675 Beach Ave 2012 generator SSs CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
!} ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00000819 Date 6/29/12
Property Address . . . . . . 675 BEACH AVE
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
rewire generator
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Owner Contractor
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BENZ JAMES W & CATHERINE M UNITED ELECTRIC COMPANY OF
675 BEACH AVE JACKSONVILLE
ATLANTIC BEACH FL 32233 5716 ST. AUGUSTINE ROAD
JACKSONVILLE FL 32207
(904) 731-4210
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 65 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 12/26/12
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Other Fees . . . . . . . . . STAIE ELEC DCA SURCHARGE 2 . 00
STA7E ELEC DBPR SURCHARGE 2 . 00
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Fee summary Charged aid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 65 . 00 65 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 69 . 00 69 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OFA FLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERNur APPLICATION
CITY OF ATLAN Tic BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: 7 Q q C v-L PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 9 0 AMPS a O VOLTS PHASE
VAL UE OF F VORK$
NEW SERVICE ❑ Overhead ❑ Undergroune ❑T Underground up Pole
❑Residential(Main) Service
00-100 amps ❑101-150amps ❑151-200amps amps #of Meters
0 Commercial(Main) Service
00-100 amps ❑101-150amps ❑151-200amps 0 amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps 0101=150amps ❑151-200amps ❑ amps # of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps 0 CT ervice amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, TC.)
❑100 amps ❑150amps ❑200amps ❑ ams ❑CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCES 3ORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100am s 101-200amps
Appliances: 0-30amps 31-100am s 101-200amps
A/C Circuits: 0-60amps 61-100am s
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
0Swimming Pool ❑ Sign ❑Smoke Detectors_Qty 0 T nsformers KVA 0Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans&Fire Alarm Checklist)
Qty volts/amps VALUE OF WORK$
REPAIRSMSCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change OOH to UG
lWther: k-J, re- -�r a l K W o e ivc re.+9 r a 0 4M R Ts rc�4d i9T-. -
Permit becomes void if work does not commence within a six month period or wor 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 laN rs 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 Dther state or local law regulation construction or the performance of
construction.
Property Owners Name J r, (Yl u i-r-a N Z Phone Number
Electrical Company Ul {✓' i!C 4r'-,L_ to '9 JG Office Phone 3 `�Z Fax-13/-53//
Co.Address: City SG k StateFL Zip 3 ad a 7
License Holder(Print): 3-D ki State Certification/Registration#CC Q09°3 y'/
Notarized Signature of License Holder
� 'Y $i WXYNE.TARPLEr Sworn and subscribed befoi a me this c& day of JU 1\.c-- 20)
+: r MY COMMISSION#DD 875577
. EXPIRES:March 30,zois
BoSignature of Notary Public ,--
kf n,
Bonded Thru Notary Public Underwriters