4�(-l 3 3 Fax
Co.Address: b CL c rU' c� 1V City tJ e—p State-a—Zip 3
License Holder(Print): a 1, NAA AS tate Certification/Registration# L �c� 1
Notar' er
MY COMMISSION#DD 957760 20�_
a. EXPIRES:February 14,2014 fore me this sem .day _
� Rf,• ` Bonded Thru Notary Public underwriters
amommm"wwwwwMgnature of Notary Pub '