Permit Elec Safety 385 3rd St 2013 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
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Application Number . . . . . 13-00002060 Date 1/28/13
Property Address . . . . . . 385 3RD ST
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
SAFETY INSPECTION LOCKBOX #9810
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Owner Contractor
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LIFF MICHAEL A TRUST JAX ELECTRICAL CONTRACTING INC
385 3RD ST 1839 LANE AVE #100; SUITE 110
ATLANTIC BEACH FL 322335231 JACKSONVILLE FL 32210
(904) 483-8384
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . . SAFETY INSPECTION
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 7/27/13
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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: 3 PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS _��OAMPS Z-'-(C) VOLTS PHASE
VALUEOFIVORKS ?_oo
NEW SERVICE F-1 Overhead Underground Underground up Pole
Residential(Main)Service
0-100 amps 1.1101-150amps 11 51-200amps I amps of Meters
Commercial(Main)Service
0-100 amps I ilOI-150amps 11 51-200amps amps ;CT Service amps
Conductor Type Size
Multi-Family(Main)Service
0-100 amps I 110 1-I 50amps 11 51-200amps ___________amps of Unit Meters
Temporary Pole 1 1 amps
SERVICE UPGRADE amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
7 :100amps 11150amps 200amps am
ps 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 10 1-200amps
A/C Circuits: 0-60amps 61-1 00amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
Swimming Pool 11 Sign I ISmoke Detectors
_Qty 'Transformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty_volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
Replace Burrit/Damaged Meter Can Safety Inspection 'Panel Change ;OH to UG
Other:
_L AS Pe CA box- Coke ?2/0
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 u e Phone Number 3 3 -3 6 6 0 7
Electrical Company— Lie-Jr � e-,L Office Phone.4 �`S q Fax
Co.Address: 3 9 41— e- 4,-,, ;�14V 100 -�L4e- //I) City :ja,k_�v, ,j1e StateF1 Zip 3ZZ10
License Holder(Print): PaLo State Certification/Registration#E-9 13 o i-i 2_3
Notarized Signature of License Holder
MEUSSA A.KW Before me this day of 20P'
-.14 MYCOMMMEE861M5
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EXPIRES:Jouary 1.2017 Signature of Notary Public
B.�Tb.*tw M UA.W.
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