Permit 261 Sailfish 2011 elec safety CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 11-00002497 Date 8/16/11
Property Address . . . . . . 261 SAILFISH DR
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
safety inspection
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Owner Contractor
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CRAWFORD ELECTRIC
P.O. BOX S1045
JAX BEACH FL 32240
(904) 241-SS91
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 2/12/12
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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
Grand Total 90 . 00 90 . 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: S.'Oa.5 L 9 r PERMIT# 4
JEA INFORMATION REQUIRED ON ALL PERMITS 40 0 AMPS
��2- 6VOLTS PHASE
VALUE OF WORK$
NEW SERVICE 0 Overhead El Underground Underground up Pole
EIResidential(Main) Service
E10-100 amps 1110 1-1 50amps El 151-200amps 11 amps of Meters
El Commercial(Main) Service
110-100 amps 11 101-150amps Size E 151-200amps 11 amps EICT Service amps
Conductor Type
L.]Multi-Family(Main)Service
110-100 amps El 10 1-15 Oamps 11 151-200amps 11 amps of Unit Meters
[]Temporary Pole []_amps
SERVICE UPGRADE 11 amps 11 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
L1100amps E1150amps E1200amps El amps EICT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 3 1-1 00amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 6 1-I 00amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
E Swimming Pool El Sign E Smoke Detectors_Qty ETransformers KVA []Motors hp 'Z:Z�
FIRE ALARM SYSTEM (Requires 3 sets of plans& Fire Alarm Checklist)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
El Replace Burnt/Damaged Meter Can VSafety Inspection []Panel Change El OH to UG
11 Other:
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 e ri'l Phone Number
Electrical Company Ntl'Lj e-lufn 6 Office Phone 7 Fax__L 4 1-_10
Co.Address: City State Zip
License Holder (Print): State C�5e�ification/Registration
Notarized Signature of License Holder ad CMold
Sworn and subscribed before me this day of 20
Signature of Notary Public