1671 Beach Ave 2013 reground elec CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
''•,.; INSPECTION PHONE LINE 247-5814
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Application Number . . . . . 13-00003439 Date 10/03/13
Property Address . . . . . . 1671 BEACH AVE
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . RES SF DISTRICT
Application valuation . . . . 0
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Application desc
REGROUND
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Owner Contractor
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GAY SHIRLEY W TRUST AMERICAN ELECTRICAL CONTRACTOR
1671 BEACH AVE 5065 ST. AUGUSTINE RD #13
ATLANTIC BEACH FL 322335840 JACKSONVILLE FL 32207
(904) 737-7770
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . . . 00
Permit Fee . . . . 90 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 4/01/14
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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
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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 ^q�
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: �� I P �CQIAQ- PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS c' UO AMPS JqO VOLTS PHASE
VAL UE OF WORK$-110
NEW SERVICE ® Overhead ❑ Underground ❑J Underground up Pole
Residential(Main) Service
-0-100 amps 101-150amps F--i 151-200amps 'il amps #of Meters
--Commercial(Main) Service
-'0-100 amps 101-150amps r_151-200amps amps CT Service amps
Conductor Type Size
Multi-Family(Main) Service
0-100 amps 101-150amps E 151-200amps amps #of Unit Meters
-Temporary Pole amps
SERVICE UPGRADE r 1 amps '- CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) CT Service amps
-100 amps 1150amps 200amps ` amps p
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
Swimming Pool - Sign ❑Smoke Detectors_Qty i]Transformers KVA =;Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRSIMISCELLANEOUS
Replace Burnt/Damaged Meter Can ❑Safety Inspection Panel Change L OH 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. /� I 2��`
Te
�u-e'u's Phone Number ` 0q- Jb l - -(,ow
Property Owners Name
Electrical Company American Electrical Contracting, INC Office Phone 904-737-7770 Fax
Co. Address: 5065-3 St Augustine Rd City J cksonv'.11e State FL Zip 32207
License Holder (Print):Earl W. Frick e ' Ication/Registration# ER0015 1 G
Not
of Florida eP e t' 20 )3
worn and subscribed efore e this o� da f
860790
3m!:Ilignature
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ignature of Notary P lic 413 Z