Permit Elec 2010CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5826
Application Number . . . .
Property Address . . . . .
Application type description
Property Zoning . . . . . .
Application valuation . . .
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Application desc
WIRE FOR WATER HEATER
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Owner
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PEAKE LIVING TRUST
6842 ELM ST #303
MCLEAN VA 22101
10- 00001035 Date 8/20/10
356 8TH ST
ELECTRIC ONLY
TO BE UPDATED
0
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Contractor
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IMPULSE ELECTRIC
4271 YVONNE TERRACE
MIDDLEBURG FL 32068
(904) 214 -4225
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 57.00 Plan Check Fee .00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 2/16/11
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Fee summary Charged Paid Credited Due
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Permit Fee Total
Plan Check Total
Grand Total
57.00 57.00 .00 .00
.00 .00 .00 .00
57.00 57.00 .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
7 C� 800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247 -5826 Fax (904) 247 -5845
JOB ADDRESS: z k ! �� 1? - w S i •• PERMIT #
NEW SERVICE ❑Overhead ❑ Underground ❑ Underground up Pole
❑Residential (Main) Service
0 0 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps # ofMeters
❑Commercial (Main) Service
00 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi- Family (Main) Service
00 -100 amps ❑ 101- 150amps ❑ 151- 200amps 0 amps # of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
❑ 100 amps ❑ 150amps 0 200amps ❑ 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 0 Transformers KVA ❑ Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist)
Qty volts/amps VALUE OF WORK $
REPAIRS/MISCELLANEOUS
❑ Replace Burnt/Damaged Meter Can ❑ Safety Inspection ❑ Panel Change ❑ OH to UG
iAOther: g Ul 0 U-5 t g::El�
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 �--! /.cbs V` � -VEA-e'G Phone Number
Electrical Company Office Phone 2-« - 42 - 5j Fax
Co. Address: --Z-. 1 `� Vo - y jtE City k Jd5D tom 7 FU2; - - State' 0 L - Zip 3e
License Holder (Print): F 0 66 C 7 E &n0 ` State Certification/Registration # E g 3 2�76
Notarized Signature of License Holder
Sworn subscribed before me this day of
20
Signature of Notary Public