Permit Elec sc to 300 amps 300 5th St 2011 1 :1 4 irl
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Al f CITY OF ATLANTIC BEACH
, 800 SEMINOLE ROAD
'%� = ATLANTIC BEACH, FL 32233
"` INSPECTION PHONE LINE 247 -5814
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Application Number 11- 00002227 Date 6/17/11
Property Address 300 5TH ST
Application type description ELECTRIC ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 2400
Application desc
INCREASE TO 300 AMPS, OH TO UG
Owner Contractor
JERNAGAN LOUIS R III& WELLS H. MUNSON & BRYAN ELECTRICAL CO.
300 5TH STREET 3434 ST.AUGUSTINE RD
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207
(904) 396 -6689
Permit ELECTRICAL PERMIT
Additional desc . SVC INCREASE TO 300 AMP UG
Permit Fee . . . 180.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 12/14/11
Special Notes and Comments
OLD ADDRESS 450 EAST COAST DRIVE ON
PROPERTY APPRAISER WEBSITE
Other Fees STATE ELEC DCA SURCHARGE 2.70
STATE ELEC DBPR SURCHARGE 2.70
Fee summary Charged Paid Credited Due
Permit Fee Total 180.00 180.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 5.40 5.40 .00 .00
Grand Total 185.40 185.40 .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 �7
JOB ADDRESS: Son }-�..e - PERMIT # il 21-2
l20
JEA INFORMATION REQUIRED ON ALL PERMITS 30 0 AMPS /e--LtkD VOLTS ( PHASE
VALUE OF WORK $ ?t& 0.• CP
NEW SE #VICE ❑ Overhead Pf Underground 'Underground up Pole
Residential (Main) Service
❑O -100 amps ❑ 101- 150amps ❑ 151- 200amps lk amps # of Meters
E Commercial (Main) Service ,—
L10-100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps ❑CT Service amps
Conductor Type Size
Li Multi- Family (Main) Service
❑0 -100 amps ❑ 101- 150amps '_1 151- 200amps ❑ amps # of Unit Meters
'❑ Temporary Pole ❑ amps
SERVICE UPGRADE /j0 amps ❑ CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
❑ 100 amps ❑ 150amps ❑200amps [1 amps ❑CT Service amps
ADDITIONS, REMODELS, REPAIRS, BUILD -OUTS, ACCESSORY STRUCTURES, ETC.
Outlets /Switches: 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: /'
OTHER ELECTRICAL PROJECTS
11 Swimming Pool 1 Sign ❑ Smoke Detectors Qty ❑ Transformers KVA i=1 Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist)
Qty volts /amps VALUE OF WORK $
REPAIRS/MISCELLANEOUS
❑' R, / eeplace Burnt/Damaged Meter Can 1J Safety Inspection ❑ Panel Chang ❑ OH to UG
L &ner: - t'J ; c -- - c - t° C E Fro (Y• 2. Pr - ' .-- 1 o O Pc ' tJ/ op `4 Q C ?p La-
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 u IQ, 5e„` ^askOc-s- Phone Number 1.-- V1- 5 -1.5,1
Electrical Company Ord um `,jo,.. -i— C r yc tJ c mss. -k Office Phone 1 b (o6 � ci rt. Fax 3$0 1 / 3b
Co. Address: 39 3 1 . - } 51 - Phi (ru ST1 N-e- (Z-040 City - 4-X, State c� Zip 32-2 o 7
License Holder (Print): �oh,o Sc AzA , rr..) : tate Cep, cation/Registration #
I '
N .tarized Signature of License Holder -- ;_
x. JOSEPH GUY CAUCHON
_. r . Commission # EE 077677 Swop` ° and subscribed before me this 1 7 day of -- u NI-P._ 20
1, --r ° Expires July 16, 2015
,nr ' banded Th^u Troy fain Insurance 800.386&7o,6 Signature of Notary Public _ Ezcz .4l .6 wn c.k.. -,