370 Garden Ln 1 elec fixture 2013 CITY OF ATLANTIC BEACH
S 800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00003053 Date 7/15/13
Property Address . . . . . . 370 GARDEN LN
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
1 appliance
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Owner Contractor
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GRANDY, FRANCES LIN' S ELECTRIC INC
370 GARDEN LANE 3840 MAGILL RD
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32220
(904) 545-1346
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Permit ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 55 . 60 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 1/11/14
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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 55 . 60 55 . 60 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 59 . 60 59 . 60 . 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: 37o / tC.-' " .' PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 1 C D AMPS 2 lL0 VOLTS 1 PHASE
VALUE OF WORK$ 2_00
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
OResidential(Main) Service
[10-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
i_ i Commercial(Main) Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main) Service
50-100 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
USwimming Pool ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA El 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 OOH 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. o
Property Owners Name&A'.. L:s Phone Number. q1- �g
Electrical Company �` tc l �'� `�- Office Phone = 13 y ro Fax
Co.Address: 33-w 1M a s i t l R-�• City SMI" - State f/ Zip 12-22�0
�.' cox 12 State C ificatio a istration# �� 3et3ZW6
License Holder(Print): ^ g -�
Notarized Signature of License Holder
Before me this daIV 20
Signature of Notary Pu