710 Cavalla Rd Elec Safety 2013 CITY OF ATLANTIC BEACH
i f 800 SEMINOLE ROAD
r� ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
13-00003614 Date 11/04/13
Application Number 710 CAVALLA RD
Property Address . . . . . .
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . 0
---------------------------
Application desc
safety
--------------------------
Contractor
Owner
--------
JP MORGAN CHASE BANK ASSOC P.O. BO ELECTRIC
7255 BAYMEADOWS WY P.O. BOX 51045
JACKSONVILLE FL 32256 JACKSONVILLE BEACH FL 32240
(904) 241-5591
----- ----
Permit
ELECTRICAL PERMIT
Additional desc • Plan Check Fee . 00
Permit Fee . . . . 90 . 00 0
Valuation •
Issue Date • • • ' 5/03/14
Expiration Date
-----------------------------------------------------------
---------- 2 . 00
Other Fees STATE ELEC DCA SURCHARGE 2 00
STATE ELEC DBPR SURCHARGE
-------------
------------------------Char ed
Paid Credited
Fee summary g ----Due---
--------- -----90 . 0 . 00
Permit Fee Total 90 . 00 90 . 00. 00 . 00. 00 . 00
Plan Check Total 400 . 00 . 00
.
Other Fee Total 4 . 00 00 . 00
Grand Total 94 . 00 94 . 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)247-5845
JOB ADDRESS: ,l� At 2a L(Gt. /�L PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS �Z Kp 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
❑0-100 amps E1101-150amps 0151-200amps a amps -ICT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
❑0-100 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 0C Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-3 Damps 31-1 00amps 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 [I Smoke Detectors_Qty ❑Transformers KVA [I Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK$
Qty volts/amps
REPAIRS/MISCELLANEOUS
El Replace Burnt/Damaged Meter Can ❑Safety Inspection []Panel Change [j OH to UG
❑Other: s /� D
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 , lrr�G .,c� lad Phone Number
Electrical Company 6.�,Zc��iy _Office Phone 22',1- S" t Fax Z l 903
Co.Address: )-3 �l /19n✓� ✓�1 City State�Zip 3�
License Holder(Print): -J',0,40 9 (211l State Certification/Registration#�C
Notarized Signature o Lic : lder
P SHIRLEY L GRAHAM 0
efore me this d o
exc ,
-0,y COMMISSION#DD 957760
a t(PIKES:February 14,?014
8f t endedThruNntaryPublicUnderwriters ignature of Notary P 1