463 Irex Rd 2013 elec CITY OF ATLANTIC BEACH
J 800 SEMINOLE ROAD
r� ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00003247 Date 8/13/13
Property Address . . . . . . 463 IREX RD
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
elec switches
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Owner Contractor
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RUST JACKSON E & ADRIENNE G LIN' S ELECTRIC INC
4363 IREX RD 3840 MAGILL RD
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32220
(904) 545-1346
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . . . 00
Permit Fee . . . . 55 . 60 Plan Check Fee
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 2/09/14
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Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00
STATE ELEC DBPR SURCHARGE 2 . 00
Fee summary Charged Paid Credited Due
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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
�0 3 Ph 904) 247-5826 Fax(904)247-5845
.TOB ADDRESS: e- � PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS CAMPS :�,)�(O VOLTS 1 PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
[]Residential(Main)Service
110-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main)Service
00-100 amps ❑101-150amps ❑151-200amps El—amps ❑CT Service amps
Conductor Type Size
[]Multi-Family(Main)Service
110-100 amps ❑101-150amps ❑151-200amps LI—amps # of Unit Meters
El Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps ❑200amps ❑ amps [I CT Service amps
ADDITIONS,REMODEL$,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: r 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
[]Replace Burnt/Damaged Meter Can ❑Safety Inspection El 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. r
Property Owners Name Y/Q�C1 r► e_r�n e_ ��-S� Phone Number o - jr& 0 3
Electrical Company L I'nk5 r le-L-/ ,�j`, 1-�` Office Phone s-13O/fo Fax &qln od-6e-
Co.Address: 3 g D P. t �t city A)c. State}l ` Zip ZZZ'0
License Holder(Print): r ( �� �,��� Sta e Certi ation/Registration# iCt 3 i6 17 zs"
NotariVignalureaf 11"'aw. r
. SHIRLEY L GRAHAM 0
' ;OMMISSION#DD 9577601ore me this ay
-�, - ~,(FIRES:February 14,2
Bonded Thru Notary Public Unde
__ „�._ nature of Notary Publi