Permit Elec 1543 Main St 2012 , l y e
- CITY OF ATLANTIC BEACH
r� 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
_., INSPECTION PHONE LINE 247 -5814
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Application Number 12- 00000430 Date 4/13/12
Property Address 1545 MAIN ST 1543 / /12
Application type description ELECTRIC ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
AC CIRCUIT
Owner Contractor
PAR PRO LTD IMPULSE ELECTRIC
P 0 BOX 330177 4271 YVONNE TERRACE
ATLANTIC BEACH FL 322330177 MIDDLEBURG FL 32068
(904) 214 -4225
Permit ELECTRICAL PERMIT
Additional desc .
Permit Fee . . . 65.00 Plan Check Fee .00
Issue Date Valuation . . 0
Expiration Date . . 10/10/12
Other Fees STATE ELEC DCA SURCHARGE 2.00
STATE ELEC DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 65.00 65.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 69.00 69.00 .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: kGA,' 3 1'-4A (k-..) TT
PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK $ co(?)
NEW SERVICE ❑ Overhead ❑ Underground ❑T 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- 200amps ❑ amps ❑CT Service amps
Conductor Type Size
❑Multi- Family (Main) Service
00 -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 -3 Damps 31- 100amps 101- 200amps
Appliances: 0- 30amps 31- 100amps 101- 200amps
A/C Circuits: 1 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
El Replace Burnt/Damaged Meter Can ❑ Safety Inspection El Panel Change ❑ OH to UG
krOther: AMED tk-IS`rict- f--C4 .4=,(1) "tAde C-IczczcceK. A f 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.
Property Owners Name Phone Number
Electrical Company (1-('S VL. - L - -C-'F-(,C— Office Phone 6 1 Z*1
Co. Address: 42:7 ( '`' \A-4 77 City M &ti l (2a State Zip 3
License Holder (Print): 4 US,� '"T li _ State Certification/Registration # t._R(3)O(2.5
Notarized Sign are li Liranry Flnlder - , s
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"Pk, SHIRLEY L RAHAM
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