136 Pine St 2013 elec -C, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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Application Number . . . . . 13-00003S45 Date 10/23/13
Property Address . . . . . . 136 PINE ST
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0 --------------
-------------------------------------------------------------
Application desc
reground elec service
-- -------------------------------------------------------------------------
Owner Contractor
------------------------
------------------------ AMERICAN ELECTRICAL CONTRACTOR
HARTMAN CYNTHIA M 5065 ST. AUGUSTINE RD #13
136 PINE ST
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207
(904) 737-7770
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc - . REGROUND ELEC SERVICE . 00
Permit Fee . . . . 90 . 00 Plan Check Fee 0
Issue Date . . . . Valuation . . . .
Expiration Date 4/21/14 --------------------------------
------------------------------------STATE ELEC DCA SURCHARGE 2 . 00
Other Fees . . . . . . . . . STATE ELEC DBPR SURCHARGE 2 . 00
---------- -----------------------------------------------------------------
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
-5845
Ph(904t,247 5826 Fax (904) 247
PERMIT#
JOB ADDRESS:
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK$
NEW SERVICE Q Overhead F-1 Underground D Underground up Pole
-Residential(Main) Service
0-100 amps -101-150amps 151-200amps -,-amps #of Meters
-Commercial(Main) Service F --CT Service amps
EO-100 amps 101-150amps 51-200amps ____amps
Conductor Type Size
Multi-Family(Main) Service
� 10-100 amps 101-150amps 151-200amps i-amps #of Unit Meters
Temporary Pole __amps
SERVICE UPGRADE []-amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
1-100amps E1150amps �-_amps -I CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: -0-30amps 31-100amps -101-200amps
Appliances: -0-30amps 3 1-1 00amps -101-200amps
A/C Circuits: -0-60amps 61-1 00amps
Heat Circuits: - # circuits @ --kw
Number of Lighting Outlets, Including fixtures.
OTHER ELECTRICAL PROJECTS
L i Swimming Pool Sign L11 Smoke Detectors__Qty El Transformers_KVA i-Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK
Qty_volts/amps
REpAIRS[MISCELLANEOUS E Safety Inspection 'Panel Change OH to UG
-Replace Burnt/Damaged Meter Can
Other: J
suspended or abandoned for six months. I hereby certify that I have
Permit becomes void if work does not commence within a six month period or work is
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 perfbn-nance of
construction. Phone Number
Property Owners Name r4m�A,1\
J ntracting, INC Office Phone 904-737-7770 Fax
Electrical Company American Electrical Co Cit Jacksouville State FL Zip 32207
Co.Address: 5065-3 St Augustine Rd
License Holder (Print):Earl W. Frick /& st,o�c rtification/Registration# ER0015�1(o
Notarized Signature of License Holder -\1 20
Notary Public State of Florida Sworn and subscribed efore me this day
j Anna M Daly
My Commigaion EE 850790 Signature of Notary P lic /3
OF Expires 0112612017