Permit Elec 158 Belvedere St 2012 V.5% )-t k " I
j."
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00001526 Date 10/17/12
Property Address . . . . . . 158 BELVEDERE ST
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
panel change
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Owner Contractor
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PHILLIPS JUANITA CATHLEEN & CURRENT ELECTRICAL CONTRACTORS
PHILLIPS DEVON TODD 11787 WORDSWORTH CT
158 BELVEDERE JACKSONVILLE FL 32223
ATLANTIC BEACH FL 32233 (904) 724-8588
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Permit ' * " * ' * ELECTRICAL PERMIT
on 1 d
Additi a esc PANEL CHANGE
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date 4/15/13
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Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00
STATE ELEC DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid 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
PERM6 IS APPROVED ONLY IN ACCORDANCE wiTH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILD iNG CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904)247-5845
JOB ADDRESS: ".e "/e t 'e 5,1. PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS /5 C' AMPS VOLTS PHASE
VALUEOFWORK$ (PC3 � 00
NEW SERVICE F-1 Overhead Ej Underground Underground up Pole
L-IResidential (Main) Service
1-10-100 amps 1:1101-150amps 11 151-200amps amps of Meters
�:_j Commercial(Main) Service
110-100 amps i-1101-150amps 11 151-200amps 11-1 amps PCT Service amps
Con&ctor Type Size
LIMulti-Family(Main)Service
� 10-100 amps 10101-150amps 11 151-200amps -1-amps #of Unit Meters
Temporary Pole Ll amps
SERVICE UPGRADE [11-amps Ll CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
17.1100amps D150amps F1200amps il amps [I CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 3 1-1 00amps 10 1-200amps
Appliances: 0-30amps 3 1-1 00amps 10 1-200amps
A/C Circuits: 0-60amps 61-1 00amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
D Swimming Pool U Sign ELI Smoke Detectors_Qty 11 Transformers KVA E]Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty_volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
F]Repl4ce Burnt/Damaged Meter Can I I Safety Inspection 14anel Change Ll OH to UG
110ther:
Permit becomesvoid if work does not commence within a six month period or work is 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 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 Ph .-11"P Phone Number 0 Iq
10 el— y 7
Electrical Company &C/fcvl� �5n-eql _50LA�t�0-1> L�e_ Office Phone Fax
Co. Address: city StateO
6R / 3 C>Iqy) 7
License Holder(Print): State Certification/Registration
Notarized liature ofLicense Ho er
"AW
HIRLEY L.GRAHAm SW
2 0
'A M 1,33,NO N D D 9 5 7 76 0 'o r
P116 tK oy oy
and subscribed bef e ip,&flafs
LaD.F PbrLiary 14 20
'd� ure of Notary P
r Nctary Public Un ublic
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