1515 selva marina Dr 2013 regrd elec 11CITY OF ATLANTIC BEACH
1
J 800 SEMINOLE ROAD
ATLANTIC BEACH FL 32233
INSPECTION PHONE LINE 247-5814
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Application Number . . . . . 13-00003270 Date 8/26/13
Property Address . . . . . . 1515 SELVA MARINA DR
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
reground service
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Owner Contractor
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LESTER, FRANCIS A AMERICAN ELECTRICAL CONTRACTOR
1515 SELVA MARINA DR 5065 ST. AUGUSTINE RD L 3
ATLANTIC BEACH FL 322335613 JACKSONVILLE FL 32207
(904) 737-7770
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . . . 00
Permit Fee . . . . 90 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 2/22/14
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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
Ph(904) 247-5826 Fax (904) 247-58
JOB ADDRESS: �/ �'%/'�Cc 45 PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS C 'CAMPS �\VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑J Underground up Pole
u Residential(Main) Service
0-100 amps 101-150amps L,151-200amps amps #of Meters
[]Commercial(Main) Service
00-100 amps 101-150amps I i 151-200amps amps CT Service amps
Conductor Type Size
F-Multi-Family(Main) Service
0-100 amps a 101-150amps 151-200amps amps #of Unit Meters
Temporary Pole i amps
SERVICE UPGRADE amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
1 100 amps 1150amps I200amps amps OCT 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
Swimming Pool I Sign Smoke Detectors_Qty ' ITransformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK$
Qty volts/amps
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can ❑Sa//fety I__nsrrpection ❑Panel Change JOH to UG
Other: r (.,' (_1 C t
commence within a six month period or work is suspended or abandoned for six months I hereby certify that I have
Permit becomes void if work does not coin P
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 C
�Z, A
Property Owners Name Phone Number 7 7
Electrical Company / n
Co. Address: S 09P City State�-'L Zi�
License Holder (Print): tate cation/Registration# �1Z�0�5y
N lder
? Anna MuDaly State of Honda Sworn and subscribed be re me is��day of
Notary blic 57 y20 hj
p< My commission EE 850790
X,F�,d'' Expires 01125/2017 Signature of Notary Pub is