351 MAIN ST SAFETY INSPECTION 2012 CITY OF ATLANTIC BEACH
s 800 SEMINOLE ROAD
, = ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00000599 Date 5/16/12
Property Address . . . . . . 351 MAIN ST
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
SAFETY INSPECTION
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
JPMORGANK CHASE BANK TOMMY FRYE THE ELECTRICAL GUY
3415 VISION DR 1729 W 24TH ST
COLUMBUS OH 432196009 JACKSONVILLE FL 32209
(904) 504-1857
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 11/12/12
----------------------------------------------------------------------------
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)2147-5826 Fax (904) 247-5845
JOB ADDRESS: .� j ) CA t i PERMIT#
� L ?)
JEA INFORMATION REQUIRED ON ALL PERMITS 0 AMPS 1OJ y Yom PHASE
VALUE OF WORK$ (D
NEW SERVICE 0 Overhead ❑ Underground ❑T Underground up Pole
[Residential(Main)Service ,
r 0-100 amps F1101-150amps ? 151-200amps ❑ amps #of Meters
1�'Commercial(Main)Service
❑0-100 amps ❑101-150amps C--]151-200amps Ci amps C?CT Service amps
Conductor Type Size
Multi-Family(Main)Service
!_10-100 amps 1--1101-150amps C 151-200amps Cl amps #of Unit Meters
ElTemporary Pole ❑ amps
SERVICE UPGRADE C_I amps C- CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps !-.J 150amps 11200amps [ amps C1CT 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 [-J Sign ❑Smoke Detectors_Qty ClTransformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of pians&Fire Alarm Checklist)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
[]Replace Burnt/Damaged Meter Can )(S bspection ❑Panel Change r-10H to UG
C7 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
Property Owners Name ��� � t l' Phone Number
Electrical Company Tr)m a)) j Luc j YL Office Phone 4-�--S - 1640 Fax
Co.Address: City State Zip 3AB
License Holder(Print • -C. � - r State Certification/Registration#
A� Lam(
Nota r at �3o er
*E, '` EXPIRES:MeY 21 2 iters r
BondedThrulktarlPubl�ctlnde orn and subscribed beforeAne this / dav of-, 20 Signature of Nota Publt�/
;� Notary f_ �