Permit Elec Misc. 469 Atlantic 2012 0tI
1 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
"� `" ATLANTIC BEACH, FL 32233
;, :,;,- INSPECTION PHONE LINE 247 -5814
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Application Number 12- 00000139 Date 2
Property Address 469 ATLANTIC BLVD /01/12
Application type description ELECTRIC ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
replace ac disconnects on roof /lighting circuits
Owner Contractor
DIAMOND REAL ESTATE PROPERTIES SPURGEON ELECTRIC INC
6517 LOU DRIVE SOUTH 850489 US HIGHWAY 17
JACKSONVILLE FL 32216 YULEE
FL 32097
(904) 225 -0671
Permit ELECTRICAL PERMIT
Additional desc .
Permit Fee . . . 90.00 Plan Check Fee .
Issue Date 00
Expiration Date . . 7/30/12 Valuation 0
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: ' 9 a2 r, t i I ' g ! s .,� ��� -'/ PERMIT #
` * Le. '*"..e... m2- 777
JEA INFORMATION REQUIRED ON ALL PERMITS /0 AMPS x,30 VOLTS S 1
PHASE
VALUE OF WORK $ 32(e, o �
NEW SERVICE P] Overhead 1 1 Underground 1 IT Underground up Pole
❑Residential (Main) Service
00 - 100 amps ❑ 101 150amps ❑ 151 200amps ❑ amps # of Meters
❑Commercial (Main) Service
00 -100 amps ❑ 101- 150amps ❑ 151 -200am s ❑ amps OCT Service amps
Conductor Type Size p
❑Multi- Family (Main) Service
00 -100 amps ❑ 101- 150amps ❑ 151 -200am s ❑
p amps # of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
0100 amps 0150arnps 0200amps ❑ amps OCT Service amps
p
ADDITIONS, REMODELS, REPAIRS, BUILD -OUTS, ACCESSORY STRUCTURES, ETC.
Outlets /Switches: 0- 30amps s 31 -100am
Appliances: 0 -30am s p 101- 200amps
A/C Circuits: 0- 60amps 61- 100amps 101- 200amps
p 61- 100amps
Heat Circuits:
# circuits @ kw,
Number of Lighting Outlets, Including Fixtures: �'
OTHER ELECTRICAL PROJECTS
❑ Swimming Pool ❑ Sign ❑ Smoke Detectors Qty ❑ Transformers
KVA 0 Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist)
Qty volts /amps VALUE OF WORK$
REPAIRS/1VIIS CELLANE OUS
OReplace Burnt/Damaged Mete Can ❑Safety Inspection ❑Panel Change , ❑ •H to UG
0 Other:44ft 7 - G4..1.,�. . 44 cam. 2 uw j' j .�L 44k, C4/se4. `
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 bbet hl q ,, � .7V u
�,/l� Number S13 66 7
Electrical Company Sp() 8 e 96 ',,,g, c Z _ Office Phone 9a•
C40'ax .226 y/ 7
Co. Address: g5b ?8' (J S FfA,4 y / 7 City 7u !CE State F4 Zip 3 Z.65' 7
License Holder (Print): 4)...,4 la Jpv,,e, Coco State Certification/Registration #
Notarized Si. s ,; ., . ,
,
O';. SHIRLEY L. GRAHAM
,, ,•■ ; *= MY COMMISSION #
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'' EXPIRES: February 14, 1 I
r id subscribed before n1 this 'say , ill;
P � � bonded Thru Notary Public nderwriters
of Notary Public �1
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