Permit Elec Repairs Tennis Court 1600 Selva Marina Dr 2010 '% , f 1 44.L`JfJi ..
y' . CITY OF ATLANTIC BEACH
tl� 800 SEMINOLE R
� 57) ATLANTIC BEACH, FL 32233
} INS PHONE LINE 247 -5826
1 ' 4 vita9t
10- 00001429 Date 12/02/10
Application Number 1600 SELVA MARINA DR
Property Address
Application type description ELECTRIC ONLY
Property Zoning TO BE UPDATED
0
Application valuation . . •
Application desc
repair weather head at tennis courts
Contractor
Owner
C /CLUB, SELVA MARINA AMERICAN ELECTRICAL CONTRACTOR
1600 SELVA MARINA DR. 5065 ST. AUGUSTINE RD #13
JACKSONVILLE FL 32207
FL 32233
ATLANTIC BEACH (904) 737 -7770
Permit ELECTRICAL PERMIT
Additional desc . Plan Check Fee 00
Permit Fee . . • • 90.00 0
Valuation
Issue Date
Expiration Date . 5/31/11
STATE ELEC DCA SURCHARGE 2.00
Other Fees STATE ELEC DBPR SURCHARGE 2.00
g
Fee summary
Charged Paid Credited Due
Permit Fee Total
90.00 90.00 .00 .00
Plan Check Total .00 .00 .00 .00
.00 .00
Other Fee Total 4.00 .00 .00
Grand Total 94.00 94.00
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
rZ P . (904) 247 -5826 ax (904) 247 -5 :45
/ 4U�.- C/ " j/7/rni -, AP /Gee, PERMIT # Jos ADDRESS: �'
Underground ❑Underground up Pole
Under
NEW SERVICE ❑.Overhead ❑ g
0 Residential (Main) Service amps # of Meters
00 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑___
CI Commercial (Main) Service Service — amps
00 -100 amps ❑ 101- 150amps El c
151- 200amps ❑ —p
Conductor Type Size
❑Multi - Family (Main) Service El c p s # of Unit Meters
[10-100 amps 0101- 150amps 0 151- 200amps
❑Temporary Pole ❑ a amps amps CI CT Service amps SERVICE UPGRADE
.)
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC CT Service GPs
❑ 100 amps ❑ 150amps 0200amps DI amps
ADDITIONS, REMODELS, REPAIRS, BOLD-OUTS, ACCESSORY O 200 , ETC.
Outlets /Switches: 0- 30amps 31 1 P 101- 200amps
Appliances: 0- 30amps 31- 100amps
p
A/C Circuits:
0 -60am s 61- 100amps
Heat Circuits: # circuits @kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS ❑Transformers __ ___ KVA ❑Motors hp
❑ Swimming Pool CI Sign ❑ Smoke Detectors Qty
FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist)
Qt volts /amps VALUE OF WORK $
REPAIRS/MISCELLANEOUS ❑Safet Inspection ❑Panel Ch. ge CI OH to G
`
❑Replace Burnt/Damaged Meter Can Y � p / �'� �,. Vi i
❑ Other: %,. _ - ' _ r '� - /_ _
ions of laws and ordinances governing this work will be complied with whether
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 and All pr o
specified or not. The permit does not authority give authorihors ty to o violate the provisions of any other state or local law regulation construction or the performance of
construction. i / e Number a kh
,
Property Owners Name ■� ' , - ' ii / .` • ff c Phone 5 Fax e Electrical Compan ; '�� �� all - / / I
� State
�" c . �' A IJJTfne '• Ci t ,fit .1 1/ Zip
Co. Address:- � / J 1 y �.���
/ Stat * , if • ation/Registration #
License Holder (Print): A l _ ' '�
tcense Molder � /
Notc{/'tzec� . �� `� 20/Z2 ' 1 Gomm# 000854314 day of
1 a•Vp�q• S • rn and subscribed befor e this i� Y
_� Expires 1/25/2013 Ader.M.:
� i 0 ivotaT Ags "� Signature of Notary Publi s/
; y o.... u+ aiY .i.iWsiiY�.�t�i�i�wW•Gii.n.n ii .._ ,r�'