safety inspections 1917 Mealy St 2013 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00003556 Date 10/21/13
Property Address . . . . . . 1917 MEALY ST
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0 ------
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Application desc
safety inspection
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Owner Contractor
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ZIMMER MICHAEL A ET AL JAX ELECTRICAL CONTRACTING INC
1917 MEALY ST 1839 LANE AVE #100; SUITE 110
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32210
(904) 483-8384
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . . . 00
Permit Fee . . . . 90 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 4/19/14 ---------------
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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 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) 247-5845
JoBADDRESS: 1,1717 MocdLt St PERMIT N
JEA INFORMATION REQUIRED ON ALL PERMITS ZO :7 AMPS 2'1(1 VOLTS PHASE
VALUE OF WORK$
NEW SERVICE Overhead Underground ED Underground up Pole
DResidentia%ain) Service
E10-100 amps 0 101-150amps 0 151-200amps 0—amps of Meters
0 Commercial(Main) Service
110-100 amps [I 101-150amps 0 151-200amps 0—amps [I CT Service amps
Conductor Type_ Size
[]Multi-Family(Main)Service
00-100 amps 0 10 1-15 Oamps 0 151-200amps 0—amps of Unit Meters
ElTemporary Pole 0 amps
SERVICE UPGRADE Fl—amps 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100amps [1150amps 0200amps Ll amps 0 CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: —0-30amps 31-100amps _101-200amps
Appliances: —0-30amps —3 1-100amps _101-200amps
A/C Circuits: —0-60amps _61-100amps
Heat Circuits: # circuits
Number of Lightini-O—utlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS ansformers KVA 0 Motors hp
El Swimming Pool 0 Sign [I Smoke Detectors_Qty 0 Tr
FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK$ Z-'l 0
Qty_volts/amps
REPAIRS/MISCELLANEOUS UPanel Change DOH to UG
0 Replace Burnt/Damaged Meter Can k<Sa-fety Inspection
00ther:
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
Electrical Company— k Office Phone J -3'R I Fax—-
Co.Address: *Z 0 1-7 L't4/N city ':J�_X_ .—State i�L_Zip 3 2-11 (y
License Holder (Print): T"I..?\ State Certification/Registration#6-62 t 3
Ider
Not h 1111
M
14Y COMMISSION#DD 957750
ru yj 0 efore me this day of
EXPIRES:February 14,2014
Booded Thru Notary Public Un�derwriterss
S gnature of Notary Public