Permit Elec Low Volt Guest House 149 Beach Ave 2012 4
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00001697 Date 11/14/12
Property Address . . . . . . 149 BEACH AVE
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . RES SF DISTRICT
Application valuation . . . . 0
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Application desc
LOW VOLTAGE
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Owner Contractor
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SSR FAMILY LTD ET AT ATLANTIC COMPANIES, INC.
3300 PHILLIPS HIGHWAY 1714 CESERY BLVD
JACKSONVILLE FL 32207 JACKSONVILLE FL 32211
(904) 743-8444
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Permit . . . . . . W/W/O ELECTRICAL PERMIT
Additional desc . . LOW VOLTAGE
Permit Fee . . . . 180 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 5/13/13
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Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 70
STATE ELEC DBPR SURCHARGE 2 . 70
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 180 . 00 180 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 5 .40 5 .40 . 00 . 00
Grand Total 185 .40 185 .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
Ph (904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: j qq PERMIT#
JEA INFORMATION REQUIRED ON ALL PE��S ���S��VOLTS PHASE
VALUE OF WORK$
NEW SERVICE 1-1 Overhead Underground Underground up Pole
Residential (Main) Service
0-100 amps �10 1-I 50amps 151-200amps —amps of Meters
Commercial(Main) Service
0-100 amps 101-150amps 11 51-200amps amps CT Service amps
Conductor Type Size
Multi-Family(Main) Service
0-100 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 i i200amps amps !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-I 00amps 101-200amps
A/C Circuits: 0-60amps 61-1 00amps
Heat Circuits: # circuits@ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
i Swimming Pool Sign - Smoke Detectors_Qty ! Transformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty_volts/amps VALUE OF WORK S
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can !Safety Inspection Panel Change OH to UG
Y_Other:11_b_1k:__) C�c
Permit becomes void if work does not comm—w1f4fl, - six month period or work is suspended or abandoned for six months. I hereby certify that I ha�ve
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 NamePNA vA D� Phone Numbe,
Electrical Company c, C V_ Office Phone' Fax
Co.Address: city ��, Ct-��bNAOStatefiL- Zipa-k��
License Holder(Print)::__���� e� State Ce !igjq�Registration#(TF12)C�(�
soi�cat
Notarized Signature of License Holder
4-
Sworn and subscribed before e this day of K)Ic��kjl Q_ _ 20
LORI A.FEAGLE
4 MY COMMISSION#0088M4 Signature of Notary Publi
WIRES:MAY 04,2013
Bonded through ist State insurance