246 Jasmine St 2012 meter can o+.
t
C y`f CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00000656 Date 5/29/12
Property Address . . . . . . 246 JASMINE ST
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
replace meter can and line
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Owner Contractor
------------------------ ------------------------
ROSARIO EDWIN HARRY PEPPARD ELECT CONTRACTOR
600 10TH AVENUE P.O. BOX 654
NEW YORK NY 100363014 MIDDLEBURG FL 32050
(904) 282-4425
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 11/25/12
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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
�-
-R S-7-01eln—,
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: 0—S 1M i vu �P_ PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS /O AMPS P,q D VOLTS / PHASE
VALUE OF WORK$ 500, 00
NEW SERVICE ❑ Overhead ❑ Underground E3Underground up Pole
❑Residential(Main) Service
110-100 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
❑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 ❑200amps ❑ amps ❑CT 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 �� � � "�'1
KReplace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel 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.
Property Owners Name JF� �2 Phone Number 9p41`
Electrical Company k/ct v'y GO, Pe ,n,o c'r'A tF/c-: T�'/c.� (CG iv /', Office Phone So-/r,2 F -max
Co. Address: X33 oS/c,o <U� l ey'v�6L.e- _e //1'1% - City 1/YI i Jc_l /,e 1)t.1� �- State !�/ Zip 3 0 6
License Holder(Print): _: ayy-y t J, U- 12 ,0 cState Certification/Registration# rEc /-3 0,0 2,2
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Notarize ��-2 to), r�
MY COMMISSION#y 1 ,20 rn and subscribed bf
suscreeore this� ,, / a of t'2 20/2-
EXPIRES:February 14 20� y
1 W BMW Ttuu Notary Public Underwriters
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