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359 Sherry Dr 2012 ac hookup (elec) ,. CITY OF ATLANTIC BEACIA 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 12- 0000982 Date 8/01/12 Application Number . . 359 SHERRY DR Property Address . . • • • • Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO E UPDATED Application valuation . 0 ----------------------------- Application desc ac hookup ------------------------------- -- --------------------------- Owner Contractor ----- ----------------- ---------- PORTZ, BARBARA L AMERICAN ELECTRICAL CONTRACTOR 359 SHERRY DRIVE 5065 ST. AUGUSTINE RD #13 ATLANTIC BEACH FL 322335349 JAC(9 KSS VIL EFL 32207 ----------------- -----Permit . . ELECTRICAL PERMIT Additional desc . plan Check Fee . 00 Permit Fee . . . . 60 . 00 0 Issue Date Valuation Expiration Date . . 1/28/13 __ ------------------- ---------------- Other Fees STATE ELEC DCA SURCHARGE 2 . 0 • STATE ELEC DBPR SURCHARGE 2 . 00 __----------------____ ---------- Fee summary Charged Paid Credited ----Due--- _ _ ------- --------- ---------- -- - . 00 Permit Fee Total 60 . 00 60 . 00 00 . 00 Plan Check Total • 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 Grand Total 64 . 00 64 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. I ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic each,FL 32233 Ph (904) 247-5826 Fax 904) 247-5845 3�JOB ADDRESS: PERMIT## JEA INFORMATION REQUIRED ON ALL PERMITS --AMPS VOLTS PHASE VALUE OF WO $ NEW SERVICE ❑ Overhead ❑ Underground E3Underground up Pole Residential(Main)Service 151-200am s amps #of Meters 10-100 amps ❑101-150amps p ,Commercial(Main) Service1CT Service amps 110-100 amps i�101-150amps C 1151-200amps i amps Conductor Type Size i'Multi-Family(Main)Service I ams #of Unit Meters i !0-100 amps C]101-150amps 1 1151-200amps P 'Temporary Pole amps SERVICE UPGRADE F I amps i I CT Se' ice amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC-) CT Service amps 100 amps 1- 150amps 1-1200amps I amps' BUILD-OUTS,ACCESS RY STRUCTURES,ETC. ADDITIONS,REMODELS,REPAIRS, 31-31101-200amps Outlets/Switches: 0-30amps p 101-200amps 31-31 Appliances: 0-30amps 61-100amp A/C Circuits: 0-60amps ps Heat Circuits: # circuits @ kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS Transformers KVA i_�Motors hp Swimming Pool F" Sign CI Smoke Detectors_Qty FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK$ Qty volts/amps REPAIRS/MISCELLANEOUS 11Replace Burnt/Damaged Meter Can I)Safety Inspection Panel Change i_1OH to UG l Other: ify Permit becomes void if work does not commence within a six month period or lawsand ordinances govis suspended or doned for erning thisix months. I hereby cert work 11 be complied with twhether hat I e read this application and know the same to be true and correct. All provisions n 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. , Phone Number Property Owners Name G1 7 Fax Electrical Compan f cit Co. State �/ Zip Co. Address: y'° S C ification/Registration # License Holder (Print): / J j�I'icenve Holder Notarizx� 20 Dp085431 4 day of Comm# • Sworn and subscribed bef' e me t s FXpires J/2512()13 ? Florida Notary Assn.,Inc.... ,c.I Signature of Notary Publi �tr;Fp-Gla,. .ak.