1197 Mayport Rd Unit 1193 2013 elec safetyCITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00002563 Date 4/29/13
Property Address . . . . . . 1197 MAYPORT RD
Tenant nbr, name . . . . . . UNIT 1193
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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PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Contractor
Owner
------------------------
------------------------
LORE ELECTRICAL CONTRACTORS
SAFAR, ANTON
210 N. ROSCOE BLVD
6949 LA LOMA DR
JACKSONVILLE
FL 322172668
RA
27D31143ACH
FL 32082
904E
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Permit . . . . .
. ELECTRICAL
PERMIT
Additional desc .
90.00
Plan Check Fee .
.00
Permit Fee
Valuation . . . .
0
Issue Date . . .
.
Expiration Date
10/26/13
STATE ELEC DCA SURCHARGE
2.0
Other Fees
STATE ELEC DBPR SURCHARGE
2.00
Charged
Paid Credited
Due
Fee summary
----------
Permit Fee Total
90.00
90.00
Plan Check Total
.00
.00 .00
00
.00
Other Fee Total
4.00
4.00 .00
.00
Grand Total
94.00
94.00
.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
j 2 Ph (904 247-582 Fax (904) 247-5845
JOB ADDRESS: M �P
PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS 2 -OD AMPS l lv 2 VOLTS PHASE
NEW SERVICE ❑ Overhead
Residential (Main) Service
_.0-100 amps [110 1 - I 50amps
Commercial (Main) Service
0-100 amps U 101-150amps
Conductor Type
Multi -Family (Main) Service
0-100 amps C! 101-150amps
Temporary Pole 1 amps
SERVICE UPGRADE
VALUE OF WORK S
❑ Underground ❑1 Underground up Pole
U 151-200amps U! amps # of Meters
U 151-200amps E amps -i CT Service amps
Size
[I 151-200amps amps # of Unit Meters
i I amps i CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
Ui 100 amps U 150amps [ !200amps _1 amps !-;CT Service amps
ADDITIONS, REMODELS, REPAIRS, BUILD -OUTS, ACCESSORY STRUCTURES, ETC.
Outlets/Switches: 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:
OTHER ELECTRICAL PROJECTS
Swimming Pool 0 Sign L! Smoke Detectors _Qty C1 Transformers KVA C.]Motors
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK $
REPAIRS/MISCELLANEOUS
`Replace Burnt/Damaged Meter Can N Safety Inspection IPanel Change f IOH to UG
;__ Other:
hp
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
Electrical Company
Co. Address:
License Holder (Print):
Notarized SignalM
Phone Number
j Fax 3
StateW Zip �� 2
20
# E2 OLO HOZ6