855 Sailfish Dr 2013 elec panel chg . S!•:1,r�j f
CITY OF ATLANTIC BEACII
J 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
" INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00002478 Date 4/16/13
Property Address . . . . . . 855 SAILFISH DR
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
PANEL CHANGE
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Owner Contractor
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ONEILL, MARAGRET L AMERICAN ELECTRICAL CONTRACTOR
855 SAILFISH DR 5065 ST. AUGUSTINE RD #13
P O BOX 721 JACKSONVILLE FL 32207
ATLANTIC BEACH FL 32233 (904) 737-7770
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . Plan Check Fee . 00
Permit Fee 90 . 00 .
Issue Date . . . Valuation 0
Expiration Date . . 10/13/13
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Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00
STATE ELEC DBPR SURCHARGE 2 . 00
Fee summary Charged Paid Credited Due
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----------------- ----------
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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) 24 -5826 Fax 904) 247-5845
/Z PERMIT##
JOB ADDRESS:
'CAMPS �VOLTS
PHASE
JEA INFORMATION REQUIRED ON ALL PERMITS —1— -
VALUE OF WORK$
NEW SERVICE El Overhead ❑
Underground ❑J Underground up Pole
Residential(Main) Service amps #of Meters
0-100 amps = 101-150amps 1151-200amps
Commercial(Main) Service 15 l-200amps
Conductor Type amps CT Service amps
0-100 amps 101-150amps
Size
Multi-Family(Main) Service 151-200amps amps #of Unit Meters
0-100 amps '101-150amps
Temporary Pole i amps
SERVICE UPGRADE
amps ' CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) CT Service amps
s
100 amps 150amps 200amps amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. s
0-30am s 31-100amps
Outlets/Switches: p 31-100amps 101-200amps
Appliances: 0-30amps
A/C Circuits: kms,
0-60amps 61-100amps
Heat Circuits: # circuits @
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS Transformers KVA Motors hp
Swimming Pool Sign Smoke Detectors—Qty
FIRE ALARM SYSTEM (Requires 3 sets of plans&Fire Alarm Checklist) VALUE OF WORK$
Qty volts/amps
REPAIRS/MISCELLANEOUS Safe Inspection I Panel Change 'OH to UG
Replace Burnt/Damaged Meter Can Safety P
;Other: V � 1�.
ions of laws and ordinances governing this work will be complied the erformance of
Permit becomes void if work does not commence within a six month pet iod or work is suspended or abandoned for six months. I herebyecertwith whether
ify that I have
read this application and know the same to be true and correct. All pro � Zq�h `- �4�7 —7 <
specified or not. The permit does not give authority to violate the provisions of any other state or local I w regulation construction ort p
construction. �3
� Phone Number ✓��j
Property Owners Name �/d�-7 I1>�ax
�( Ca idface Phone
Electrical CompanyState Zip �Z�G
z J� v U55 4, /-e � ity� 1��/6
Co. Address:
License Holder (Print):
State C rtification/Registration#
Notarized Si nature older da f 20�
Notary Public State of Florida Sworn and subscribed bef re me this l�
__
Anna M Daly
Euro o 1'o_g50790 Signature of Notary Pub is