Permit 366 6th st elec 2011 lineside service CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J = ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 11-00002792 Date 10/19/11
Property Address . . . . . . 366 6TH ST
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
replace lineside service entrance
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Owner Contractor
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CARTER, GEORGE B. THOMPSON ELECTRIC OF N. FL.
366 6TH ST. 10145 103RD ST
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216
(904) 353-1500
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 4/16/12
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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.
qt,j .0b ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
(VPh(904) 247-5826 Fax (904) 247-5845
JOBADDRESS: SGG St 3-�,Qn�-, C �(,4i k PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS 700 AMPS Z`18 �L� VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑J Underground up Pole
(Residential(Main) Service
10-100 amps ! 1101-150amps 151-200amps amps #of Meters
'Commercial(Main) Service
C 0-100 amps 101-150amps 151-200amps amps CT Service amps
Conductor Type Size
Multi-Family(Main) Service
1 10-100 amps 1-1101-150amps 1 1151-200amps _I amps #of Unit Meters
Temporary Pole C-1 amps
SERVICE UPGRADE I amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps 150amps 200ampsamps -ICT 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 61-l 00amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
11Swimming Pool I I Sign `-i Smoke Detectors_Qty I Transformers KVA -1 Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
I !Replace Burnt/DamagediMeter Can 1 (Safety Inspection I Panel Change _'OH to UG
Other: QI PPkc,: (she 5"
A.t SUU,ti CA114cnc L
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.
r
Property Owners Name Phone Number 3S Z- ZYG- 319L)
Electrical Company 111�1 f I(- Office Phone X53-1500 Fax35S"Z777
Co.Address: `b-S" 5A-. City State Zip 22 i
License Holder (Print): �rt� laynpSu State Certification/Registration # LL m30
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: )�� �/1 Sia, C l f Cy L►i PERMIT
Notarized Signature of License Holder �/L-- -
Sworn and subscribed be ore rn is -1 day of 0C 20(f
Signature of Notary Public 4
JEROME LORD
Notary Public, State of Florida
My comm. exp. Jan. 22, 2012
Comm.No.DD 750787