Permit Elec Svc to 3 phase 45 w 6th St 2011 el
t : CITY OF ATLANTIC BEACH
tr 4111WP;A - S1
T +
; j 800 SEMINOLE ROAD
, ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5826
P4 013. sfr
Application Number 11- 00001623 Date 2/02/11
Property Address 45 W 6TH ST
Application type description ELECTRIC ONLY
Property Zoning COM GENERAL DISTRICT
Application valuation . . . 0
Application desc
COMMERICAL 1 PHASE TO 3 PHASE
Owner Contractor
ATILLIO CERQUEIRO ALLSTATE ELECTRICAL CTR INC.
36 W. 6TH STREET P.O. BOX 550617
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32255
(904) 296 -2700
Permit ELECTRICAL PERMIT
Additional desc .
Permit Fee . . . 67.60 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 8/01/11
Other Fees STATE ELEC DCA SURCHARGE 2.00
STATE ELEC DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 67.60 67.60 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 71.60 71.60 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
31 11 '
1 4 ELECTRICAL PERMIT APPLICATION ‘9
CITY OF ATLANTIC BEACH 41
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247 -5826 Fax (904) 2247 -5845
OB ADDRESS: +5 , 14.)Q e. S- 01 1 tt ` Scr�c.\ ; 1: PERMIT #
JEW SERVICE 11 verhead 1 I 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 L ' 51- 200amps ❑ amps ❑ CT Service amps
Conductor Type PIN- wt Size tilt) 3 Q\
❑Multi - Family (Main) Service -
❑ 0 -100 amps ❑ 101- 150amps OI 1- 200amps ❑ amps # of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE C r'" - Z,VC ) amps ❑ CT Service amps t I1,
■EW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
❑ 100 amps ❑ 150amps ❑ 200amps ❑ amps ❑ CT Service amps
\DDITIONS, REMODELS, REPAIRS, BUILD -OUTS, ACCESSORY STRUCTURES, ETC.
Outlets /Switches: L 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:
ETHER ELECTRICAL PROJECTS
❑ Swimming Pool ❑ Sign ❑ Smoke Detectors Qty ❑ Transformers KVA 7.i Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist)
Qty volts /amps VALUE OF WORK $
i2EPAIRS /MISCELLANEOUS
❑ Replace Burnt /Damaged Meter Can ❑ Safety Inspection CrPanel Change ❑ OH to UG
❑ Other:
'ermit 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 1 have
ead 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
;pecified 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
: onstruction.
'roperty Owners Name - 0. $ Phone Number _
Llectrical Company 4 / „ k7Qt , ed i 4L .7. 1c 0 7J 0 . Office Phone Y -Z -i4 Fax t -414 35'7/
- 2o. Address: 7V” 3F/4/''y a. cit SC I4S:.,vA'1�,,, State ,c/ Zip
License Holder (Print): T O L. , I'ttz'vY►- s State Certification/Registration # 1/3
V azizedSisznature.o&Lirelasa. ito er
,. KATHY J. REDOING ?.-
`e -' �'m��
,
- l Notary Public - State of Florida worn and subscribed before me this ' � 1 day of 6 9
j 20 I
I. _ ,
,!, ' e My Comm. Expires Dec 9, 2012
„. , Commission a DD 814486 gnature of Notary Public ■
,,, , ff V Bonded Through National Notary Assn.