1820 Mayport Rd #14 elec safety permit � �(Ir:L`JyJr
n, CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
�OR 0
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ELEC-2158
Job Type: ELECTRIC ONLY
Description: UNIT 14 - ELECTRIC SAFTEY
Estimated Value:
Issue Date: 9/26/2016
Expiration Date: 3/25/2017
PROPERTY ADDRESS:
Address: 1820 MAYPORT RD 1820, 1828
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: VALDAN ELECTRIC CO.
, EC13002670
Address: 338 19TH ST CIA DANIEL J GWIZDAK
Phone: -
FEES:
Electrical Repairs $35.00
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
14" CITY OF ATLANTIC BEACH
C) 800 Seminole Rd, Atlantic Beach, FL 32233
V(� � Ph(904)247-5826 Fax(904)247-5845 1(v -E(SEC- z (,c58
JOB ADDRESS: CJI (Jl LI 1r=�1: ,'G /s?"; 3.I Zj S PERMTT#
JEA INFORMATION REQUIRED ON ALL PERMITS ',1 r%, AMPS?4L VOLTS PHASE
,/ VALUE OF WORK$
NEW SERVICE LJ Overhead ❑ Underground ❑I Underground up Pole
❑Residential(Main)Service
00-100 amps 7101-t50amps ❑15I-200amps ❑ amps #of Meters
❑Commercial(Main)Service
00-100 amps 7101-150amps 11151-200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
❑0-100 amps E1101-150amps 11151-200amps ❑ amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100amps 0150amps 0200amps ❑ amps OCT 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
❑Swimming Pool ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change IOH 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 tone 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 my other state or local law regulation construction or the De ormance
construction. / ,. ^•.,, TONI GER
71(a-3 (oZ(� MVCWMISSICI1rrFFFF92451
Property Owners Name )G -- �l rut. 'ry hone N - EXPIRES:October s X19
,// /
Electrical Company VA//G`}'rt1 1L4L • /JC Office Phne ax
Co.Address: 3 Oi eO / /nl -S �'Y'�e.td— City `�' to fL Z j" eL.r
License Holder(Print): L- S Y State Certification/Registration# C-e-0,16zG /d
Notarized Signature ofLicense Molder
Myr Irsvrn9eB
�6PlaiFePt6s day of 0
EXPIRES:October 6,201911
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