1890 Beachside Ct 2012 new meter can s CIT OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00001069 Date 8/15/12
Property Address . . . . . . 1890 BEACHSIDE CT
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO 1E UPDATED
Application valuation . . . . 0
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Application desc
new meter can
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Owner Contractor
SMITH TIMOTHY S AND SARA ANN UNITED ELECTRIC COMPANY OF
HOLLOWAY JACKSONVILLE
1890 BEACHSIDE CT 5716 ST. AUGUSTINE ROAD
ATLANTIC BEACH FL 322335954 JACKSONVILLE FL 32207
(904) 731-4210
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Permit . . . . . . ELECTRICAL PE MIT
Additional desc . .
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 2/11/13
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Other Fees . . . . . . . . . STA9E ELEC DCA SURCHARGE 2 . 00
STA E ELEC DBPR SURCHARGE 2 . 00
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Fee summary Charged laid 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 ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMH APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 247-5826 F (904) 247-5845
JOB ADDRESS: 1890 L' �- - PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 2-00 A1v1Ps a y o VOLTS 1 PHASE
,VALUE OF W 2RK$ a SO. 0 0
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
❑Residential(Main) Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main) Service
110-100 amps ❑101-150amps ❑151-200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 0200amps ❑ amp OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-3 Damps 31-100amp 101-200amps
Appliances: 0-30amps 31-100amp 101-200amps
A/C Circuits: 0-60amps 61-100amp
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign ❑Smoke Detectors_Qty ❑Trai isformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans&Fire Alarm hecklist)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS mcg # 126 -SY(/' 3 1 1
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑OH o UG
�e_- J. r-t f nS4s it n..e+G- C,e,^ So r-o 44<,• 1 <.aoa 0 .'l
'Other: A I)S� Co v l•! t 1`e I a(Z./ _ P y
c A N� /.o !—c - S---e,.
Permit Permit becomes void if work does not commence within a six month period or work i 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 law 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 o her state or local law regulation construction or the performance of
construction.
4-ell
Property Owners Name S �'� Q s Phone Number '7 0 V- G 9'9,5—
Electrical
O,5—
Electrical Company U n, �-d E t d r,',_ Cao TOffice Phone -7 31- y Z / o Fax `7 31-53
Co.Address: 5-71 1. S� v ,,s 4-*,-e )Z J City S'-k State FL Zip 0 7
License Holder(Print): '30�n E 0 ,n State Certification/Registration# 6C 00,903
Notarized Signature of License Holder
b
MARILYN E....LEY Sworn and subscribed before me this '� da of
*= MY COMMISSION#DD 875577 y �'� Sr 20—L^
72 EXPIRES:March 30,2013
,a,� Signature of Notary Public
Bonded Thru No Public Underwriters