35 10th St 2013 elec panel chg CITY OF ATLANTIC BEA
=� iy 800 SEMINOLE-1#6
"?
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
!?J3 af'
Application Number . . . . . 13-00003722 Date 11/21/13
Property Address . . . . . . 35 10TH ST
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
-----------------------------------------
Application desc
panel change
----------------------------------------
Owner Contractor
--------------------
------------------------
GUNTHER ERIK ALBERT MARVIN' S ELECTRICAL SERVICS
1415 16TH ST APT 1 3770 ROGERO RD
MIAMI BEACH FL 331392145 JACKSONVILLE FL 32277
(904) 962-4254
----------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc . . PANEL CHANGE . 00
Permit Fee 90 . 00 Plan Check Fee .
Issue Date . . . Valuation 0
Expiration Date . . 5/20/14
----------------------------------------------------
Fee summary Charged Paid Credited Due
---------- ----------
Permit Fee Total 90 . 00 90 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 90 . 00 90 . 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
JOB ADDRESS: �� �� S -A/1,K �_ PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑l Underground up Pole
❑Residential(Main)Service
00-100 amps ❑101-150amps ❑151-200amps LI-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 ❑200amps ❑ amps 0 C Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-3 Damps 31-l 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 ❑ Sign ❑Smoke Detectors_Qty L Transformers KVA []Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK$
Qty volts/amps
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection anel Change DOH 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 Phone Number G
Electrical Company o��� F c�� r "'� 5 �� Office Phone 170 Y-W.2-WY Fax
Co.Address:? \ s'd,,4 C CA N Y City S 4 A's s jf"- State Zip 3 20 g),
License Holder(Print):
fn 0\ro �o,r�h tate e -fica io gistration# F C/3 0 S2 y�
Notarized Signature of License Holder
SHIRLEY L.GRAHAM Before me this Z-/ day of 8 1l 20
dY COMMISSION�I DD 95701
EXPIRES:February 14,?.014
" Bond edThruNnteryPublic Underwriters Signature of Notary Publi
Rf ,r _