Permit Elec 360 Garden Lane 2012 1 L‘ f
6 4 #, CITY OF ATLANTIC BEACH
s) 800 SEMINOLE ROAD
0 ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
Application Number 12- 00000324 Date 3/21/12
Property Address 360 GARDEN LN
Application type description ELECTRIC ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
PANEL CHANGE
Owner Contractor
KING WILLIAM D & CHRISTINA M WADE'S ELECTRIC SERVICE
360 GARDEN LANE P.O. BOX 17237
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32245
(904) 655 -2495
Permit ELECTRICAL PERMIT
Additional desc .
Permit Fee . . . 90.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 9/17/12
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: 3 60 Go r-de_N Lc N PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS 2O0 AMPSS 2 ()VOLTS 1 PHASE
ag VALUE OF WORK $ 1 S . Qd
NEW SERVICE ❑ Overhead n Underground 1 U Underground up Pole
❑Residential (Main) Service
❑0 -100 amps ❑ 101- 150amps ❑ 151 200amps ❑ amps # of Meters
El Commercial (Main) Service
00 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps 0 C Service amps
Conductor Type Size
❑ Multi- Family (Main) Service
0 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 OCT 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 ❑ Smoke Detectors _Qty ❑ 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 1] Safety Inspection ZPanel Change ❑ OH 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 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.
1 I
Property Owners Name DO Ut Phone Number to 7 y �/° 7- 3C� 2
Electrical Company w (°;.$ E7c' ri . ,- _) J_A-.. Office Phone S / 3 3 Z I Fax 2 21-3000
Co. Address: 7 v P /e_Q 5 L i r e �/ D , City �C State FL Zip 3 2 Z
License Holder (Print): Wad , bay
State Certification/Registration # L 361) (53g
Notarized Signature of License Holder IJ\ ,_ E-
, ; sHlRl er t an 4ubscribed befor ::.ca m- l a • .3/ of f '' / '�e-/�- 20 / Z
*: !_p :, MY COMMISSION # DD 957760 1 _
, : r EXPIRES: Feb A,
4 N otar y Pug ' ` ,L�
' �;jj °�, • Bonded ThN Notary � r