1505 Joedan St 2013 AC Circuit CITY OF ATLANTIC BEACH
� Its
j 800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00003041 Date 7/11/13
Property Address . . . . . . 1505 JORDAN ST
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
AC CIRCUIT
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Owner Contractor
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BRANCH, SHEILA AMERICAN ELECTRICAL CONTRACTOR
1505 JORDAN STREET 5065 ST. AUGUSTINE RD #13
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207
(904) 737-7770
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Permit ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 60 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 1/07/14
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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 60 . 00 60 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 64 . 00 64 . 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: D 71Z f L, PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS ZO�AMPS VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
Residential(Main) Service
10-100 amps -101-150amps C1151-200amps amps #of Meters
Commercial(Main) Service
I0-100 amps 101-150amps 1151-200amps amps CT Service amps
Conductor Type Size
Multi-Family(Main) Service
0-100 amps 101-150amps 151-200amps amps #of Unit Meters
Temporary Pole C' amps
SERVICE UPGRADE I_ amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
1100 amps 1150amps 200amps amps CT 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 -1 Sign 'Smoke Detectors_Qty I Transformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRSIMISCELLANEOUS
Replace Burnt/Damaged Meter Can _I Safety Inspection I Panel Change OH to UG
Other: C��L �
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 I � /� �J Phone Number `Z l -
Electrical Company 11'(6, Office2hone 7`7 77U Fax
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License Holder (Print): V�� w LLQ tate rti cation/Registration# t�/Zc /�3�1�
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Notary Public Florida
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