275 Sailfish Dr Unit 205 elec safety 2012 f CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
> ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00000910 Date 7/18/12
Property Address . . . . . . 275 SAILFISH DR
Tenant nbr, name . . . . . . UNIT 205
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
SAFETY INSPECTION
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
TERRY LEE PETERSON, TRUST CRAWFORD ELECTRIC
1500 SELVA MARINA BLVD P.O. BOX 51045
ATLANTIC BEACH FL 32233 JAX BEACH FL 32240
(904) 241-5591
--------------------------------------- ------------------------------------
Permit . . . . . . ELECTRICAL PE MIT
Additional desc . .
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . , . . 0
Expiration Date . . 1/14/13
--------------------------------------- ------------------------------------
Other Fees . . . . . . . . . STAIE ELEC DCA SURCHARGE 2 . 00
STAIE ELEC DBPR SURCHARGE 2 . 00
--------------------------------------- ------------------------------------
Fee summary Charged Eaid 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 ITLANTIC 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
.TOB ADDRESS: 62 PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS _AMPS VOLTS PHASE
VALUE OF WO $
NEW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up Pole
]Residential (Main) Service
70-100 amps i=7101-150amps 1151-200amps C7 amps #of Meters
C"Commercial(Main) Service
110-100 amps ❑101-150amps ❑151-200amps a ❑ amps LCT Service amps
Conductor Type Size
Multi-Family(Main) Service
'-10-100 amps ❑101-150amps l 151-200amps amps # of Unit Meters
Temporary Pole f amps
SERVICE UPGRADE C' amps l CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps C=!150amps 11200amps l 1 amps -7 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 I'Tran formers KVA [_]Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans& Fire AlarmChecklist)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can afety Inspection 11Panel Change l ;OH to UG
I 11 Other:
Permit becomes void if work does not commence within a six month period or work is upended 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 �IGT�� '1 Phone Number
Electrical Company Office Phone vZ20-5,0rtl' Fax 9q1 D37
Co. Address: City &C4-- State RC. Zip 3z7
License Holder(Print): �, �z�Q S toCe ification/Registration# EC )�ao z6 L6'
Notarized Q
oA7 6! SHIPi.f-.Y L GRAHAM
°.r :*s MY COMMISSION#DD 8 �or and subscribed Z.ore, this ay of 20
EXPIRES:Februarryy 14,
Bondod Thru Nftry Public Undowlters
ww"lure of Notary Puc