Permit 1886 Seminole Rd elec 2011 regrnd meter CITY
OF ATLANTIC BEACH
"P, 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 11-00001668 Date 2/10/11
Property Address . . . . . . 1886 SEMINOLE RD
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
reground service meter #26897881
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Owner Contractor
------------------------ ------------------------
WATSON ELECTRIC
4456 SUNBEAM RD #200
JACKSONVILLE FL 32257
(904) 899-6836
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . . ELEC REGROUND
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 8/09/11
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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 REACH 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: S�g-"17 1A10/e-:- izp - PERMIT#
NEW SERVICE Overhead El Underground El Underground up Pole
Eltesidential(Main) Service
110-100 amps Ll 10 1-I 50amps 0 151-200amps []_amps # of Meters
0 Commercial(Main) Service
00-100 amps 0 10 1-I 50amps 0 151-200amps D_amps OCT Service amps
Conductor Type Size
E]Multi-Family (Main) Service
00-100 amps 0 10 1-I 50amps E 151-200amps O_amps # of Unit Meters
El Temporary Pole 11 -amps
SERVICE UPGRADE 11 amps 11 CT Service amps
NEW FEEDER(ADDITIONS, ACCESSORY STRUCTURES, ETC.)
[1100amps E150amps [1200amps E1_arnps OCT Service amps
ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS, ACCESSORY STRUCTURES, ETC.
Outlets/Switches: 0-30amps 3 1-1 00amps 101-200amps
Appliances: 0-30amps 3 1-1 00amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
ESwiniming Pool 11 Sign El Smoke Detectors —Qty 0 Transformers KVA 0 Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
EiReplace Burnt/Damaged Meter Can El Safety Inspection E]Panel Change 11 OH to UG
)�Other: S4-2U—//eC_ C92 A--lyz- 15:0C
P,rmit 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 perfon-nance of
construction.
Property Owners Name - Wmo' 9L---0qtt:!:1 hone Number
Electrical Conipany rj-�' L--Zaffd 0 ffic e Phone 91�4:]("axq-,V-&2 — 7
r ' 3,z Z.5-7
City State L Zip
Co. Address: qY S(1 4 ilL 1QQ
License Holder (Print):Ric O- &zr State Certification/Registration# 0-- 130
Notarized Signature of License Holder
Sworn and subscribed befor e d4V - ..P-elf ! LO rt D .20
�ts
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Signature of Notary Public
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