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Permit Elec for Well 427 Inland Way 2012 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12-00000672 Date Property Address . . . . . . 427 INLAND �WAY Application type description WELL PERMIT i Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------- - - Application desc new well -----------------------------------------------!!----------------------- - - Owner Contractor - ----------------------- ---- -------------------- TILLMAN STANLEY W AMERICAN WELL & IRRIGATION IN,- 427 INLAND WAY 49 ARDELLA RD ATLANTIC BEACH FL 322334682 ATLANTIC BEACH FL 3223 , (904) 249-5400 ----------------------------- ------- ------- ---------------------- - Permit . . . . . .��IWIO ELECTRICAL PERMIT Additional desc Sub Contractor LIN' S ELECTRIC INC Permit Fee . . . . 118 . 00 Plan Check Fee Issue Date . . . . Valuation . . . . Expiration Date . . 12/25/12 -------------------------------------------------------------- -------- - -- Special Notes and Comments Seperate permit required for electrical connection/wiring to new pumps A reduced backflow preventer must be installed if irrigation will be provided or if there is a private well on the property. Backflow preventer must be tested by a certified tester and a copy of the results sent to Public Utilities . ------------------------------------------- --------------------------- - - - other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00 STATE ELEC DBPR SURCHARGE 2 . 00 ----------------------------------------------- ---------------- -------- - - Fee summary Charged Paid Credited Due ----------------- -- -------- ---------- ---------- - -- ------- Permit Fee Total 118 . 00 118 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 122 . 00 122 . 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: q2 PERMIT# JEA INFORMATION REQUIRED ON ALL PERMITS 9 06 —AMPS A10 VOLTS PHASE VALUEOFWop,KS 2 NEW SERVICE D Overhead Underground Underground up Pole �Residential (Main) Service E0-100 amps 1-1101-150amps i 151-200amps Commercial (Main) Service _amps of Meters ' 10-100 amps F 1 1101-150amps 11 51-200amps j_amps iCT Service amps Conductor Type Size ]Multi-Family(Main) Service i �0-100 amps i-10 1-I 50amps 11 51-200amps Temporary Pole � I—amps amps 4 of Unit Meters SERVICE UPGRADE I - '_amps CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) H100amps Lj150amps � 12OOamps � ]_amps I CT Service amps ADDITIONS,REMODELS, REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: 0-30amps —3 1-I 00amps —101-200amps Appliances: —1p 0-30amps 3 1-1 00amps —101-200amps A/C Circuits: —0-60amps —6 1-1 00amps �-7 Heat Circuits: # circuits 9— kw Number of Lightinj-05utlets, Including Fixtures: OTHER ELECTRICAL PROJECTS � 1 Swimming Pool I � Sign 1-11 Smoke Detectors_Qty � Transfortners KVA I[Motors J114 hp FIRE ALARM SYSTEM (Requires 3 sets of plans& Fire Alarm Checklist) QtY—volts/amps VALUE OF WORK S REPAIRS/MISCELLANEOUS F I Replace Burnt/Damaged Meter Can I I Safety Inspection Panel Change �OH to UG Other: Permit becomes void if work does not commence within a six in od or work is sus or abandoned for six months. I he onth peri pended reby 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. go Property Owners Name rc!)4­11- t . 1-,- r4i Phone Number Electrical Company C- - Office Phone W056 616--/35fd�ax t.'T-7 - 4 Co. Address: —Vqo M A-, gj , City.-:y4y State—zip-7Z Z Zo License Holder (Print): r�j L-CP-%r-V State Ce I'fication/Registration 4 1r(2 0 Notari14 VIIIIIIIIIII-11''d III r Stale Ce MY CCO)WAi IoN#EE 057349 1,2015 EXPIR S Py 2 s mat lic orn and subscribed befmhme th F Bond Tft 1b Underwritem day of 2 0/�I ed Thm Signature of Notary Publi 73 6 Y-2-Wc)