Permit Elec 715 Atl Blvd 2011 'r y 1 / 3 4
�~ CITY OF ATLANTIC BEACH
2 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
4 0131 9x*
Application Number 11- 00002532 Date 8/23/11
Property Address 715 ATLANTIC BLVD
Application type description ELECTRIC ONLY
Property Zoning COM GENERAL DISTRICT
Application valuation . . . 0
Application desc
replace existing fixtures to led soffit and canopy
Owner Contractor
BP DEPENDABLE ELECTRICAL
715 ATLANTIC BLVD. CONTRACTORS
ATLANTIC BEACH FL 32233 2009 S JIMMY LANE
ST JOHNS FL 32259
(904) 534 -5644
Permit ELECTRICAL PERMIT
Additional desc .
Permit Fee . . . 90.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 2/19/12
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 -5826 Fax (904) 247 -5845
JOB ADDRESS: 3 ' 5 A ,, c2-)\:, c1t t 4" ),-ai i?,•c
.-v c. aci Al t_ 2,' - 3 PERMIT # -,2,3
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK $
NEW SERVICE n Overhead ❑ Underground ❑r Underground up Pole
❑Residential (Main) Service
00 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps # of Meters
❑ Commercial (Main) Service
❑0 -100 amps ❑ 101- 150 amp s ❑ 151 200amps ❑ amps ❑CT Service amps
Conductor Type Size
❑ Multi - Family (Main) Service
00 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps # of Unit Meters
❑ Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
❑ 100 amps ❑ 150amps ❑200amps ❑ amps II 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
❑ Swimming Pool ❑ Sign ❑ 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
❑Replace Burnt/Damaged Meter Can ❑ Safety Inspection ❑ Panel Change ❑ OH to UG
❑Other: t-e- L t zS'hrl iv`°i-\ �"-Nt .N.QS "Cb LPL 4) c \ -S 1 So * 1 C.c3.rO , i. \ 4,, ckrgc th v\
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 ^kA `0 AN Phone Number °\ o■ °`i3 5 \ ' 2-45 \
Electrical Company'N Q o ALI -We c-13, z \ c<J, (9n'\-6c ‘7A-C L -f - Office Phone a\O \ 5 3G 51 Fax
Co. Address: 20 O`\ c7 vv`'"^^'\ k - ° - " .^ ‹. City - S "" State + Zip -
License Holder (Print): w\`4-e SN/N ��� State Certification/Registration # 1` 9 - 3 v tk 3 2 , g
Notarized Signature of Lie _•_- _:__:._._- -- R-4 -.— * ,,,,„..,g,,,,,
' Y ` �ONS # s e poh ed , efs
'� ov c�;d• Bonded Thru Notary �P b �ic U d etwn� °� e 61S ' •
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