720 Bonita Road outlets elec 2013 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
Application Number . . . . . 13-00003178 Date 7/31/13
Property Address . . . . . . 720 BONITA RD
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
outlets switches
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
JEFFREY DANE UNITED ELECTRIC COMPANY OF
310 7TH ST JACKSONVILLE
ATLANTIC BEACH FL 322335434 5716 ST. AUGUSTINE ROAD
JACKSONVILLE FL 32207
(904) 731-4210
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 62 . 20 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 1/27/14
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00
STATE ELEC DBPR SURCHARGE 2 . 00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 62 . 20 62 . 20 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 66 . 20 66 . 20 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION 9 G 93
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 247-582{6 Fax (904) 247-5845
.TOB ADDRESS: � Z Q 3 0 n 1 +C' RPERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS . AMPS VOLTS PHASE
,VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
❑Residential(Main) Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main) Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps OCT 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
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 0200amps ❑ amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUIILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: _7 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: 3
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$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change OOH to UG
El other: A I SP Le k ti S ex ;J7�n) re
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 goveming 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 `_QG t rt e r e S Phone Number C-7 - -7 53
Electrical Company t CIP Office Phone-73 " V Z/f Fax-7 3)-S3 J/
Co.Address: 'J 114 S� hNcIySlinx— �� City State CL Zip 3dY 7
License Holder(Print)• �0 h" E-, for f (Tr S to Certification/Registration# E000003 V tl
Notarized Signature of License Holder �
=4 Y Piyy BRENDA K.GRIFFlN Sworn d subscribed before me this °) day of )IV 20,1-3
MY COMMISSION#DD 960892
EXPIRES:April 23,2014
P„ Bonded rnru Notary Public Underwriters Signature of Notary Public ��