398 Sherry Dr elec 2012 (2) TY `1
imo;
, . 7e)„ CITY OF ATLANTIC BEACH
J 800 SEMINOLE ROAD
-r ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
JF319�'
Application Number 12-00001725 Date 11/20/12
Property Address 398 SHERRY DR
Application type description ELECTRIC ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
kitchen remodel
Owner Contractor
EVANS, ANN SEKAY TRUST INFINITY ELECTRICAL CONTRACTNG
14701 MARSHVIEW DR 281 HORSETAIL AVE
JAX BEACH FL 322502063 MIDDLEBURG FL 32068
(904) 535-0507
Permit ELECTRICAL PERMIT
Additional desc . Plan Check Fee . 00
Permit Fee . . . . 61 . 20 0
Issue Date . . . . Valuation . . .
Expiration Date . . 5/19/13
Other Fees STATE ELEC DCA SURCHARGE 2 . 00
STATE ELEC DBPR SURCHARGE 2 . 00
Fee summary Charged Paid Credited Due
Permit Fee Total 61 . 20 61 . 20 . 00 . 00. 00 . 00
Plan Check Total . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00
Grand Total
65 . 20 65 . 20 . 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: 3 l G 8 s�t R/ t — PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑i Underground up Pole
❑Residential (Main)Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main)Service
❑0-100 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 OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: C 0-30amps 31-100amps 101-200amps
Appliances: ( 0-30amps I 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 ❑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 (i Lc t S Tr L c' Phone Number 6704-333- 4 3 oS
Electrical Company .ivr/s4.14y CLEGk cc cx"J Co -1,-- Office Phone y-s'ss-oso7 Fax
Co.Address: 7g2G le04.o rvS e City TcKso.wt«t State f Zip g20/0
License Holder(Print): State Certification/Registration#Eg't3n1 ?65
Notarized Signature of License Holder
Sworn and subscribed .ef.� r me thi. A day of d J 20(2
Signature of Notary Pu h . tillATIL—__-
6 33603( 'C71/6 2 - 0