41 Ardella rd 2013 safty t
'S, CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00003136 Date 7/24/13
Property Address . . . . . . 41 ARDELLA RD
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
sfety inspection
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Owner Contractor
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CHRISTY BRIAN JAX ELECTRICAL CONTRACTING INC
200 15TH ST 1839 LANE AVE #100; SUITE 110
JACKSONVILLE BEACH FL 32250 JACKSONVILLE FL 32210
(904) 483-8384
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 1/20/14
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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
II Ph(904)247-5826 Fax(904)247=5845
JoB ADDRESS: � � A r Jtic, K 6 ,X&Je &G Lt PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 2-00 AMPS Z'-fG VOLTS I PHASE
VAL UE OF TORE$ L c
NEW SERVICE Overhead ❑ Underground ❑T Underground up Pole
❑Residential 'n)Service
00-100 amps 0101-150amps 0151-200amps ❑ amps #of Meters
Commercial(Main)Service
1=10-100 amps ❑101-150amps ❑151-200amps ❑ amps ❑CT Service amps
Conductor Type Size
—,Multi-Family(Main)Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
l
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
uSwimming Pool ❑ Sign ❑Smoke Detectors Qty ❑Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Canafety Inspection ❑Panel Change DOH to UG
L Other: ( 6C 3 a /
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 !"e dW,e MA C ( Phone Number
Electrical Company cLx n e cfc l Cc.t Office Phone 'F93 8'3&-Y Fax
Co.Address: I$3q La."e h ve- ST E 110 City State O Zip 3 Zu 0
License Holder(Paint): P a n Q State Certification/Redstration#LA13o I N i;3
I'Vata ' ttir(.ti
Newry Pubk•sate of Ids, .�me this of d� of
;. My Comm.Expires Jun 27, -Y _20- -
Commission I EE 21179_
eoneee tluorron wtiaui Notary igtisg ture of Notary Publics
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