163 Sylvan Dr 2012 elec safety 41 `v , CITY OF ATLANTIC BEACH
api\‘....,
y 800 SEMINOLE ROAD
0 ATLANTIC BEACH,FL 32233
") INSPECTION PHONE LINE 247-5814
12-00001781 Date 12/05/12
Application Number
Property Address 163 SYLVAN DR
Application type description ELECTRIC ONLY
Property Zoning TO BE UPDATED
Application valuation . . . • 0
Application desc
safety
Owner
Contractor
KERR, PAUL CRAWFORD ELECTRIC
163 SYLVAN DR P.O. BOX 51045
ATLANTIC BEACH FL 322334045 (904)E
(904) 32240
241-5591
Permit ELECTRICAL PERMIT
Additional desc . Plan Check Fee 00
Permit Fee . . . . 90 . 00 0
Issue Date . . . . Valuation . . .
Expiration Date . . 6/03/13
Other Fees
STATE ELEC DCA SURCHARGE 2 . 00
STATE ELEC DBPR SURCHARGE 2 . 00
g
Fee summary
Charged Paid Credited Due
Permit Fee Total 90 . 00 90 .00 . 00 . 00
Plan Check Total . 00 . 00 . 00
. 00 4 . 00 . 00
Other Fee Total 4 . 00 . 00 . 00
Grand Total 94 . 00 94 . 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: /b 3 SC/ JO O -/V PERMIT # /2 - / >8 /
JEA INFORMATION REQUIRED ON ALL PERMITS 00 AMPS 0230 VOLTS / PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead Underground I IT Underground up Pole
❑Residential (Main) Service
❑0-100 amps ❑101-150amps ❑151-200amps Li amps # of Meters
❑Commercial(Main) Service
C0-100 amps ❑101-150amps ❑151-200amps C. amps 1 C Service amps
Conductor Type Size
❑Multi-Family(Main) Service
❑0-100 amps 11101-1 50amps ❑151-200amps 1 amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE El amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps ❑150amps E200amps 1 amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 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
1Swimming 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
E Replace Burnt/Damaged Meter Can A afety Inspection` ❑Panel Change ❑OH to UG
C Other: g'./'►-�h. i A `c`-> goo ,xt OT P- Qv4 t / /r4f
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 /n,' ,4,met. ! 1 ( r Phone Number 2 'b y
Electrical Company 64-6.../Fond f/'..r/-✓i'- Office Phone 2 // I5"7/ Fax 2 /-2.03
Co. Address: 2 3 D/ 7'n4r,.s1/2,,.,Ii Rat ? City /I)./L/e, &le t State/¢/6-Zip 3 u((
License Holder (Print): \I d) A 1.4Z I State Certification/Registration# C c i3 au 20
Notarized r cg, ,,f ;, A-
, R, .,r MY COW R S :e e 957.?0 4f7PP. v lz EXPIR S.Feruary 14 2 Ufo - me this •a
,r, „1. Bondod 7hru Notary Public Underwriters 'TOM
- -. _ --- ._ ,ture of Notary blic-----.
41