2329 Barefoot Trac 103 elec I, CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00003117 Date 7/22/13
Property Address . . . . . . 2329 BAREFOOT TRAC
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
OUTLETS SWITCHES REMODEL
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Owner Contractor
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HOSTO, MICHAEL D. RIVER CITY ELEC CONTRACTORS
2329 BAREFOOT TRACE 12496 GATELY OAKS LN E
ATLANTIC BEACH FL 322336604 JACKSONVILLE FL 32225
(904) 220-8216
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Permit ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 59 . 80 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 1/18/14
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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 59 . 80 59 . 80 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 63 . 80 63 . 80 . 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
y�Ph(904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: 2L� (� ,A e- 4 4- %/`Q��, PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS AO _AMPS 0,�V VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
[]Residential(Main) Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
[]Commercial(Main) Service
00-100 amps 1110 1-I 50amps ❑151-200amps L; amps ECT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps [110 1-I 50amps ❑151-200amps ❑ amps # of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 11200amps ❑ amps ❑CT Service amps
ADDITIONS,REMODELS REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 7T�-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)
Qty volts/amps VALUE OF WORK$ d r
REPAIRS/MISCELLANEOUS
El Replace Burnt/Damaged Meter Can ❑Safety Inspection []Panel Change I]OH to UG Cee/Z
thrtG O 2 Pte,S
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 Phone Number
i00,
Electrical Company a /�� AOffice Phone Fax
Co.Address: /oL q q gL `^ City State Zip 3 Zi ZS
License Holder(Print): : tate Cert ification/Registration# 4�iA� o/�/9 Z
Notarized Signature of License Holder Gc_— 00/79
s 2 da 0
0 SHIRLEY L.GRAHAM
2g
'Ay COMMIS
a EXPIREOS
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Bonded Th.Notary Nblic UntlenN m