360 3RD ST 2013 SERVICE UPGRADE , CITY OF ATLANTIC BEACH
is 800 SEMINOLE ROAD
-Sr3 ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
13-00003485 Date 10/01/13
Application Number 360 3RD ST
Property Address . .
Application type description ELECTRIC ONLY
Property Zoning . . . . RES SF DISTRICT
Application valuation ------
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Application desc
SERVICE UP GRADE 200 AMPS ----
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Contractor
Owner _ -----
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CAMPBELL, PATRICK H OCEAN ELECTRICAL CO. , IN
C.
360 3RD ST P O BOX 50737
ATLANTIC BEACH FL 32233 JACKSONVILLE BEACH FL 32240
(904) 249-3112 ---
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--_-_ ----
Permit
ELECTRICAL PERMIT
Additional desc Plan Check Fee 00
Permit Fee 105 . 00 0
Valuation
Issue Date 3/30/14
Expiration Date --
_ __ _ ---------------- 2 . 00
_____ ------
Other Fees STATE ELEC DCA SURCHARGE 2 . 00
STATE ELEC DBPR SURCHARGE .....
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____ _ ---------------Paid----
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Credited Due
Fee summary
Charged ________--
_ ------------ ---------- ----105 . 00 . 00
Permit Fee Total 105 . 00 00 . 00
. 00 . 00 . 00
Plan Check Total 400 4 . 00 . 00
.
Other Fee Total 00 . 00
Grand Total
109 . 00 109 . 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) 247-5-845
JOB ADDRESS:
'ex'7— /�r`� ,A` $ c /" / PERMIT#
NEW SERVICE Nh Overhead ❑ Underground ❑Underground up Pole
❑Residentialin) Service ams #ofMeters
00-100 amps ❑101-150amps ❑151-200amps ❑ P
❑Commercial(Main) Service ams ❑CT Service amps
00-100 amps 0101-150amps 0151-200amps ❑ P
Conductor Type Size
❑Multi-Family(Main) Service s #of Unit Meters
00-100 amps ❑101-150amps ❑151-200amps ❑ _amps
❑Temporary Pole ❑ APs
SERVICE UPGRADE V 26b amps ❑ CT Service amps 0
L ��
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES- ETC.OCT Service APs
❑100 amps ❑150amps 0200amps ❑ P
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
31-100amps 101-200amps
Outlets/Switches: 0-3 Damps 101-200amps
Appliances: 0-30amps 31-100amps
AIC Circuits:
0-60amps 61-100amps
kw
Heat Circuits: _ # circuits @
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS ❑Transformers KVA ❑Motors hp
❑Swimming Pool ❑ Sign ❑Smoke Detectors Qty
FIRE ALARM SYSTEM (Requires 3 sets of plans &Fire Alarm Checklistl
e Qty VALUE Off'WORK$ r ��
volts/amps
REPAIRS/MISCELLANEOUS Inspection ❑Panel Change ❑OH to UG
❑Replace Burnt/Damaged Meter Can ❑Safety
i ❑Other:
e complied with whether
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 rovision of any otherovisions of laws rsta a or local law regulation onstruc work willton oces governing r the perfo ance of
specified or not. The permit does not give authority to violate thp
construction.
�aT� �k C 4—/??,o�El! Phone Number
Property Owners Name //•2Fax
0.N r���7�-,-L Office Phone 1.-L/ ��,9-�
Electrical Company �y L �yity ,'�fc/ State Zip 22
Co.Address: , �a �J
11 State ertification/Registratior �� �3
License Holder(Print):
Art •i S' t r °f. 'c s o er /C day of 2o-!3
JAMES L.GRI'ZARD
O`;RY P i� worn'and subscribed before ----
: W3 Notary Public State of Florida
• _My Comm.Expires Sep 17,tots i ature of No
Public
o;= commission M EE 100515 °
%FP,;,`; �, Bonded Through Natior..al Notary Asan.
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