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299 Atlantic Blvd # 2 elec 2014 1 , CITY OF ATLANTIC BEACH f 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 ELECTRICAL PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 14-ELEC-501 Job Type: ELECTRIC ONLY Description: 7 switches Estimated Value: Issue Date: 11/24/2014 Expiration Date: 5/23/2015 PROPERTY ADDRESS: Address: 299 ATLANTIC BLVD 2 RE Number: None GENERAL CONTRACTOR INFORMATION: Name: ELECTRICAL CONTRACTING TECH. Address: 6695 COLRAY CT STE 303 QA WILLIAM LINDSEY LEGLER Phone: - - FEES: State Elec DBPR Surcharge $2.00 State Elec DCA Surcharge $2.00 Lighting Outlets, Including Fixtures $4.20 Trade Permit Base Fee $55.00 Total Payments: $63.20 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach, FL 32233 qPh(904)247-5826 Fax(904) 247-5845 JOB ADDRESS: 1 4_1 Z4N 7 SC R1 11P 5VZ T tr 172- PERMIT # JEA INFORMATION REQUIRED ON ALL PERMITS YOO AMPS �d20��VOLTS PHASE VALUE OF WORK$ o?t 1 7S w NEW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up Pole []Residential(Main) Service ❑0-100 amps ❑101-150amps ❑151-200amps amps #of Meters ❑Commercial(Main) Service ❑0-100 amps 11101-1 50amps ❑151-200amps -1 amps [ICT Service amps Conductor Type Size ❑Multi-Family(Main)Service ❑0-100 amps 11101-1 50amps 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 ❑CT Service amps ADDITIONS,REMODELS REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: 27 0-30amps 31-100amps 101-200amps Appliances: _,3_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 Ll Swimming Pool ❑ Sign El Smoke Detectors_Qty El 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 ❑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. nn Property Owners Name 140o N L.,e- Vl'N,C Phone Number 9a y'5.3 y" 7.2 6 S Electrical Company fL,4e _rCG9t CoN71119 arrl,4 rNIjffice Phone 90y-292"2221 Fax gay 2y2-/98Y Co.Address: P6 13OX S 73 99 City A-MSOI► (ILa4l' State /�L Zip.322 y/ License Holder(Print): -ZLLI'/9/h Z' 'qZa State Certification/Registration# fe 000.20 6S Notarized Signature of License Holder TAMW L KEW Sworn and subscribed before me this day of k)0 UeVyN(D,Qr 20� Notary Pubfic,State of Florid' , / r -— • My Comm.Expires Dec.21,2017 Signature of Notary Public w v 'JA �, commission No.FF 86016 1 ,Electrical CODtrn TECHNOL0 M65 PO Box 57399,Jacksonville, FL 32241-7399 Phone: 904-292-2221 Fax: 904-292-1884 November 24, 2014 CITY OF ATLANTIC BEACH Building Department 800 Seminole Road Atlantic Beach, Florida 32233 Re: Authorization For Permit This letter serves as authorization for Shane Sheppard (employee of ECT) to sign and pull an Electrical Permit on my behalf. Please keep this letter on file in your office. If you have any questions or need additional information, please call. Sincerely, Zzi William L. Legler, EC 0002065 President \tk County of Clay State of Florida Sworn to and subscribed before by William L. Le ler who is personally known to me this a�A day of up d",- 2014. �� r-�D TAMN11f L KENT V _&At Nebry Pubic,Stab of Florida Notary Public f` MM Co"M Expku Dec.21,2011 My commission expires: December 21, 2017 Co"wnia:lon No.FF 88018