Permit 253 Sailfish Dr 2012 elec safety CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00000244 Date 3/02/12
Property Address . . . . . . 253 SAILFISH DR
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
safety inspection
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Owner Contractor
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CRAWFORD ELECTRIC
P.O. BOX 51045
JAX BEACH FL 32240
(904) 241-S591
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 8/29/12
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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: k Pr, -- —PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS _ky>_AMPS VOLTS PHASE
VALUE OF WORK$
NEW SERVICE El Overhead Underground Underground up Pole
Residential(Main) S I ervice amps # of Meters
]jp-100 amps '1101-150amps El 151-200amps
o 0
mmercial(Main) Service
110-100 amps --1101-150amps 151-200amps Ll amps CT Service_amps
Conductor Type Size
-�Multi-Family(Main) Service
L�0-100 amps El 10 1-1 50amps 151-200amps E—amps of Unit Meters
]Temporary Pole I '—amps
SERVICE UPGRADE ILL amps I i CT Set-vice_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
FA00amps 0150amps �1200amps J_amps -I CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 3 1-1 00amps 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
[-]Swimming Pool El Sign Ll Smoke Detectors__Qty I Transformers KVA 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 *afety Inspection I!Panel Change LIOH to UG
[-]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 1 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- e rt'i Phone Number
Electrical Company 0 vrjd f-cf r Office Phone �2 q/-55`� 1 Fax
Co.Address: 2�0/ I&FS City &,tct-, State �L- A) 32/-G(,
License Holder(Print): ��L y, K, hw Vz.,vJ` --_ Stat�eCe
Notarized Sign 10/11^
z.1.... . - 'E"lu 11 Lay
*1; NAY COMMISSION ADD 957760 ZeIL—
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EXPIRES:FebruW4?ni4an subscribed be e me his 20/-2—
Bonded Thru Noto Public Underw0ters
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Tignature If Notary Publ