370 10th St 2013 elec service upgrade CITY OF ATLANTIC BEACH
s� 800 SEMINOLE ROAD
J
y ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00003620 Date 11/05/13
Property Address . . . . . . 370 10TH ST
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . RES SF DISTRICT
Application valuation . . . . 0
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Application desc
service upgrade
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Owner Contractor
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LA10TH
DAVID M RIVER CITY ELECTRIC
L
A 10TH V 2825 HOLLYBAY ROAD
ATLANTIC BEACH FL 32233 ORANGE PARK FL 32073
(904) 278-4904
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Permit ELECTRICAL PERMIT
Additional desc Plan Check Fee . 00
Permit Fee . . . . 105 . 00 0
Issue Date Valuation
Expiration Date . . 5/04/14
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Other Fees
STATE ELEC DCA SURCHARGE 2 . 00
STATE ELEC DBPR SURCHARGE 2 . 00
_ ________ ----
Fee summary Charged
Paid Credited ----Due- -
. 00
_ _ ----------
----- ----------
- . 00
Permit Fee Total 105 . 00 105 : 0000 00 . 00
Plan Check Total • 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00
Grand Total
109 . 00 109 . 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) 247-5845
.TOB ADDRESS: 3 7� �u � ��� PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS a 2_AMPS VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead Underground ❑T Underground up Pole
❑Residential(Main) Service
❑0-100 amps ❑101-150amps 51-200amps ❑ amps #of Meters
❑Commercial(Main) Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps 0 C Service amps
Conductor Type Size
❑Multi-Family(Main) Service ams # of Unit Meters
E10-100 amps [I101-150amps ❑151-200amps ❑ P
[]Temporary Pole ❑ amps
SERVICE UPGRADE �_-amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps ❑150amps ❑200amps ❑ amps ❑CT Service amps
❑
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
P
0-30am s 31A00amps 101-200amps
Appliances:
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS KVA ❑Motors hp
❑Swimming Pool [] Sign ❑Smoke Detectors_Qty ❑Transformers
FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK$
Qty volts/amps
REPAIRSIMISCELLANEOUS
[]Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑OH to UG
❑Other:
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 0 C ' La"� e Phone Number
Office Phoneme$�9 6 Fax
Electrical Company' �� � `'`-�` ` �`
a�a-� FUb City 0/(, - �fi StateZip
Co. Address: 25
License Holder(Print): o S Certi ication/Registration# �` ��
Not i r er ��
• ,pg 11y# Notary Public State of Florida o ubscribed before me this day of /y��-�"� 20
?° `; Kitty Cook
e My Commission EE148663
of p�°� Expires 01/15170`16 gnature of Notary Public