1750 SELVA MARINA DR - ELECTRIC rj
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s, CITY OF ATLANTIC BEACH
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r.L,.... l 800 SEMINOLE ROAD
r ATLANTIC BEACH, FL 32233
KV\ INSPECTION PHONE LINE 247-5814
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ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ELEC-1846
Job Type: ELECTRIC ONLY
Description: remodel 40 outlets/switches; 25 outlets/fixtures
Estimated Value: $800.00
Issue Date: 8/15/2016
Expiration Date: 2/11/2017
PROPERTY ADDRESS:
Address: 1750 SELVA MARINA DR
RE Number: 172008-0000
PROPERTY OWNER:
Name: ONDREJICKA, JOHN A
Address: 1750 SELVA MARINA DR
GENERAL CONTRACTOR INFORMATION:
Name: HAPPY CAT ELECTRIC INC.
Address: 3787 CATANIA PL JACKSONVILLE, FL
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Lighting Outlets. Including Fixtures $15.00
Trade Permit Base Fee $55.00
Total Payments: $74.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH II ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: \-1 CO S c_A oi. \KA. r: n 3 d , ., L PERMIT# O trak`— (i`110
JEA INFORMATION REQUIRED ON ALL PERMITS 2.0 0 AMPS 12OIZ`tc VOLTS I PHASE
VALUE OF WORK$ O QQ v° 'oO
NEW SERVICE ❑ Overhead ❑ Underground I v Underground up Pole
Residential (Main) Service s # of Meters
0-100 amps 101-150amps 151-200amps amps
Commercial(Main) Service
0-100 amps 101-150amps 151-200amps amps CT Service amps
Conductor Type Size
_Multi-Family(Main)Service
i 0-100 amps 101-150amps 151-200amps amps # of Unit Meters
Temporary Pole amps
1 SERVICE UPGRADE amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps 150amps 200amps amps .CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 40 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: ZS—
OTHER
SOTHER ELECTRICAL PROJECTS Transformers KVA Motors hp
Swimming Pool Sign Smoke Detectors_Qty
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:
simm.
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 may F80 vtcl/la�,�.ff
�/►' Phone Number -7 t(l `47 3 4
Electrical Company WqM CA..-\- Z\LC z_ Office Phone 7\e0-LV 3`k Fax 239 -3 ora
(� '([� Staten Zip?ZZ Z(-/
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Co. Address: 3 7 7
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License Holder(Print): 1Z-012L. 'se- � State Certification/Registration# �
Ni-a. ,, , .• , - . • ' . , , ,e
;`o 0"Y°O�i% ANGELICA SAN MIGUEL ��� dayof t+� k 20_I(�
r• worn and subscribed before m�this i` S
• , •: Notary Public-State of Florida
,• �-My Comm.Expins Oct20,2017 i
'oEo�na;.`. Commission I FF 011129 ignature of Notary Public