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Permit Elec 332 6th St. 2011 I VI- „s4 CITY OF ATLANTIC BEACH =y” 800 SEMINOLE ROAD ATLANTIC BEACH FL 32233 „f I jr INSPECTION PHONE LINE 247 -5$14 Application Number Property Address 11- 00002659 Application t e 332 6TH ST Date 9/21/11 Application onning description ELECTRIC ONLY Application valuation TO BE UPDATED 0 Application desc --------------------------- - - - - -- ----- - - - - -- _______ -_--_- BONDING - GAS -LINE (FIRE) Owner Contractor ------ - --------- ------------------------ DEITCHMAN, GEORGE ---- ------- - - - --- 332 6TH STREET CLAYTON'S ELECTRIC SERVICE INC ATLANTIC BEACH FL 32233 367 SISCO ROAD PONONA PARK FL .2181 (386) 649 -5434 Permit ELECTRICAL PERMIT Additional desc . Permit Fee Issue Date . . 90'00 Plan Check Fee .00 Expiration Date Valuation • 3/19/12 0 Other Fees STATE ELEC DCA SURCHARGE STATE ELEC DBPR SURCHARGE .00 Fee summary Charged .00 g Paid Credited Due;. Permit Fee Total 90.00 - --- -- -- Plan Check Total 90.00 .00 Other Fee Total .00 .00 ' 00 4.00 .00 00 Grand Total 4.00 .00 00 94.00 94.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE F B CODES. LORI ©A ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach, FL 32233 Ph (904) 247 -5826 Fax (904) 247 -5845 JOB ADDRESS: - j Z • id _- �- I PERMIT # JEA INFORMATION REQUIRED ON ALL PERMITS -- -- - A C'S ._.__ VOLTS PHASE VALUE OF WORK $ NEW SERVICE 0 Overhead ❑Residential (Main) Service Underground []1 Underground up Pole 00 -100 amps ❑ 101 -150am s ❑ 15 1- 200amps ❑ amps # of Meters ❑ Commercial (Main) Service p ❑ 0 -100 amps --- - _ Conductor Type ❑ 101 150amps ❑ 151- 200amps amps OCT Service amps ❑ Multi- Family (Main) Ser vice Size — __ 00 - 100 amps ❑ 101 150amps ❑ 1 51 - 200amps ❑ amps # of Unit Meters ❑ Temporary Pole ❑ amps SERVICE UPGRADE 0 amps ❑ CT Service amps NEW FEEDER (ADDITIONS, ACCESSORY STRUCT ❑ 100 amps ❑ 150amps 0200am s ❑ STRUCTURES, ETC.) p amps ❑ CT Service amps ADDITIONS, REMODELS, REPAIRS, BUILD -OUTS, ACCESSORY STRU Outlets /Switches: __0 -30am s CTIIR - ETC. p Appliances: — _— ___ 100amps __0- 3Oamps _31- 100amps 11- 200amps A/C Circuits: __0 -60am p s ___ _ 200amps Heat Circuits: __ 100amps Number of Lighting Ou Outlets, tl s, Includi g�Fixtures: kw OTHER ELECTRICAL PROJECTS ❑ Swimming Pool ❑ Sign ❑ Smoke Detectors Qty ❑ Transformers FIRE AL __ KVA ❑Motors h ARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist) Qt volts /amps REPAIRS/MISCELLANEOUS VALUE OF WORK $ ❑ Replace Burnt/Damaged Meter Can [115 aillfr ❑Safety Inspection ❑Panel Change ❑ OH to UG / b rm it m a period is for mo read Pe this application becomes void and if know work does the not same co t be mence true and within correct. six All month provisions or of laws work and suspended ordinances or abandoned governing this six work will beI com specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the h certify that I have ; pecifi d o heed f o r e whether performance of 'ropery Owners Name , / la- . .v ■ Phone Number electrical Company __401 l` ( 41/1 , l./4- • ffice Phone / ■�C� Fax o. Address: City State Zip icense Holder (Print): c �� not arized Sign �_____:_� • _ �J► i Sate Certification/Registration # e�✓62 J J t 0 •�¢�;; SHIRLEY L. GRAHAM , t .4, :: :' ho commissIoN, • ern 1 sub s cribed before - r' .� 1 , , o ,•► f4 .i1. a EXPIRES: February 14, 2014 I s 20 ,p, Bonded 7hru Notary N :' , , ; - ' '�• .�� l = e f No tary Pu. •c � � , ._.. dure 46