Permit Elec Pump Circuit 1752 Sea oats 2011 1 . CITY OF ATLANTIC BEACH
. - 800 SEMINOLE ROAD
J X. ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
Application Number 11- 00002362 Date 7/19/11
Property Address 1752 SEA OATS DR
Application type description ELECTRIC ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
adding 1 circuit for pump
Owner Contractor
STEHR KIRBY ELECTRICAL SERVICES INC
1752 SEA OATS DRIVE 3473 SARA DRIVE
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32277
(904) 201 -0221
Permit ELECTRICAL PERMIT
Additional desc .
Permit Fee . . . 55.60 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 1/15/12
Other Fees STATE ELEC DCA SURCHARGE 2.00
STATE ELEC DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 55.60 55.60 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 59.60 59.60 .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
1 Ph (904) 247 -5826 Fax (904) 247 -5845
JOB ADDRESS: / 7S2 Sea QR iS Of . PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS c200 AMPS 47 YO VOLTS / PHASE
VALUE OF WORK $ 1 , 0
NEW SERVICE ❑ Overhead I 1 Underground n1 Underground up Pole
[ !Residential (Main) Service
10 -100 amps ❑ 101- 150amps [ 1151- 200amps [_ I amps # of Meters
❑ Commercial (Main) Service
❑0 -100 amps ❑ 101- 150amps 1 1151- 200amps ❑ amps OCT Service amps
Conductor Type Size
1 I Multi- Family (Main) Service
10 - 100 amps ❑ 101- 150amps I 1 151- 200amps Li amps # of Unit Meters
11Temporary Pole ❑ amps
SERVICE UPGRADE Cl amps I I CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
❑ 100 amps I_] 150amps ❑ 200amps I I amps 1 CT Service amps
ADDITIONS, REMODELS,,REPAWS, 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
Ci Swimming Pool IL Sign ❑ Smoke Detectors _Qty I 1 Transformers KVA ❑ Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist)
Qty volts /amps VALUE OF WORK $
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can ❑ Safety Inspection [] Panel Change ❑ OH to UG
[Other: Adel i et toluck C-I-S ex ,:T Iin� C t * T C u,- r VC/ fCcA Ia 7l / Owe
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 J e 1 S7 1
E /I f Phone Number 90 V .2 Y7 W
Electrical Company K'r E /ec frr I ferv, ter L 1 C . Office Phone q6 V-20 1 -0 2a / Fax /✓/A
Co. Address: 3 473 Sarc A- . City jac/So/tw /k State Fe • Zip 222 77
License Holder (Print): Hi f b y bey/ion State Certification/Registration # V )3o /VS6(,
Notarized Signature of License Holder
Sworn and subscribed before me this day of 20
Signature of Notary Public