1420 Mayport Rd # 3 2014 elec service CITY OF ATLANTIC BEACH
1 j 800 SEMINOLE ROAD
J :r ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000863 Date 5/28/14
Property Address . . . . . . 1420 MAYPORT RD
Tenant nbr, name . . . . . . UNIT #3
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
NEW COMMERCIAL OVERHEAD SVC 200AMP 240VOLTS 3PH
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Owner Contractor
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SPECIALTY MARINE & IND SUPPLY LIBERTY ELECTRICAL CONTRACTORS
POST OFFICE BOX 330478 PO BOX 8743
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32239
(904) 745-1850
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . 125 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 11/24/14
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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 125 . 00 125 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 129 . 00 129 . 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: � PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS _AMPS VOLTS PHASE
VALUE OF WORK$ 3
NEW SERVICE Overhead ❑ Underground ❑J Underground up Pole
❑Residential(Main)Service s #of Meters
��0-100 amps ❑101-150amps ❑151-200amps -amps
m1commercial(Main)Service
❑0-100 amps ❑101-150amps 0'151-200amps ❑ 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
OCT Service amps
❑
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-3 Damps 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 ❑ Sign Smoke Detectors_Qty ❑Transformers KVA Motors hp
❑ ❑
FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK$
Qty volts/amps
REPAIRS/MISCELLANEOUS
[-]Safety Inspection []Panel Change DOH to UG
❑Replace Burnt/Damaged Meter Can
❑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 � 5 :ems a r �- Phone Number 3 3 �3
Electrical Company ('6„V �r s Office Phone 'J V. J k� Fax S'off
Co.Address: � 7 � C K Q/ City , k&oAy� State Zip 3�I)
License Holder(Print): St t Certification/Registration#(512 CAO 122:'
Ll 13- O
Notarized Signature of License Holder
lay of 2
ore me this Q
•���y'••
JENNIFER WALKER �J
MY COMMISSION N FF 011480
.ny a EXPIRES:April 24,2017 gilature of Notary Public
Bonded Thru Notary Public Underxriters