Permit Elec Low Volt 372 5th St 2013 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00001955 Date 1/07/13
Property Address . . . 372 5TH ST
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . ! . 0
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Application desc
low voltage
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Owner Contractor
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SCOTT BRIAN HENRY & KAY :� PROTECTION GROUP USA INC
1556 WHITLOCK AVE
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32211
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc LOW VOLTAGE
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 7/06/13
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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 90 . 00 90 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total � 94 . 00 94 . 00 . 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: 54 :5—1 ATL jc�c.14., r% . 5 7,Z 3 5 PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK$
NEW SERVICE 0 Overhead EJUnderground 0 Underground up Pole
UResidential(Main) Service
E10-100 amps 11101-1 50amps 1-i 151-200amps F1 amps # of Meters
0 Commercial(Main) Service
EO-100 amps 1110 1-15 Oamps
; 11 151-200amps El_amps EICT Service amps
Conductor Type Size
0Multi-Family(Main)Service
110-100 amps Ll 101-150amps FJ 151-200amps 11 amps of Unit Meters
ElTemporary Pole Ll amps
SERVICE UPGRADE F]—amps i-1 CT Service— amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
11100amps 11150amps 11200amps [!_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
31-100amps 10 1-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fiytures:
OTHER ELECTRICAL PROJECTS
Li Swimming Pool El Sign []Smoke Detectors_Qty El Transformers KVA El Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty_volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
FiReplace Burnt/Damaged Meter Can Li Safety Inspection []Panel Change El OH to UG
k/Other: Z-a6 LJQCJJ464!�� :
Permit becomes void if work does not commence within a six m:onth 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 Phone Number
Electrical Company. TjZd'rtr,-rj a J 2 aau P iAS fl- Office Phone p&�)gg-1-c)(yo
faxg�
Co. Address: .. LL)khrLockL AVt, Cit cX5pA*j atc, State 1::L Zip 3 Zz i I
License Holder(Print): -2iaA44 Movyjfemt,--Z State Certification/Registration#-0:: dX0tZZ19
Notarized whFiT
P,
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9DD and bscribed b dayf
A F';,' jor me this
14,2014
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Pubic Upd,
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