Permit Elec Repairs 1941/43 Beach 2011 r CITY OF ATLANTIC BEACH
�y 1
~- � �' !` : › ' 800 SEMINOLE ROAD
• . - -- ��> .� ATLANTIC BEACH, FL 32233
x,.,_ INSPECTION PHONE LINE 247 -5826
Application Number . . . . . 11- 00001598 Date 1/26/11
Property Address 1941 43 BEACH AVE
Application type description ELECTRIC ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
REPLACE 2 GANG METER CAN AND SERVICE REPAIR
Owner Contractor
MORGAN, WILLIAM ASHE ELECTRIC COMPANY, INC
220 EAST FORSYTH 422 WEST 71ST STREET
JACKSONVILLE FL 32202 JACKSONVILLE FL 32208
(904) 813 -4126
Permit ELECTRICAL PERMIT
Additional desc . CHANGE OUT METER CAN & REPAIRS
Permit Fee . . . 90.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 7/25/11
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
JOB ADDRESS: /9'W ek 0 PERMIT # 7 /- A 7 r
/ b ',"
NEW SERVICE AI Overhead ❑ Underground ❑ Underground up Pole
❑ Residential (Main) Service
❑ 0 -100 amps ❑ 101 150amps ❑ 151- 200amps ❑ amps # of Meters
❑Commercial (Main) Service
❑ 0 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps ❑ CT Service amps
Conductor Type Size
❑Multi- Family (Main) Service
❑ 0 -100 amps ❑ 101- 150 amp s ❑ 151- 200amps ❑ amps # of Unit Meters
❑ Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
❑ 100 amps ❑ 150amps ❑ 200amps ❑ amps ❑ CT 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 ❑ 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 Chan El OH to UG
❑ Other: 0�1. /1rc.l i.., -- c.m./u -�
Permit becomes void if work does not commence within a six mo work is sus en ded or r
P p abandone 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 /�
Electrical Company � '
�4C _ -13
(A/C , Office Phone /e (t ` A Fax
Co. Address: ( al./ - (J,S1 - 5114V City State Zip 37.2.0S
License Holder (Print): vAg „ i t _ is AC S ate Certification/Registration # - /30( )7/7
Notarized Signature of License Holde ifradtA 1 1 , ,
• •••• o EeoRAH a + n • sc before rte this C da , 11-- 20 �
i e k 0 -- MY COMMISSION # oas31 / ► A" /� day 7f
tiCC ti/C���� i
. `:< EXPIR N E S �PY a t a Notary Public R__ r Bo,