571 Camelia st 2013 elec safety CITY OF ATLANTIC BEACH
II'
800 SEMINOLE ROAD
"J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00002932 Date 6/25/13
Property Address . . . . . . 571 CAMELIA ST
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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MARTIN DAVID P ESTATE JAX ELECTRICAL CONTRACTING INC
571 CAMELIA ST 1839 LANE AVE #100; SUITE 110
ATLANTIC BEACH FL 322332519 JACKSONVILLE FL 32210
(904) 483-8384
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 12/22/13
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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
n Ph(904) 247-5826 Fax (904)247-5845
JOB ADDRESS: � '2�'41 -- PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 7-° '0 AMPS ZL o VOLTS � PHASE
VALUE OF WORK$ 2-0'0
NEW SERVICE Overhead ❑ Underground ❑T Underground up Pole
❑Residentia (Main) Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
_-Commercial(Main) Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps ❑CT Service amps
Conductor Type Size
❑Multi-Family(Main) Service
❑0-100 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 ❑ amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 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 ❑Smoke Detectors_Qty ❑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 afety Inspection ❑Panel Change DOH to UG
❑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 a Phone Number
Electrical Company rt ec' (-k C-c j Office Phone 94 13 !�'_3 Fax
Co. Address: 19 3 7 Lei-e-fve-S 5�e /1.o 3-keV"- City 'Ta c l_su-tm 1,6tate F Zip 32-2-IL'
License Holder(Print): au l 1. 0 a.k-�c State Certification/Registration#E 113gV4 7-31
1�I �f° � rrAllh�i(G 1>EsSdIc�� er
Nogry State of Florida
• My Cam.Eq*ts Jun 27°201 fore me this �s day of Jyf�Z 20 13
ComwAssioo#EE 211793
Iwo 10"'i N0u'y�'" gnature of Notary Public IYtr;i h t LU E'J 09