1830 Seminole Rd 2014 elec CITY OF ATLANTIC BEACH
t1
s f 800 SEMINOLE ROAD
r� ATLANTIC BEACH,FL 32233
J v INSPECTION PHONE LINE 247-5814
RM
Application Number . . . . . 14-00000330 Date 3/10/14
Property Address . . . . . . 1830 SEMINOLE RD
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
SWITCHES PLUGS ETC
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Owner Contractor
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GUARDIAN AMERICAN PROPERTIES ELECTRIC PLUS
1400 E OAKLAND PK BLVD STE 202 5358 LOSCO ROAD
FORT LAUDERDALE FL 33334 (904)CKSONVIL8289 FL 32257
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . . 00
Permit Fee 90 . 00 Plan Check Fee 0
Issue Date Valuation
Expiration Date 9/06/14
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STATE ELEC DCA SURCHARGE 2 . 00
Other Fees
STATE ELEC DBPR SURCHARGE 2 . 00
Fee summary Charged Paid Credited Due
_ _ ---------- ---------- ---- . --
Permit Fee Total 90 . 00 90 . 00 00 . 00
00 . 00
Plan Check Total . 00 . 00
4 . 00 4 . 00 . 00 . 00
Other Fee Total
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) 247-5845
JOB ADDRESS: ' C t>VVl t C) ' L' � PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS _a, CQ—AMPS '�LI(OVOLTS PHASE
VALUE OF WORK$�)
NEW SERVICE ❑ Overhead to Underground ❑T Underground up Pole
❑Residential(Main) Service
E10-100 amps ❑101-150amps ❑151-200amps []—amps #of Meters
❑Commercial(Main)Service
[10-100 amps ❑101-150amps ❑151-200amps -] amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps # of Unit Meters
[I Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps ❑200amps ❑ amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-l 00amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign []Smoke Detectors_Qty ❑Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK$
Qty volts/amps
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change 0 O to UG
❑Other:C�anq e plugs $ SW►+c�e5 , Ljq�+s JW LICE 1- vvtforaI�Re�ri'✓ 11'rCv ii
riod or work is suspended or abandoned for six months. I hereby certify that I have
Permit becomes void if work does not commence within a six month pe
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.
G v a rd c Y4 h of 1 C� Gl 1'1 Phone Number&q� ff ry� �
Property Owners Name 1p+
Electrical Company—E e C T C'1 C \ `U S N C Office Phone�al Fax
Co.Address:
535-7 Los- C v Rdl City �QX State'Fl zip 3;9s7
License Holder(Print): ✓ `r v State Certific tion/Registration#ER 130 l 5F
Notarized Signature of License Holder 21 Z1/—(DLI
WR Before me this �~day of �1/\ 20
REMOON N FF 011480pril 24,2017 Signature of Notary Publicry Publ'c Undenrt8ers