386 7th St elec 2013 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
►� ;,". ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
F .,
Application Number . . . . . 13-00002306 Date 3/12/13
Property Address . . . . . . 386 7TH ST
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
3 outlet switches
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Owner Contractor
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HALE NATHAN PATRICK JR& COLETE FRANKLIN ELECTRIC SERVICE
386 7TH ST 4 TALLWOOD RD
ATLANTIC BEACH FL 322335434 JACKSONVILLE BEACH FL 32250
(9 04) 629-4925
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . 56 . 80 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 9/08/13
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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 56 . 80 56 . 80 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 60 . 80 60 . 80 . 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: TN 5TV,97 ' PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 20 O AMPS jjpt2+r�YOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
❑Residential (Main) Service
❑0-100 amps ❑101-150amps ❑151-200amps []_amps #of Meters
Commercial(Main) Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps ECT Service amps
Conductor Type Size
❑Multi-Family(Main) Service
CO-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps ❑200amps :1-amps ❑CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: __-3 _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
❑Swimming Pool ❑ Sign [I Smoke Detectors_Qty El Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
[]Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑OH to UG
E Other:
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 LE Phone Number
Electrical Company (����U � �(.�C-T(ZL C 'S��I�Office Phone (a 29- 4�'2S" Fax
Co.Address: O 'G h 512-3 -7 0 City 'TA x _State FL Zip 3 2 2 YID
License Holder (Print): <SA A U State Certification/Registration# ,1Z1301 381'b
Notarized Signature of License
RIHsILLV L_p,SAHAM rC 20
:ig >�L the his ay of
,: MY COMMISSI
y* EXPIRES:February 14,2014
.....
Bonded Thru Notary UrderHriiers f Notary P