296 Royal Palms Dr 2013 meter jaws CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00003280 Date 8/19/13
Property Address . . . . . . 296 ROYAL PALMS DR
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
replace meter jaws and side wires
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Owner Contractor
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KLOTZ JEFFREY DAVID STILES ELECTRIC, INC
P.O. BOX 330833 P.O. BOX 33195
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 504-3031
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Permit ELECTRICAL PERMIT
Additional desc REPLACED METER JAWS/WIRES
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 2/15/14
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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 CITV OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach,Fl, 32233
247(126 (Fax (90!:� 247
JOB ADDRESS:j 6Y� ,�(:21 I M :�j N�_ PERMIT#
�_/ RMITS cpg:�) Awsc:)q<��vOLTS PHASE
JEA INFORMATION REQUIRED ON ALL PE
VALUE OF WORK$
NEW SERVICE terhead El Underground Underground up Pole
E]ResidentiA4 )Service
110-100 amps El 10 1-I 50amps El 151-200amps []—amps #of Meters
El Commercial(Main) Service
E10-100 amps El 10 1-15 Oamps X,51-200amps D—amps EICT Service amps
Conductor Type Size
OMulti-Family(Main)Service
110-100 amps D 101-1 50amps El 151-200amps Ei_amps 4 of Unit Meters
F1 Temporary Pole El— amps
SERVICE UPGRADE []—amps [I CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
D100amps 11150amps 11200amps El amps EICT 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
OSwimmingPool E] Sign E Smoke Detectors_Qty []Transfortners_KVA []Motors hp
FUZE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK$
Qty_volts/amps
REPAIRS/MISCELLANEOUS
[]Replace Burnt/Damaged Meter Can El Safety Inspection 0 Panel Change [I OH to UG
S' >
yQther:fqL"C tler,4 �,QAIDS 16C
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 Phone Number
qc� klikx
Electrical Company --Office Phone
Co.Address: P ) gc> 3 c? GtAKLA�C�_C0(CA/&ate fc—Zip—
on# 3 =
License Holder(Print): State Certification/Registrati cY-k9c>( 39,.r-n
Notarized Signature of License o er N A
SHIRLEY L GRAHAM B re me this 20
y COMMISSION#DD 957760
EXPIRES:February 14,2014e$
Bonded Thru Notary Public Underwr� nature of Notary Pu