Permit Elec 592 Royal Palms Dr 2013 CITY OF ATLANTIC BEACH
t f 800 SEMINOLE ROAD
r� ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00001986 Date 1/11/13
Property Address . . . . . . 592 ROYAL PALMS DR
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
safety inspection
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Owner Contractor
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Cp,RTLIDGE, ELIZABETH R MUNSON & BRYAN ELECTRICAL CO.
592 ROYAL PALMS DRIVE 3434 ST.AUGUSTINE RD
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207
(904) 396-6689
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . Plan Check Fee . 00
Permit Fee 90 . 00 .
Valuation
Issue Date
Expiration Date 7/10/13
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___ -----
---------------STATE ELEC DCA SURCHARGE 2 •--
Other Fees
_
STATE ELEC DBPR SURCHARGE 2 . 00
_ ________ --
Fee summary Charged
Paid Credited Due
_ _ ---------- ----- --
----- ----------
- . 00
Permit Fee Total 90 . 00 90 . 00 00 . 00
Plan Check Total • 00 . 00
Other Fee Total 4 . 00 4 . 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
A PERMIT# 13-
JOB ADDRESS: G 4'�` , e—
AMPS
12/'{- VOLTS PHASE
JEA INFORMATION REQUIRED ON ALL PEI ___^___
VALUE OF WORK fl
Underground D Underground up Pole
Under
NEW SERVICE ❑ Overhead ❑ g
''Residential(Main) Service # of Meters
0-100 amps 101-150amps 151-200amps amps
Commercial (Main) Service CT Service amps
0-100 amps 101-150amps 151-200amps amps
Conductor Type Size
Multi-Family(Main)Service am s # of Unit Meters
;70-100 amps ❑101-150amps ❑151-200amps ❑ p
L]Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps CT Service amps
NEW FEEDER(ADDITIONS, ACCESSORY STRUCTURES,ETC.) CT Service amps
100 amps 150amps 200amps P
S,ACCESSORY STRUCTURES,ETC.
BUILD-OUT
ADDITIONS,REMODELS,REPAIRS,
Outlets/Switches: 0 s 31_1 00am s
101-200amps
0-3Oamps 31-100amps 101-200amps
Appliances: 0-60amps 61-100amp s
A/C Circuits: kw
Heat Circuits: # circuits @
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS Transformers KVA Motors hp
Swimming Pool -1 Sign Smoke Detectors_Qty -
FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK$
Qty volts/amps
REPAIRS/MISCELLANE OU S
❑Replace Burnt/Damaged Meter Can afety Inspection []Panel Change ❑OH to UG
Fl Other: AA,X-21 �-► `� Q.tz, c'� _ -
Permit becomes void if work does not comme i�ue andtcorrectmAlltprovisions
r of la s and ordinances governing this�work will be complied�tiithtwhether e
read this application and know the same to be
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 /
r �� � _ u �1..����..Q.. Phone Number
Electrical Company !lw Soc� � E�e-C- � Office Phone�i"�!<,�l_I " 3 Fax
Co. Address:3` SA � O N�
City Z� State � Zip 32207
°�`;` Ste` ^'� _
C rtification/Registration# _6000 M,1>
License Hold nt : State
4 J _
Notarized t ire of�E'?eeftse;.
r v� 20 �3
L .i�,sloly a�r,ssnso day of y
?FS.February ta,S wo d �scribed bef e me thins 1 y
P; mm�ed i hru Notary Public Underwriters (
ure of Notary Public °t �s lx-