196 Seminole Rd 2014 elec for ac CITY OF ATLANTIC BEACH
ss�
800 SEMINOLE ROAD
J
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000903 Date 6/04/14
Property Address . . . . . . 196 SEMINOLE RD
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
--------------------------------------
Application desc
for ac
--------------------------------------
Owner Contractor
--------------
------------------------
KRITSKY, ERIC M R & R ELECTRIC COMPANY
196 SEMINOLE ROAD P.O. BOX 60665
ATLANTIC BEACH FL 32233 (904) 0 68-6166 LE FL 32236
-- -------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc . • Plan Check Fee . 00
Permit Fee . . . . 57 . 00 0
Issue Date . . . Valuation
Expiration Date 12/01/14
---------------------
00
Other Fees
STATE ELEC DCA SURCHARGE 2 •
STATE ELEC DBPR SURCHARGE 2 . 00
Fee summary Charged Paid Credited Due
----------
Permit Fee Total 57 . 00 57 . 00
Plan Check Total . 00 . 00 . 00 . 00
00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 61 . 00 61 . 00
PERMIT IS APPROVED ONL1' IN ACCORDANCE WITH AL1, 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(( �J'Fax 2147-58455n 3} 3 3
JOB ADDRESS: ("G"� S.�, ��,,�_R11` '1 la-�f� 9d,— PERMIT
#
^T
JEA INFORMATION REQUIRED ON ALL PERMITS /.SD AMPS NO VOLTS PHASE
VALUE OF WORK$/S/5 CLI?
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
❑Residential(Main)Service
❑0-100 amps ❑101-150amps Li151-200amps amps #of Meters
❑Commercial(Main) Service
E10-100 amps El101-150amps ❑151-200amps amps ❑CT Service amps
Conductor Type Size
[]Multi-Family(Main)Service
00-100 amps ❑101-150amps 151-200amps []—amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 11200amps ❑ amps ❑CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
[I Swimming Pool Sign El Smoke Detectors_Qty ❑Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans&Fire Alarm Checklist) VALUE OF WORK$
Qty volts/amps
REPAIRS/MISCELLANEOUS
7—Replace Burnt/Damaged Meter�Can El Safety Inspection ❑Panel Change OH to UG
Other: YCak r Ch
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. (( (' i f
Property Owners Name ��l Phone Number
Electrical Company �Gnd 7 Office Phone 1�� —f. max
Co.Address:
(p City 7e 01 tf1 State . Zip 3 e2d2A
License Holder(Print): 'r Sta Certification/Registration# 000b1319
Notarized Signature of License Holder 'r ,
osaRY KATHY L."LEY Sworn and subscribed before me this 1 day f U 1 ' 20/1
MY COMMISSION#EE 198478
EXPIRES:May 20,2016
Signature of Notary Public
r9lFOF F`�o7 Bonded Thru Budget Notary Ser*09