Permit Elec Meter Can 1970 Beach 2011 a s CITY OF ATLANTIC BEACH
s) 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
'4 INSPECTION PHONE LINE 247 -5826
Application Number 11- 00001669 Date 2/10/11
Property Address 1970 BEACH AVE
Application type description ELECTRIC ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
CHANGE OUT METER CAN
Owner Contractor
HOWARD MARK S ET AL ALL SERVICE ELECTRIC GROUP
1970 BEACH AVENUE 1556 WHITLOCK AVE
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32211
Permit ELECTRICAL PERMIT
Additional desc . CHANGE OUT METER CAN
Permit Fee . . . 90.00 Plan Check Fee .00
Issue Date Valuation 0
Expiration Date . . 8/09/11
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.
1
) 7333
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH / / /
800 Seminole Rd, Atlantic Beach, FL 32233
JOB ADDRESS: I �Q i ` Ph (904) 247-5826 Fax (904) 247 -5845 3,3.3
U A It i I • a PERMIT #
NEW SERVICE L...1 � � - �^-
Overhead 0 Underground
❑Residential (Main) Service Underground up Pole
00 - 100 amps ❑ 101- 150amps ❑ 151- 200amps ❑
--- -_ IBS # of Meters
❑Commercial (Main) Service
00 -100 amps ❑ 1 01- 150amps ❑ 151 200amps ❑
Conductor Type ---- c ps OCT Service amps
Size
OMulti- Family (Main) Service
❑0 - 100 amps 0 101- 150amps 0 151- 200amps ❑
- - -�amPs # of Unit Meter
❑ Temporary Pole ❑ amps
SERVICE UPGRADE 0
- --_GPs * ❑ CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
❑ 100 amps ❑ 150amps 0200amps ❑ amps OCT Service
ADDITIONS, REMODELS, REPAIRS ads
OutleNS, REMODELS, , BUILD -OUTS, ACCESSORY STRUCTURES, ETC,
0- 30amps 31- 100amps _4 101- 200arnps
Appliances: 0-3 0am s
A/C Circuits: O- 60amps 31- 100amps 101- 200analas
Heat Circuits: p ----� 1- 100amps
Number of LightinOutlets,
circuits
Includ g Fixtures W
OTHER ELECTRICAL PROJECTS
Q Swimming Pool ❑ Sign ❑ Smoke Detectors
Qty ❑Tram formers I; VA ❑lVlotor ; h
FIRE ALARM SYSTEM (Requires (Requires 3 sets of plans & Fire Alarm Checklist)
Qty volts /amps VALUE OF WORK$
RE PAIRS/MISCELLANEOUS
keplace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change
O ❑QH to UCH
Other:
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 t at I have
read this application and know the same to be true and correct M provisions of laws and ordinances governing this work will be complied with vhether
specified or not The permit does s not give authority to violate the provisions of any other state or local law regulation construction or the pertorir ante of
construction. ,-,,� ��
Property Owners Name _�!-l�_Ll` !'
Phone Number
Electrical Company . � _
'c u / T Office Phone
Co. Address p f 556 � �'1 i -�- � c X' �i � � 1____F ax
r�. n t >P City U I j I State Zip 3
License Holder (Print): ,a • SU i l C �., — '-- ' V = 1 - ` --
State Certification Registration # 6 'c-060107(o
Notarized Signature of License Holder , , W
Sworn . subscribed before me this day f e 2C! f
MICHELE M. SPEAKER 0 ' � 5 -- _ 20
�T ,, MY COMMISSION # DD818431 �r
.. • EXPIRES: November 08, 2012 Si !II • • of Notary Public u
LR(bd tary - 800 Fl No Discount Assoc. Co . �S' �� - .
,17,7;6_