2021 Selva Madera Ct ac connect 2013 CITY OF ATLANTIC BEACH
l 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00002767 Date 5/31/13
Property Address . . . . . . 2021 SELVA MADERA CT
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
AC CONNECT /LIGHT IN ATTIC
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Owner Contractor
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BURBRIDGE, H CLINTON AMERICAN ELECTRICAL CONTRACTOR
2021 SELVA MADERA CT. 5065 ST. AUGUSTINE RD #13
ATLANTIC BEACH FL 322334531 JACKSONVILLE FL 32207
(904) 737-7770
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee 60 . 60 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 11/27/13
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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 60 . 60 60 . 60 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 64 . 60 64 . 60 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
From:American Electrical Contract 9047371099 05/30/2013 12:07 #386 P.001/001
II
ELECTRICAL PERMIT APPLICATION 4
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach,FL 32233
Ph (904) 247-5826 Fax (9104) 247-5845
JOB ADDRESS: C �� GCr 1� r' �� C�'� PERMIT#if
JEA INFORMATION REQUIRED ON ALL PERMITS 6--�?GC.'AMPS v7&/ /'VOLTS / PHASE
VALUE OF WORKS
NEW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up Pole
Residential(Main)Service
0-lOb amps ]O1-ISOamps 1151-200amps amps #of Meters
Commercial(Main)Service
')0-100 amps I_]101-150amps D,15 1-200amps .,!_amps -ICT Service amps
Conductor Type Size
Multi-Family(Main)Service
]0-100 amps .-?101-150amps 151-200amps amps #of Unit Meters
;Temporary Pole -7 amps
SERVICE UPGRADE amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps 1150amps F1200amps amps CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 1 0-3 Damps 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
I Swimming Pool ] Sign :I Smoke Detectors TQty !Transformers KVA -J Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can ,7 :;Safety Inspection+ ,.Panel Change I::IOH to UG
_-Other: �t"(16-1 b12
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. (� �j
Property Owners Name CGl 1 "� U ) ����--Phone Number !�' C2
G
Electrical Company American Electrical Contracting Inc. Office Phone 737-7770 Fax
Co.Address: 5065-3 St Augustine Road City Jax state FL Zip 32207
License Holder (Print}: Earl W Frick Stat _ ific tirRe" #ER0015316
Notarized Signature of License Holder
Sworn and subscribed before e thi � L d y of20�
NO�rY Public State of Florida
Anna M Daly Evlwy commisalon EE 8so7gp Signature of Notary Public
iroa 0112 017
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247-51826 Fax (904) 247-584L-q-
JOB ADDRESS: C �� U G( I i J U d�r�� PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITSC L AMPS o2yy VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
Residential(Main) Service
-10-100 amps 101-150amps ❑151-200amps 7 amps #of Meters
Commercial(Main) Service
0-100 amps '101-150amps ❑151-200amps amps --CT Service amps
Conductor Type Size
Multi-Family(Main) Service
0-100 amps I101-150amps ❑151-200amps amps #of Unit Meters
Temporary Pole amps
SERVICE UPGRADE I i amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
1100 amps ❑150amps _1200amps amps CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 1 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 f JSmoke Detectors_Qty r]Transformers KVA 1Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can El Safety Inspection !Panel Change ❑I OH to UG
Other: t�(� % h�,G-%7 — t�•C `�� !J/� l ' �7C /?� O'( ' Ir �ir <i
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 V' o�U ����- Phone Number ge
Electrical Company American Electrical Contracting, Inc. Office Phone 737-7770 Fax
Co. Address: 5065-3 St Augustine Road City J c State FL Zip 32207
License Holder (Print): Earl W Frick Stat ificati,pn/Re ' #ER0015316
Notarized Signature of License Holder
Sworn and subscribed before e thi _d y of 20
NO rY Public state of Florida
• Anna rission EE 850790
Daly
Y CommSignature of Notary Public
zPires 0 1/2 512 0 1 7