1930 A Park St 2013 Elec Safety l
CITY OF ATLANTIC BEACH
ss�
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . 13-00002985 Date 7/02/13
Property Address . . . . . . 1930 PARK ST A
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
SAFETY
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Owner Contractor
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BEHNCKE JAMES A & HOLLY E-4 ELECTRIC, INC.
523 CRUISER LN 1247 BOCA GRANDE AVE
ATLANTIC BEACH FL 322334114 ATLANTIC BEACH FL 32233
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 12/29/13
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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 PLR.N11't'A_1*1rtJCA1'lON
Ci'r1'OF ATLANTIC B> ACH
800 Seminole Rd, ::Atlantis Beach, FL
Ph t40-1) 47-5%,,-6 Fax tN04)247-5:45
.TOB .ADDRESS:�� V—� T�tl�.[ K , a,na- /`'I _l' ERMIT tl
,IEA I FOR3IATION REQUIRED ON ALL PERINUTS _ AIMPS D VOLTS _ _ PHASE
VALVE OF"'ORA S _
NEW SERVICE JOverhead ❑ Undergroun6 Underground up 1'
Residential(Hain)Service-
0-100
ervice0-100 amps 101-150amps 151-20),imps amps 4 ofi'1Nctrrs
Commercial(Main)Service
0-100 amps 101-150amps . s 151-200atnps Fuups CT Service_ t
Conductor Type Size
Multi-Family(Main)Service
0-100 amps 101-I50amps 'I51-200amps amps #of Unit Meters
Temporary Pole amps
SERVICE UPGRADE amps Cf Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) ��() �(f �r5
100 amps 150amps 200amps gimps _'CT Service � amps L
ADDITIONS,REMODELS,REPAIRS BUILD-OUTS ACCESSORY STRUCTURES,ETC.
Outlets/Switches. 0-30amps 31=100amps 101-z0(h►mps
' Appliances: 0-30amps 31-100amps _101-2003111ps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits 7 kw
Number of Lighting Outlets, Including, Fixtures:
OTHER ELECTRICAL PROJECTS
Swimming Pool Sign Smoke Detectors_Qty ''Transformers _ _ KVA Motors. _hp
FIRE ALAR.tYl SYS, iM (Requires 3 sets of plans) J Y -
Qty volts/amps :9LUE OF lI'QRX i-c>
1 OC 13c� 5
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can ",Safety Inspection ]Panel Chance `OH to UG
Other:
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Permit becomes void if work does not commence within a six month period ur Nvork is suspended or abandoned for six munths, 1 hcrcby cvrtii} that 1 have
read this application and know the wane to be true and correct, All provisicns of linos,tnu ordinenties governing this work\trill be complied with�vhcthrr
specified or not. The permit does not give authority to violate the provisions of any other state or hall law rqul•ation construction or the performancc of
construction. 1
t t , 1" ;
Property Owners Name,_-___ fl � � - "` _ Phom Ntmibt'r_ µ_
Electrical Company jL'1.1U'1.__.10fl3CC., Pho?c
_o. Address: w __.. Sim, t �'
icense Holder (Print):
{l w C eriif cation/Registration 0
S
) -
fotarized Signature of Li older
�`-""'.� tiff�-�`� tj
ed f�t't c' illi' tl ....., .'� � .. ,..,._._.