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
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Application desc
new well
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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
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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
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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 .
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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 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.
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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
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Signature of Notary Publi
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