Permit Elec Low Volt 1163 Beach Ave 2012 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
IC
Application Number . . . . . 12-00001700 Date 11/14/12
Property Address . . . . . . 1163 BEACH AVE
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2000
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Application desc
LOW VOLTAGE
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Owner Contractor
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ADAMS CHARLES P ATLANTIC COMPANIES, INC.
1163 BEACH AVE 1714 CESERY BLVD
ATLANTIC BEACH FL 322335727 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 'lq6
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845
JOB ADDRESS:
PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK$
NEW SERVICE F-1 Overhead Underground Underground up Pole
Residential(Main) Service
0-100 amps 101-1 50amps 151-200amps amps #of Meters
Commercial(Main) Service
0-100 amps 101-1 50amps 151-200amps —amps CT Service amps
Conductor Type Size
Multi-Family(Main)
0-100 amr amps #of Unit Meters
Temporary
SERVICE UPGRA .vice amps
NEW FEEDER(AL C.)
100 amps �CT Service amps
ADDITIONS,REM( RY STRUCTURES,ETC.
Outlets/Switche,, 10 1-200amps
Appliances: 101-200amps
A/C Circuits:
Heat Circuits:
Number of Ligh
OTHER ELECTRICA
: Swimming Pool —wisiurmers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty_volts/amps VALUE OF WORK S <D
REPAIRS/MISCELLANEOUS
'Replace Burnt/Damaged Meter Can Safety Inspection ':Panel Change OH to UG
)(Other:
Permit becomes void if work does not commence within a six henth 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 S Phone Number
Electrical Company V�t Gjc��PO'\te�� 11\)'�O�fice Phone 24�-'&q4 q
Co. Address:L:-Jjc� Cese�(�j e)�Oo citv 3ACV�L-��S�P- State FL— Zip 3�3'a � '
License Holder (Print):
�Ch 0 6\ State Cert Registration
Notarized Signature of License Holder
LORI A.FEAGLE Sworn and subscribed before me this day of eJy*4'_C_ 20 to�
My COMMISSION#DD886504 Signature of Notary Public—�K\, G
EXPIRES:MAY 04,2013
Banded through 1 st State Insurance