Permit Elec 578 Beach Ave 2010 -F ATLANTIC BEACH
y 0
CIT SEMINOLE ROAD
800
-1 FL 32233
ATLANTIC BEAC'
INSPECTION pHONE LINE 247-5826
Date 10/22/10
10-00001290
Application Num3oer 578 BEACH AVE
Property Address ELECTRIC ONLY
Application type description To BE UPDATED
. 1g 0 ---------------
Property ZOn ] juatiOn -----------------------
Application va-------------------
-------------------
Application desc -----------------------
install PUMP circuit ----------------------
Contractor
------------------------
owner------------------- ELECTRIC PLUS
MOSELY STACY TRUSTEE 5358 LOSCO ROAD FL 32257
920 SORRENTO PL JACKSONVILLE
JOSEPH SCHERER FL 32207 ---------
JACKSONVILLE
------------------ - - - ELECTRICAL PERMIT . 00
Permit . . . CIRCUIT FOR PUMP plan Check Fee 0
Additional desc 59 . 00 Valuation
Permit Fee
issue Date 4/20/11 -------------------------
Expiration Date - - -------------------------- 2 . 00
------------------------- STATE ELEC DCA SURCHARGE 2 . 00
other Fees STATE ELEC DBPR SURCHARGE------------ --
---------------------------------- I d------Credited Due
------- Charged Pal ---------- ----------
Fee Summary ---- ---------- ---------- . 00 .00
------ --- -
Permit-Fee-Total 59 - 00 59 . 00 . 00 .00
. 00 . 00 . 00 .00
plan Check Total 4 . 00 4 . 00 .00
other Fee Total 63 - 00 63 . 00 . 00
Grand Total
PF,RMIT IS APPROVpD 0Njj,,W,4
ws. MOR04,VCr WITH
0
f
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
goo Seminole Rd,Atlantic Beach,FL 32233 .
Ph(904)247-5826 Fax(904)247-5-845
ERMIT
JOB ADDRESS: e(x C
NEW SERVICE Doverhead F-1 Underground M Underground u.p Pole
OResidential(Main) Service
oo-100 amps olol-150amps 0 151-200amps 0 --jamps #ofmeters
0 Commercial(Main) Service 0 CT Service amps
E10-100 amps Olol-150amps 0 151-200amps 0 _amps
Conductor Type Size
OMulti_Famfly(Main) Service #of Unit Meters
Oo-100 amps O101-150amps 0 151-200amps 0 --�Lmps
OTemporary Pole 0 -amps s 0 CT Service_amps
SERVICE UPGRADE --�alnp
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
Olooamps 0150amps 0200amps El --.amps OCT Service_amps
AIRS,BUIILD-OUTS,ACCESSORY STRUCTURES,ETC-
ADDITIONS,REMODELS,REP 31-100amps —101-200amps
Outlets/Switches: —0-30amps —31-100amps —101-200amps
Appliances: —0-30amps
A/C Circuits: —0-60amps 61-100amPs
Heat Circuits: # circuits
Number of Lighting Outlets including Fixtures,
OTHER ELECTRICAL PROJECTS oTransfon-ners KVA OMot0rS hP
OSwimmingpool OSign 0 Smoke Detectors—Qty
FIRE A ARM SYSTEM (Requires 3 sets of plans &Fire Alarm Checldist)
L--- VALUE OF WORK$
Qty_volts/amps
REPAIRS/MISCELLANEOUS 0 Safety inspection opanel Change OOH to UG
OReplace Burnt/Damaged Meter Can (CQ Ij
,;6ther: 2�L46VG�.
ertity that I have
ence within a six irionth period or work is suspended or abTndoned for six=- I hereby c
Permit becomes void if work does not comm ns and ordinances governing,,this work will be complied with whether
lication and know the same to be true and correct. All PrOvisiO of laws n or the performance of
read this app til is or local law regulation constructiO
specified or not The permit does not give authority to violate e prov ions of any other state
construction. Phone Number
Property owners Name
OfficeftoneZg���136_Fax---
Electrical Company e4r I C- - tat�F - ZiP-30'�AZ
- City-Tky" S L
Co.Address: 57 L-0!�&i U State Certification/Registration#01 QFA
License Holder (Print):
Notarized Signature of License Hol 20/'b
-- - ---- subsefibed efore e this d of
m� and
DEBORAH A.VA41TE
MY COMMISSION r DD'6341:;g ig ublic
e of Notary P
EXPIRES:May 21,2011
Bonded Thru NotAry Pubk Underwrfters