Permit 100 W 1st St CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 10-00001374 Date 11/12/10
Property Address . . . . . . 100 W 1ST ST #1-5
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
replaced meter can
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Owner Contractor
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WATCH CARE, INC. JAGUAR ELECTRIC
100 WEST 1ST ST.#1-5 P 0 BOX 7748
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32238
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Permit ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 5/11/11
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Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00
STATE ELEC DBPR SURCHARGE 2 . 00
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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) 247-5-845, .
JOBADDRESS: PERmrr
NEW SERVICE 1(4��v r�eeead Underground El Underground up Pole
OResidentia a Z
00-100 amps 0101-150amps 0 151-200amps 0 _____ampS 4 of meters
OCommercial(Main) Service
00-100 amps 0101-150amps 0 151-200amps OCT Service amps
ConductorType fj��r,_,o
Size
OMultii-Family(Main) Service
00-100 amps 0101-150amps 0 151-200amps 0 ___amps. 4 of Unit Meters
OTemporary Pole 0 amps
SERVICE UPGRADE O__amps 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100amps 0150amps 0200amps 0 __.amps OCT Service_amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 3 1-I 00amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: 4 circuits
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
OSwimmingPool OSign 0 Smoke Detectors_Qty OTransfon-ners KVA 0 Motors
FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist)
Qty volts/amps VALUEOFWORK$
REPAIRSAIISCELLANEOUS
,XReplace Bumt/Damaged Meter Can 0 Safety Inspection OPanel Change OOH to UG
00ther:
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 Phone Number 2�Z
Electrical Comp (f. Office Phone 2_�)5`5:5_5 Fax-5,27e'
Co.Address:ZC3�_' city
2�7- State zip'��-z�_-�
/(::7
-tification/Registration 9,4EL o00-9
License Holder (Print): ZZI-5- /��&ateCei
Notarized Signature of License Ho1der_____7__1�_:_
S SO s day 20d
PIPES-Febaia 14,201
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