Permit Elec Low Volt Main Hse 149 Beach Ave 2012 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00001698 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 FOR MAIN HOUSE
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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 . . . . . . WIWIO ELECTRICAL PERMIT
Additional desc . . LOW VOLTAGE FOR MAIN HOUSE
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 -if
Ph (904) 247-5826 Fax (904) 247-5845 Pke
JOB ADDRE PERMIT#
JEA INFOR�fX���FONA�C�ERMI�S AMPS VOLTS PHASE
VALUE OF WORK$
NEW SERVICE F� Overhead F-1 Underground Underground up Pole
Residential (Main) Service
0-100 amps 101-150amps 151-200amps .—amps # of Meters
Commercial(Main)Service
0-100 amps 101-150amps 151-200amps —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 200amps —amps 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 6 1-1 00amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
Swimming Pool Sign Smoke Detectors_Qty Transformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can Safety Inspection Panel Change OH to UG
\X-Other:
Permit becomes void if work does not commence Mtn 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 NamiVVA Phone Numbta
C xy Office Phone Fax
Electrical Company CV A(Cl. jq_�'
Co. Address: us ZiP3_
City _)(AC tate
License Holder(Print):
State Ceoif;catio egistration #6�_C_
ji/R
Notarized Signature of License Holder
Sworn and subscribed before me this day of 20
LORI A.FEAGLE
I - \r
MY COMMISSION#DD8866D4 Signature of Notary Publi,
EXPIRES:MAY 04,2013 A—
Bonded tr(rough Ist Sto Insurdme