Permit Elec WW/O 168 Magnolia St 2012 \ �?`} CITY OF ATLANTIC BEACH
Ss1
800 SEMINOLE ROAD
.�, ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00001593 Date 10/29/12
Property Address . . . . . . 168 MAGNOLIA ST
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
REWORK OUTLETS
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Owner Contractor
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SULLIVAN KATHY G AMERICAN ELECTRICAL CONTRACTOR
2216 OCEANFOREST DR W 5065 ST. AUGUSTINE RD #13
ATLANTIC BEACH FL 322334568 JACKSONVILLE FL 32207
(904) 737-7770
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Permit . . . . . . W/W/O ELECTRICAL PERMIT
Additional desc . . OUTLETS
Permit Fee . . . . 112 .40 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 4/27/13
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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 112 .40 112 .40 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 116 .40 116 . 40 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233 43
Ph (904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: 2a8,/ //�� �� PERMIT# I
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS 7000 VOLTS PHASE
VALUE OF WORKS
NEW SERVICE ❑ Overhead ❑ Underground ❑J Underground up Pole
Residential(Main) Service
10-100 amps 1101-150amps 151-200amps amps #of Meters
Commercial(Main) Service
10-100 amps 11101-150amps 151-200amps amps CT Service amps
Conductor Type Size
Multi-Family(Main) Service
0-100 amps : 1101-150amps 151-200anips amps #of Unit Meters
Temporary Pole -]_amps
SERVICE UPGRADE amps CT Service amps
NEW FEEDER(ADDITIONS, ACCESSORY STRUCTURES,ETC.)
100 amps 1-1150amps i_1200amps I_ amps 'CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: _�Z 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 1 Smoke Detectors_Qty Transformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans& Fire Alarm Checklist)
Qty volts/amps VALUE OF WORK S
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can i J Safety Inspection Panel Change IOH to UG
Other: `E 19 �LLE `SSI fJ 1'�f I0 L- J bi na
Permit 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 , / //a Phone Number
Electrical Company American Electrical Contracting, Inc Office Phone 904-737-7770 Fax 904-737-1099
Co. Address: 5065-3 St Augustine Road CCjty Jacksonvill State FL Zip 32207
License Holder (Print): Earl W Frick Stto C c tion/Registration # ER0015316
Notarized Signature of License Holder
""""
ANNA M.DALY E Sworn and subscribed befo e m this _ day of 20
Y'o Gomm#DD0854314 =
Expires 112512013 Signature of Notary Public
e�NNhlze tybtary Assn.,Inc -
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S 1r0P WORK
CITY OF ATLANTIC BEACH
BUILDING AND ZONING DEPARTMENT
NOTICE
This building has been inspected and:
❑ General Construction ❑ Mechanical
❑ Concrete and Masonry t J Electrical
❑ Plumbing ❑ Gas Piping
IS NOT ACCEPTED'
CORRECT AS NOTED BELOW, BEFORE ANY FURTHER WORK
PC, r m Ree1-4
do,yiz /.e cILcc a
DO NOT REMOVE THIS NOTICE
Inspector: �' Date: 10 ?:Z'-
Failure to respond to this Notice within 10 days will result in this violation being forwarded
to the
CODE ENFORCEMENT BOARD.
The posting of this Placard by its contents shall serve as due notice.