Permit Elec Safety 237 Sailfish Dr 2010 z - %
r ` CITY OF ATLANTIC BEACH
i - 800 SEMINOLE ROAD
U ATLANTIC BEACH, FL 32233
. INSPECTION PHONE LINE 247 -5826
Application Number 10- 00001309 Date 10/28/10
Property Address 237 SAILFISH DR
Application type description ELECTRIC ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
safety
Owner Contractor
CRAWFORD ELECTRIC
P.O. BOX 51045
JAX BEACH FL 32240
(904) 241 -5591
Permit ELECTRICAL PERMIT
Additional desc .
Permit Fee . . . 90.00 Plan Check Fee . .00
Issue Date Valuation . . 0
Expiration Date . . 4/26/11
Other Fees STATE ELEC DCA SURCHARGE 2.00
STATE ELEC DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 90.00 90.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 94.00 94.00 .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
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247 -5826 Fax (904) 247-5845 ' .. - 2 G�
JOB ADDRESS: s`2 2 7 ,✓�'; /1 0/ PERNIIT # /O ��J /
NEW SERVICE ❑ Overhead ❑ Underground ❑ Underground up Pole
DResidential (Main) Service
00 -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
❑ 0 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps # of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
❑ 100 amps ❑ 150amps 0200amps ❑ 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 ❑Transfonners 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 DOH to UG
DOther: S/a, (4 ?c/o ye ,' 41) t' .P4r Di CcJC r /71'
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 T-' 17r /4 /'J ` '' Phone Number
Electrical Company ( [', p,.111 aec A c Lc Office Phone ZYt- 7 ( Fax 27/ - 70 2 ?
Co. Address: 2.30 Jn0/rsh )o',.)1'' Or, *-4 City /p/4_ / -A State/ Zip .32.L
License Holder (Print): --lc' A ''`' � f,,,..,r,r l
State Certification/Registration- # f l 3 Dv') Z 6 5r
Notarized Signature of License Hold t �.1/ f" ,
Sworn' andl ubscribed befo - m: II IFy' i a ii �� -7 -��!� 20_
Ir Y C AMMISSI1'# DD 957760
' Signature of Notary Pub ' - � ��. '� R F �* '+*' -=
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