31 Lewis St 2012 safety inspection i
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J
N� ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number
12- 0001386 Date 9/25/12
� 31LEWIS ST
Property Address . . . •
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO IE UPDATED
Application valuation . . . . 0
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Application desc
safety inspection
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Owner Contractor
_ _ --------------
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SHORELINE SELECT INV. LLC ETAL
MCC----------
LURE
AVENUEINAL CONTRACTORS
C.O GLENN R MEE AJAX BEACH FL 32250
P.O. BOX 65417
ORANGE PARK FL 32065 (904) 237-4701
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Permit . . . . . . ELECTRICAL PE IT
Additional desc . Plan Check Fee . 00
Permit Fee . . . . 90 . 00 0
Issue Date Valuation
Expiration Date . . 3/24/13
----------------------------------------------- ------
__ ---------------------------------
00
Other Fees
STATE ELEC DCA SURCHARGE 2 •
• ST TE ELEC DBPR SURCHARGE 2 . 00
_____ _ ------ -------
Fee summary Charged
Paid Credited ----Due---
----
. 00
Permit Fee Total 90 . 00 90 . 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 07 ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTI BEACH
800 Seminole Rd, Atlantic;Beach, FL 32233
Ph(904) 247-5826 Fax 904) 247-5845
4t
JOB ADDRESS: L—w � S • PERMIT
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WO $
NEW SERVICE ❑ Overhead ❑ Underground E3Underground up Pole
[]Residential (Main) Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps # of Meters
II Commercial(Main) Service
110-100 amps ]101-150amps 1151-200amps amps CIICT Service amps
Conductor Type Size
Multi-Family(Main) Service
110-100 amps ❑101-150amps 151-200amps amps # of Unit Meters
]Temporary Pole ❑ amps
SERVICE UPGRADE amps I7 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
11100 amps C1150amps 1200amps I amps F 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
C I Swimming Pool � 1 Sign I1 Smoke Detectors_Qty ITransformers KVA I 1 Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans
Qty volts/amps VALUE OF WORK$
REPAIRS[MISCELLANEOUS
I]Replace Burnt/Damaged Meter CanSafety Inspection Panel Change I IOH to UG
a Other:
Permit becomes void if work does not commence within a six month period or work issuspended 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 oth r state or local law regulation construction or the performance of
construction.
Property Owners Name Ik-01 PS A Phone Number Z� �— `�-"I Q �
Electrical Company n-c -CA-rCA--r-t Q or \ Office Phone ZV-1 Fax
Co.Address: S31 5o, F . N City -J-�,* -\,�.\— State fl. Zip 3 2 2 5-
License
License Holder(Print): St . n/Registration# (—YL onC) Y$V`2,
Notarized Signtu&g 12f Lige
SHIRLEY L.GRAHAM
'r4 ` MY COMMISSION SWU subscribed before e t is ay o 20�
t., ;= EXPIRES:February 14,2014
• .. d' Bonded Thru Notary Pu Underwriters
of Notary Public
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