1024 Ocean Blvd elec panel change 2012 CITY OF ATLANTIC BEACH
r� 800 SEMINOLE ROAD
•� �" ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Cut 9,
Application Number12-00001014 Date 8/06/12
Property Address . . . 1024 OCEAN BLVD
Application type description ELE RIC ONLY
Property Zoning . . . . . . . TO B UPDATED
Application valuation . . . . 1 0
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Application
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Application desc
panel change
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Owner Contractor
________ _____ ------------------------
MARTIN
__ _________MARTIN SUE M & SAM T JR TRUST DUTCHER ELECTRIC INC
943 HICKORY RUN LN 1122 NORTH 3RD AVENUE
GREAT FALLS VA 220661904 JAX BEACH FL 32250
(904) 241-5800
________ _________________ ____
Permit . . . ELECTRICAL PE IT
Additional desc . .
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 2/02/13
__________ _______ ____________________________
Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00
STATE ELEC DBPR SURCHARGE 2 . 00
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Fee summary ChargedP id 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 ONL\ IN ACCORDANCE %I ITN ALL CIII OF A LANIIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 2447-5826 Fax (904) 247-5845
JOB ADDRESS: /�JZ q U(�r PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS O 0 AMPS z�27d VOLTS PHASE
VA UE OF WO S
NEW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up Pole
Residential(Main)Service
0-100 amps 101-150amps 151 200amps amps # of Meters
Commercial(Main) Service
0-100 amps 101-150amps 151 200amps amps CT Service amps
Conductor Type Size
-Multi-Family (Main) Service
0-100 amps 101-150amps 151100amps amps #of Unit Meters
Temporary Pole amps
SERVICE UPGRADE amps CT Se4ce amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ET .)
100 amps 150amps 200amps amps CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSO Y 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 Trans ormers EVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans
Qty volts/amps VALUE OF WORKS
REPAIRSIMISCELLANEOUS
Replace Bumt/Damaged Meter Can Safety Inspection ✓panel Change OH to UG
Other:
permit becomes void if work does not commwenwithin a six month period or rmrk is s spended or abandoned for six months. I hereby certify that I hare
read this application and know the same to be true and correct. All provisions of[arcs aid ordinances gorcraing this rood rcill be complied oith whether
specified m uct. The permit does not give authority to violate the procisinns of any othc r state or local Iarc regulation construction or the performance of
constmctimu
Property Owners Name // O2 Phone Number,3o/^ 257-8/OZ
Electrical Company Ik /GG7Y' /9G. ' Office Phone pA tW-_tj00 Fax
.W
Co. Address: 2- WI City, 2 L4_ State ,�jz Zip ,--> 2Sa
License Holder(Print): n to ertification/Registration# L721��2f2s7
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an arh a ,a ,I,, subscribed bef t is ay of 20_
Signature of Notary Public