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587-1 BEACH AVE SAFETY 2013 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: - [ — I /4 Il`� PERMIT# JEA INFORMATION REQUIRED ON ALL PERMITS ��d AMPS C;), VOLTS PHASE VALUE OF WORK$ NEW SERVICE ❑ -O rhead ❑ Underground ❑J Underground up Pole ❑Residential(Main) Service 00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters 0Commercial(Main) Service 00-100 amps ❑101-150amps ❑151-200amps ❑ amps OCT Service amps Conductor Type Size ❑Multi-Family(Main) Service 00-100 amps ❑101-150amps ❑151-200amps ❑ amps # of Unit Meters ❑Temporary Pole 3 amps SERVICE UPGRADE ❑ amps ❑ CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) ❑100 amps ❑15 amps 0200amps ❑ amps OCT Service amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: 0-3 Damps 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 I Sign ❑Smoke Detectors_Qty ❑Transformers KVA ❑Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans&Fire Alarm Checklist) Qty volts/amps VALUE OF WORK$ REPAIRS/MISCELLANEOUS ❑Replace Burnt/Damaged Meter Can Safety Inspection Panel Change DOH to UG Other: Permit becomes void if work dons 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. n ' Property Owners Name l� O rO W 0 Phone Number Electrical Company—\r" v� E, -C, /N Office Phone D407lo�a 11 Fax es!F6 Co. Address: A rl� City State �ip 35� License Holder (Print): 1/ ' State e ' cat n/Registration#&koal,S/Iy ood'�, e, 1g A Ider ?�• �`� Notary Public-St to of Florida r• My Comm. Expire dui f tot s Sworn and subscribed befor me is _ day of 20 Commission # E 202003 e°:;`��• Signature of Notary Publi Bonded Through National Notary Assn. u CITY OF ATLANTIC BEACH i f 800 SEMINOLE ROAD J V� ATLANTIC BEACH,FL 32233 F INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00003082 Date 7/17/13 Property Address . . . . . . 587 BEACH AVE Tenant nbr, name . . . . . . 587-1 GUEST HOUSE Application type description ELECTRIC ONLY Property Zoning . . . . . . . RES SF DISTRICT Application valuation . . . . 0 ------------------------------------ Application desc SAFETY INSPECTION ------------------------------------ Owner Contractor ------------------------ ------------------------ KIRK & ANNE MARIE MOQUIN TRI COUNTY ELECTRICAL 2375 PONTE VEDRA BLVD S 11637 E. COLUMBIA PRK. DR PONTE VEDRA BEACH FL 32082 JACKSONVILLE FL 32258 (904) 260-9669 ---------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . Plan Check Fee . 00 Permit Fee . . . . 90 . 00 0 Issue Date Valuation Expiration Date . . 1/13/14 ----------- - ----- -- - -- - ----------- 2 . 00 Other Fees-- . - . - . - . - . - . - ees STATE ELEC DCA SURCHARGE STATE ELEC DBPR SURCHARGE 2 . 00 _ ________ ---- Fee summary Charged Paid Credited ----Due-- . 00 _ _ ---------- ----- ---------- - . 00 Permit Fee Total 90 . 00 90 . 00 00 . 00 Plan Check Total . 00 . 00 Other Fee Total 4 . 00 4 . 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.