Permit Elec 2010 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 10-00001151 Date 9/20/10
Property Address . . . . . . 358 8TH ST
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
4 receptacles and wire range and water heater
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
IMPULSE ELECTRIC
4271 YVONNE TERRACE
MIDDLEBURG FL 32068
(904) 214-4225
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 67 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . - 3/19/11
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 67 . 00 67 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 67 . 00 67 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY Or ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERmrr APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233 .
Ph(904)247-5826 Fax (904) 247-5845
JOB ADDRESS: '3G76 PERmrr
NEW SERVICE FlOverhead F-1 Underground El Underground up Pole
OResidential(Main) Service
00-100 amps 0101-150amps 0 151-200amps 0 ___amps #of Meters
0 Commercial(Main) Service
0 0-100 amps 0101-150amps 0 151-200amps 0 -amps OCT Service amps
Conductor Type Size
OMulti-Family(Main) Service
00-100 amps 0101-150amps 0 151-200amps 0 __amps #of Unit Meters
OTemporary Pole 0 amps
SERVICE UPGRADE .0 __,amps 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100amps 0150amps 0200amps 0 _amps OCTService_amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: ___1_0-30amps 1-100amps _101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
0 Swimming Pool 0 Sign 0 Smoke Detectors_Qty 0 Transformers KVA 0 Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist)
Qty volts/amps VALUEOFWORK$
REPAIRS/MISCELLANEOUS
OReplace Bumt/Damaged Meter Can 0 Safety Inspection OPanel Change OOH to UG
XOther: (MzTAzV1__ W=g:4 IA_%�I Q g C-s- J2:v- goA� �- Lk�� ttz��/61OVe,: 7— !KLK
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 goveming 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 Phone Number
Electrical Company —Office Phone Z Fax
Co.Address: 4-zi I NcKj,�� City 0 11�>Lr---F�E� State 1� Zip
License Holder (Print): -7—. f��V -7 -iMate Certification/Registration A 1EK 1301 2!Wf-
Notarized Signature of License older f_tk6& V
I L q�e Ns �DZ da7.y,,6f 20-8-
EXPIA S:February 14,