1830 Sevilla Blvd # 209 panel chg elec CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
1
"J ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00002641 Date 5/09/13
Property Address . . . . . . 1830 SEVILLA BLVD UNIT 209
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
PANEL CHANGE
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Owner Contractor
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RABUCK LEON V & CECELIA MOORE ELECTRICAL CONT. , INC.
1830 SEVILLA #209 10526 CRAIG INDUSTRIAL DR
ATLANTIC BEACH FL 322335772 PO BOX 350579 JAX 32235
JACKSONVILLE FL 32225
(904) 645-6807
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Permit ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 11/05/13
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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 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 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) 247-58/26 Fax (904) 247-5845
.TOB ADDRESS: ���Q S�u':��� �I t/r/ 4� Gl�r/; ��� g PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground EDUnderground up Pole
❑Residential(Main) Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main) Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps [I CT Service amps
Conductor Type Size
❑Multi-Family(Main) Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
❑Temporary Pole []_amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 0200amps ❑ 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 ❑ Sign []Smoke Detectors_Qty ❑Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans&Fire Alarm Checklist)
Qty volts/amps VALUE OF WORK$
REPAIltS/NIISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection APanel Change E 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. / D
Property Owners Name �C,moo /� D eLc l� Phone Number
Electrical Company�pvl /`/PG'/ �'i c 8 / �Ai� �.�/c Office Phone5D4��Z�07 Fax/��6`����s7
Co. Address: 9dD &X �SOJ�7� City 'jg,- State%/ zip-?11
License Holder (Print): J 097 State Certification/Registration
Not i� iat ►tifjU66 e 0
Notary Public-State of FlorJ�da
'•: :• My Comm.Expires Aug25,2rn subscrid before e this�—day of20 �-3Commission EF ?!w76Bonded Through va ;'v Aature of Notary Public