Permit Elec 652 Sherry 2011 CITY OF ATLANTIC BEACH
' 800 SEMINOLE ROAD
■ ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
Application Number . . . . . 11- 00002594 Date 9/08/11
Property Address 652 SHERRY DR
Application type description ELECTRIC ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
PUMP CIRCUIT FOR IRRIGATION
Owner Contractor
COOK LIN'S ELECTRIC INC
652 SHERRY DRIVE 3840 MAGILL RD
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32220
(904) 545 -1346
Permit ELECTRICAL PERMIT
Additional desc .
Permit Fee . . . 90.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 3/06/12
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 ADD RESS: SI — j y r DT
PERMIT #
;A INFORMATION REQUIRED ON ALL PERMITS
� AMPS 2 VOLTS PHASE
VALUE OF WORK $ f 7
NEW SERVICE n Overhead Ej
❑Residential (Main) Service Underground Of Underground up Pole
❑ - 100 amps ❑ 101- 150amps ❑ 151- 200amps
❑ Commercial (Main) Service amps # of Meters
E0-100 amps ❑ 101 150amps ❑ 151- 200amps ❑
Conductor Type Size amps OCT Service amps
❑Multi- Family (Main) Ser vice
❑ 0 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑
GPs # of Unit Meters
❑ Temporary Pole ❑ amps
SERVICE UPGRADE ❑
amps ❑ CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
❑ 100 amps ❑ 150amps 0200amps ❑ amps 0 C Service
amps
ADDITIONS, REMODELS, REPAIRS, BUILD -OUTS, ACCESSORY STRUCTURES, ETC.
Outlets /Switches: 1 0 -30am s
Appliances: 0 -30am s 31- 100amps 101- 200amps
A/C Circuits: 0- 60amps 61- 100amps 101- 200amps
Heat Circuits: # p 61- 100amps
circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑ Swimming Pool ❑ Sign ❑ Smoke Detectors Qty ❑ Transformers
KVA EMotors -6 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: A - + 1 ! k
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 3 2C.k- C o O
/ ��^^ L Phone Number
Electrical Company Office Phone _:Y.0 i 3�G Fax_ S 3 ocp to 7
Co. Address: ' lit) it a 1 (i 2
City pp State Zip 3Z
License Holder (Print): e / '
,, Le AM C . State C;, fication/ : egistration # j,30 32.49°
TVotarized Sign., ' Li gf� s 7 .. „ , _or,. `- Zr
q. , 1L o- EXPIRES: February 14, 2c • L
% p 7 o Bonded Thru Notary P , I , ' L .twofers I
Or
subscribed before m t
,► da . 2011
Signature of Notary Pubh _._sAl�
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