Permit 399 Beach Ave 2011 Elec Increase CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 11-0000277S Date 10/14/11
Property Address . . . . . . 399 BEACH AVE
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
INCREASE 200 TO 400 UNDERGROUND
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Owner Contractor
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GOELZ FERRANTI ' S ELECTRIC
399 BEACH AVENUE 1697 IVEY ROAD
ATLANTIC BEACH FL 32233 GREEN COVE SPRINGS FL 32043
(904) S29-7422
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 185 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 4/11/12
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other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 78
STATE ELEC DBPR SURCHARGE 2 . 78
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 18S . 00 185 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 5 . 56 5 . 56 . 00 . 00
Grand Total 190 . S6 190 . 56 . 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: 4-J&_N<4 e PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 4-,(0 AMPS 0 VOLTS PHASE
VALUE OF WORK$
NEW SERVICE Overhead Underground eUnderground up Pole
[ACe'sidential (Main) Service
110-100 amps 11101-150amps 11 151-200amps Ei amps #of Meters
[-'Commercial(Main) Service
EO-100 amps El 101-1 50amps 11 151-200amps D_amps Ei CT Service amps
Conductor Type Size
I-IMulti-Family(Main)Service
EO-100 amps E1101-150amps 0 151-200amps El_amps of Unit Meters
[]Temporary Pole El amps
SERVICE UPGRADE OZ amps 0 CT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
11100amps 11150amps E200amps 10-amps EICT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 3 1-1 00amps 101-200amps
Appliances: 0-30amps 3 1-1 00amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
E Swimming Pool El Sign [I Smoke Detectors_Qty El Transformers KVA []Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans&Fire Alarm Checklist)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
El Replace Bumt/Damaged Meter Can 0 Safety Inspection ElPanel Change [I OH to UG
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 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 7 0 44 v ins cj'y�y Z_
Phone Number
Electrical Company Office Phone SYS'8*4 Fax -�'2-I 9-S-rff-
Co.Address: lb't _N16y C.6 Citv 6-e-'!c(0 State 4e- Zip
License Holder (Print): J 4-,1�_& L - State Certification/Registration
Notarized Sign wwndc'" 4icefi@@LF?oWWm
MY COMMISSION#DD 9
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EXPIRES:Febr 14,2 4
Bonded Thru Notary rag subscribed befz in othi day,of 20//
Signature of Notary Public