PERMIT 1655 BEACH AVE REPLACE CT METER 2011 I It
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 11-00001916 Date 4/11/11
Property Address . . . . . . 1655 BEACH AVE
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
------------------------------------------------- ---------------------------
Application desc
CT METER CAN REPAIRS
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
HAAS, ERIC CLAYTON' S ELECTRIC SERVICE INC
1655 BEACH AVE 367 SISCO ROAD
ATLANTIC BEACH FL 32233 PONONA PARK FL 32181
(386) 649-5434
------------------------------------------------- ---------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc . . REPLACE CT METER SCAN
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 10/08/11
----------------------------------------------------------------------------
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 5 26 Fax (904) 247-5845
JOB ADDRESS: PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VAL UE OF WORK$
NEW SERVICE El Overhead Ej Underground Underground up Pole
EIResidential(Main) Service
E10-100 amps 11 101-150amps 11 151-200amps 11 amps of Meters
El Commercial(Main) Service
110-100 amps 11101-1 50amps E 151-200amps amps [I CT Service amps
Conductor Type Size
[]Multi-Family(Main) Service
E10-100 amps 1110 1-15 Oamps 11 151-200amps 11 amps of Unit Meters
El Temporary Pole []_______mps
SERVICE UPGRADE amps El CT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
11100amps L1150amps [1200amps El amps 11CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 10 1-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-1 00amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
11 Swimming Pool 11 Sign El Smoke Detectors_Qty El Transformers KVA EMotors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans&Fire Alarm Checklist)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
El Replace Burtit/Damaged Meter Can El Safety Inspection []Panel Change El OH to UG
X/0'ther:
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 KI k 0�0,11 1�5 Z:16t��V_ C, -r Offi Phone Fax
Co.Address: city
License Holder (Print): I State Certification/Registration#�2_s0nq1'4Z
Notarized i --ture of License Holder
SHIRLEY L.NGMW ai -7
MMISSIO bele�rs 20�)
MY co subscribed em
EXPIRES:Febwafy 14,2014
ofNotaryPubJic , n C_>__�