Loading...
Permit Elec Sv Chg 51 Forrestal Cir S 2012 L-41°11:44 . 0 , CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ►' ATLANTIC BEACH, FL 32233 ` ' 4,4k INSPECTION PHONE LINE 247 -5814 Application Number 12- 00000593 Date 5/15/12 Property Address 51 FORRESTAL CIR Application type description ELECTRIC ONLY Property Zoning TO BE UPDATED Application valuation . . . 2000 Application desc SERVICE UPGRADE TO 150 AMP AND REWIRE HOUSE Owner Contractor CHAMBLISS ROBERT L & MARY E MATT VU ELECTRIC INC 22 OAKS DRIVE 4053 ST AUGUSTINE ROAD JAX BEACH FL 32250 JACKSONVILLE FL 32241 (904) 396 -1666 Permit ELECTRICAL PERMIT Additional desc . SVC UPGRADE TO 150 REWIRE Permit Fee . . . 140.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 11/11/12 Other Fees STATE ELEC DCA SURCHARGE 2.10 STATE ELEC DBPR SURCHARGE 2.10 Fee summary Charged Paid Credited Due Permit Fee Total 140.00 140.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.20 4.20 .00 .00 Grand Total 144.20 144.20 .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 5 800 Seminole Rd, Atlantic Beach, FL 32233 (j L � Ph (904) 247 -5826 Fax (904) 247-5845 JOB ADDRESS: 5 Ti f rr-e.-a �7 c. cif , r$ i" /r''.( "'� VI -it c bo # JEA INFORMATION REQUIRED ON ALL PERMITS E-C AMPS �VOLTS / PHASE VALUE OF WORK $ 6 2 \ Or) NEW SERVICE kOverhead ❑ Underground ❑J Underground up Pole ❑ Residential (Main) Service ❑ 0 - 100 amps ❑ 101 150amps ❑ 151 200amps ❑ amps # of Meters ❑ Commercial (Main) Service ❑ 0 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps ❑ CT 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 5 tamps ❑ CT Service amps NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.) ❑ 100 amps ❑ 150amps ❑ 200 amp s ❑ 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: 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 ❑ Safety Inspection ❑ Panel Change ❑ OH to UG Other: Q.Ui hrjc. 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. f, c Property Owners Name PObh QG L • C �a/1M J S Phone Number 5 Z ©O / r Electrical Company k v CA C (2:-:--_,C (� l e.-- - Office � Phoneg0'( 2 p w0 J Fax ( Co. Address: i .d % © a„,\.f,20 1 Cit ► -CK ON VI(I1 tate Ft Zip License Holder (Print) A ■ V 1 V _ . = Sta e rtl n #(,C1?)601 L1 Notarized Signature of License Hol t e - / � � „••• mE r EwH I I and before hi subscribed e ts a; of :3k'' '' ISSION � EE 05] / y _ 20/ ,n � MY CAMM �••• r i - ° EXPIRES: May 21, 2015 Jae gondedNuNotaryPublicUn _ °'I, I . tore o f Notary Pub1 � c r„