Permit 339 19th St 2011 elec reground CITY OF ATLANTIC BEACH
SS
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Wilt
Application Number . . . . . 11-00001866 Date 4/01/11
Property Address . . . . . . 339 19TH ST
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
reground
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Owner Contractor
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SCOTT AMERICAN ELECTRICAL CONTRACTOR
339 19TH STREET 5065 ST. AUGUSTINE RD #13
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207
(904) 737-7770
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . . REGROUND
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 9/28/11
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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 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: PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS Z-6�16) AMPS )VOLTS PHASE
VALUE OF WORK$
NEW SERVICE F-1 Overhead Underground ED Underground up Pole
Residential (Main) Service
10-100 amps 11 101-150amps I 51-200amps
amps #of Meters
!:Commercial(Main) Service
1 110-100 amps I-- 101-150amps 11 51-200amps amps CT Service amps
Conductor Type Size
1 Multi-Family(Main)Service
�0-100 amps 1110 1-1 50amps 1 1 51-200amps _amps #of Unit Meters
Temporary Pole 1 amps
SERVICE UPGRADE I !_amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
1-1100amps 11150amps � �200amps i _amps i 'CT 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 10 1-200amps
A/C Circuits: 0-60amps 61-1 00amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
i' �Swimming Pool � I Sign L i 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
I Replace Burnt/Damaged Meter Can I !Safety Inspection Panel Change '�OH to UG
I Other: Ll'l 'j,/
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 Companyyh;�P7-/'�-a n Fax
Co.Address: , 50 Llo 7 C i t' Z/2'/",/Atate/"/
License Holder (Print): .Z�Z a—) Sta erti ication/Registration#
Notarized Signature of License Holder An
C- V I -Z
Sworn and subscribed befor me t s da / — 20//
Signature of Notary Public