Permit Elec 1575 Main St Unit 1 2012 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00001536 Date 10/19/12
Property Address . . . . . . 1575 MAIN ST
Tenant nbr, name . . . . . . UNIT 1
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
outlets switches
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Owner Contractor
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CORBIN RAYMOND M JR ET AL OCEAN ELECTRICAL CO. , INC.
CORBIN RONALD H T/C P 0 BOX 50737
4217 COQUINA DR JAX BEACH FL 32240
JAX BEACH FL 322502103 (904) 249-3112
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 59 . 20 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 4/17/13
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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 S9 . 20 59 . 20 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 63 . 20 63 . 20 . 00 . 00
PERMIT IS APPROVED ONLV IN ACCORDANCE WITH ALL CITV OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(9(�4 24�- 8=6F (904 4 45
JOB ADDRESS: 6 f7,5— PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK$
NEW SERVICE E Overhead Underground ED Underground up Pole
Residential(Main) Service
1 0-100 amps F101-150amps i 151-200amps amps # of Meters
Commercial(Main) Service
! 0-100 amps 151-200amps :_amps CT Service amps
Conductor Type Size
,Multi-Family(Main) Service
i iO-100 amps 101-150amps 151-200amps �_amps # of Unit Meters
I Temporary Pole i-1 amps
SERVICE UPGRADE � !_amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps 150amps 11200amps ]_amps i CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 3 1-1 00amps 101-200amps
Appliances: 0-30amps 3 1-1 00amps 101-200amps
A/C Circuits: 0-60amps 61-I 00amps
Heat Circuits: # circuits @_kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
Swimming Pool E Sign [-]Smoke Detectors_Qty Transformers KVA I I Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty_volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
� i Replace Burnt/Damaged Meter Can Safety Inspection i Panel Change 10H to UG
)(Other:
Pen-nit becomes void 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 i f V Phone Number
Electrical Company ,/ Office Phone----V '40'/ Fax:2
Co.Address:c2 2 i�,�--a ek—If te�nvl - City\ZW State 16:L'I ziv�?.'�
License Holder (Print): State Certification/Registration# A��c�t/
Notarized Signaturej� r
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CO�AIAISSIO 0 D[)9577bO rn and/§'ubscribed before d
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EYPIrtES�FebrUB 1j,underolrWers
Bonded Thru NOtafy
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