Permit 1373 Beach Ave 2011 elec meter can CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 11-00002690 Date 9/27/11
Property Address . . . . . . 1373 BEACH AVE
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
BURNT METER CAN
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Owner Contractor
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ANTHONY, SARAH BILL THOMPSON ELECTRIC CO, INC
1373 BEACH AVENUE 49 WEST 7TH ST
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 249-5601
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Permit ELECTRICAL PERMIT
Additional desc BURNT METER CAN
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 3/25/12
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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) 247-5826 Fax (904) 247-5845
JOB ADDRESS: 137.3 se"l, A/�_ PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 200 AMPS VOLTS PHASE
VAL UE OF WORK$
NEW SERVICE 0 Overhead Underground Underground up Pole
[]Residential(Main) Service
E10-100 amps [1101-1 50amps 1-1 151-200amps El_amps #of Meters
F1 Commercial(Main) Service
E10-100 amps [110 1-1 50amps El 151-200amps amps [I CT Service amps
Conductor Type Size
[]Multi-Family(Main)Service
E10-100 amps [110 1-15 Oamps El 151-200amps amps #of Unit Meters
El Temporary Pole El_amps
SERVICE UPGRADE El_______amps El CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
E1100amps E1150amps 0200amps El amps [I 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 6 1-1 00amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
ESwimmingPool El Sign 0 Smoke Detectors_Qty ElTransformers KVA 11 Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist)
Qty volts/amps VALUE OF WORK$
REP C;ELLANEOUS
7
lace Burnt/Damaged Meter Can []Safety Inspection 0 Panel Change 11 OH to UG
Move, fi-a-vil
E 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 ceftify 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 perfon-nance of
construction.
Property Owners Name e;5a"y'a 610 Ay Phone Number 537,7- W11
Electrical Company4O,( Office Phone 24f —J Fax 770 —69rz4f
Co.Address: X0 City &A W_L'�' State-,,ffzip
License Holder (Print): State Certification/Registration
Notarized Signa ]
My C MI N#DD 9577
EXPIRES:F *119TM cri be is 20
Bonded Thru Notary Public Unde it 4
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