Permit 1504 Jordan St 2011 safety elec CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 11-00002537 Date 8/23/11
Property Address . . . . . . 1504 JORDAN ST
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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E-4 ELECTRIC, INC.
1247 BOCA GRANDE AVE
ATLANTIC BEACH FL 32233
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 2/19/12
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Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00
STATE ELEC DBPR SURCHARGE 2 . 00
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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
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) 247T 6 Fax (904) 247-5845 PERMIT#
JOB ADDRESS: 0
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS �Z`
JL _ �"f VOLTS PHASE
VALUE OF WORK$ Z'�;—
NEWSERVICE F� Overhead El Underground ED Underground up Pole
EIResidential (Main) Service
E10-100 amps 1110 1-15 Oamps 11 151-200amps 11 amps #of Meters
El Commercial(Main) Service
LIO-100 amps 1110 1-15 Oamps El 151-200amps []_amps [I CT Service amps
Conductor Type Size
I]Multi-Family(Main) Service
E10-100 amps 1110 1-I 50amps El 151-200amps []—amps #of Unit Meters
[]Temporary Pole 11 amps
SERVICE UPGRADE E1_ amps El CT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
E100amps E150amps L1200amps E amps 11 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
El Swimming Pool El Sign 11 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
EIReplace Burnt/Damaged Meter Can 'Disafety 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 CA V-e L&41 r pll�i 1 1-1/,`7 Phone Number
Electrical Company ze, V
j , Office Phone q3q
70;1 Fax
Co. Address: �Cw"C- City StateFj, Zil)3
License Holder(Print): jArlu� pj-tivpc/�--� State Certification/Registration#
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-,ed-SL-twt(irg�o
LQp�nse Holder
ESSIE MERRITT worn and subscribed before me this day of Rtfti-t 20jj
$Ioi� Notary Public-State of Florida]
V
-.i My Comm.Expires Feb 9,2013
7
Commission#DD 831667
ignature of Notary Public rna,2 imetu'd
Bonded Through National Notary Assn.