Permit Elec Repairs 1945 Beach 2011 1 CITY OF ATLANTIC BEACH
1;... 'A*
t ) 800 SEMINOLE ROAD
t. � � ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5826
Application Number 11- 00001599 Date 1/26/11
Property Address 1945 BEACH AVE
Application type description ELECTRIC ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
REPLACE SERVICE CONDUIT & INSTALL HAND HOLE
Owner Contractor
MORGAN, WILLIAM ASHE ELECTRIC COMPANY, INC
1945 BEACH AVENUE 422 WEST 71ST STREET
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32208
(904) 813 -4126
Permit ELECTRICAL PERMIT
Additional desc . CHANGE OUT SERVICE CONDUIT
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: /fi�' sou--1- AVE PERMIT # / K.\ - 7/
NEW SERVICE ❑Overhead ❑ Underground ❑ Underground up Pole
❑ Residential (Main) Service
❑ 0 -100 amps ❑ 101 150amps ❑ 151- 200amps ❑ amps # of Meters
❑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 ❑200amps ❑ 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 ❑ Transformers KVA ❑ Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist)
Qty volts /amps VALUE OF WORK $
REPAIRS/MISCELLANEOUS Jl 41 W
R eplace Burnt/Damaged Meter Can ❑ Safety Inspection ❑ Panel Change ❑ OH to UG
❑ Other: 3 c C-il-uk C� co ,Avi, cc Neel 5 V 4 A- Acc,E1) / 1 Ng t. NO Ho �E ?6 TEA
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
Electrical Company '1 ear Ti/ - Co \� (. Office Phone 7(6 l
-3/ 3 Fax
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Co. Address: k2 L �/ 1 5 City `TA,( State F - Zip 3ZLo 1
License Holder (Print): 1 ► • I -' .. / ate Certification/Registration # 6 Q- (jot '5311
Notarized Signature o Lic• d • •14J'.II IbL ,
; ; � �" " COMM ON # oo s 41 {i • bscribed before e t is da of ' 20(
*: i ,, ; i MY EXPIRES: May 21, 2011 I: Y 20(
V. R s¢` Bonded 7YrtuNoteryPubllcUntlerw s ; tur : of Notary Public LLCLI