Permit Elec 699 Seaspray 2011 e k I:\ CITY OF ATLANTIC BEACH
s? 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
`rill S.
Application Number 11- 00002689 Date 9/26/11
Property Address 699 SEASPRAY AVE
Application type description ELECTRIC ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
repair burnt wire in bedroom
Owner Contractor
LEFT CRAWFORD ELECTRIC
699 SEASPRAY AVENUE P.O. BOX 51045
ATLANTIC BEACH FL 32233 JAX BEACH FL 32240
(904) 241 -5591
Permit ELECTRICAL PERMIT
Additional desc . REPAIR BURNT WIRE
Permit Fee . . . 90.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 3/24/12
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 WTI'H 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
G� Ph (904) 247 -5826 Fax (904) 247 -5845
JOB ADDRESS: ` 9 S ` PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK $
NEW SERVICE ❑ Overhead ❑ Underground EIJ Underground up Pole
❑ Residential (Main) Service
❑ 0 - 100 amps ❑ 101 150amps ❑ 151 200amps ❑ amps # of Meters
❑Commercial (Main) Service
❑0 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps ❑ CT Service amps
Conductor Type Size
❑ Multi- Family (Main) Service
❑ - 100 amps ❑ 101- 150 amp s ❑ 151- 200amps ❑ amps # of Unit Meters
❑ Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
[1100 amps ❑ 150amps 0200amps ❑ amps OCT Service amps
ADDITIONS, REMODELS, REPAIRS, BUILD -OUTS, ACCESSORY STRUCTURES, ETC.
Outlets /Switches: 0 -3 Damps 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 ❑E OH to UG
❑Other: PI) r od ‘ ,14 c to i
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 / , (I/ � ° bh/a 1" Phone Number S7/ 65Y
Electrical Company (J 'S — ,,rJ gee Office Phone ? 1 � / Fax Z7/ - ? -)37
Co. Address: 2.30/ pt'. f eft 1 Cit i s c A.4,4 state /4 Zip 32z7( License Holder (Print): Nd Q C f, State Certification/Registration # EC (3 00 Z ‘ 5 7
Notarized Signature of Licens' - , • _ �..i
... SHIR or C •1' , • •
, , .4 » d of _ — 20 /!
ES ni Bonded Thru Notary Public Underwriters
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