Permit Elec repairs Svc/replace meter can 711 Ocean 2012 ! 1 S'
� I CITY OF ATLANTIC BEACH
;� ) 800 SEMINOLE ROAD
! 1 �" ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
Application Number 12- 00000052 Date 1/13/12
Property Address 711 OCEAN BLVD
Application type description ELECTRIC ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
REPAIR OH SERVICE LATERAL AND REPLACE METER CAN
Owner Contractor
LYNCH NELLIE A ET AL CRAWFORD ELECTRIC
P.O. BOX 330045 P.O. BOX 51045
ATLANTIC BEACH FL 322330045 JAX BEACH FL 32240
(904) 241 -5591
Permit ELECTRICAL PERMIT
Additional desc . REPAIR SERVICE, REPLACE MTRCAN
Permit Fee . . . 90.00 Plan Check Fee .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 7/11/12
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 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: 7 // oce l3 At PERMIT # 7:2- 55-
JEA INFORMATION REQUIRED ON ALL PERMITS /D AMPS /( z 3-) VOLTS / PHASE
VALUE OF WORK $ g.52> ti o
NEW SERVICE n Overhead n Underground I J Underground up Pole
❑Residential (Main) Service
❑0 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps # of Meters
❑ Commercial (Main) Service
0 0 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi- Family (Main) Service
❑0 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps # of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
❑ 100 amps ❑ 150amps 0200amps ❑ amps ❑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 61- 100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑ Swimming Pool ❑ Sign 1 Smoke Detectors Qty ❑Transformers KVA 10 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 Ni ❑ Safety Inspection ❑Panel Change ❑OH to UG
❑Other: jetp -r& Sc (�l / c / in e"et e..
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. kG Property Owners Name Pe Zyae. A Phone Number Z Y9— ( (e 2
Electrical Company C .,,r � 1-rcir, Office Phone 2 V1- 637/ Fax
Co. Address: 2 0 / ; /e . v ,dA 1 City /1/74, -, ,,Pl State / Zip 32 2 i7
License Holder (P ! . „y` 5 al State Certification/Registration # E C /2662( f'
Notarized ,:, r • r,, •, % older
t' _ day of ay o 20 ( Z
' St' and subscribed before me this
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Signature of Notary Public -'� '��'� I__ , -- - L/ / L. .