1723 E Park Ter 2013 elec CITY OF ATLANTIC BEACH
iso
s) 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00003035 Date 7/10/13
Property Address . . . . . . 1723 E PARK TER
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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TADROS ANTOWAN D BILL THOMPSON ELECTRIC CO, INC
1723 PARK TERRACE EAST 49 WEST 7TH ST
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 249-5601
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Permit ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 1/06/14
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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 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 BEACHYY�
800 Seminole Rd,Atlantic Beach, FL 32233 \
Ph(904) 247-5826 Fax (904)247-5845
JOB ADDRESS: Z72 3 A,�- r!l��l� S� PERMIT#
.IEA INFORMATION REQUIRED ON ALL PERMITS 7� AMPS 2LFO VOLTS / PHASE
VAL UE OF WORK S
NEW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up Pole
❑Residential(Main) Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
CCommercial(Main) Service
LO-100 amps ❑101-150amps ❑151-200amps ❑ amps OCT Service amps
Conductor Type Size
EMulti-Family(Main) Service
00-100 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 0200amps ❑ 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 [I Motors hp
FUZE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK S
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection anel Change OOH 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. A11 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 Phone Number '0
Electrical Company Bill Tho son Electric Co.INC Off ce Phone z9 S6�/ Faxy7��O-�`ffl
. og 0
Co.Address: Atlantic Reach,FL 32233 City State Zip
License Holder(Print): State Certification/Registration
1\76tarized Signature of'License holder
JENNIFER WALKER Before me this day of 20
MY COMMISSION Y FF 011480
`., EXPIRES:April 24,2017 Signature of Notary Public
� °�` Bonded Thru Notary Public undenrtdere