551 Pelican Key 2013 elec for ac �� • ° �� CITY OF ATLANTIC BEACH.
1 800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
` INSPECTION PHONE LINE 247-5814
Application Number . . . 13-00003796 Date 12/11/13
Property Address . . . . . . 551 PELICAN KEY
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
PROPERLY FUSE HVAC
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Owner Contractor
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NICHOLS MARIE CHRISTINE AMERICAN ELECTRICAL CONTRACTOR
127 LEWIS RD 5065 ST. AUGUSTINE RD #13
FORT PLAIN NY 133393417 JACKSONVILLE FL 32207
(904) 737-7770
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Permit .
ELECTRICAL PERMIT
Additional desc .
Permit Fee 60 . 00 Plan Check Fee 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 6/09/14
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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 60 . 00 60 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 64 . 00 64 . 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 U"
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845
`B ADDRESS' .� PSI`U�n � eU PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS a UU AMPS alb VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
Residential(Main) Service
--0-100 amps -101-150amps 151-200amps - amps #of Meters
Commercial(Main) Service
'-0-100 amps -101-150amps -151-200amps amps -CT Service amps
Conductor Type Size
Multi-Family(Main)Service
—0-100 amps 101-150amps r;151-200amps amps #of Unit Meters
—Temporary Pole I amps
SERVICE UPGRADE i- amps I CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
- 100 amps Fj150amps -200amps - amps i CT 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
Swimming Pool Sign C I Smoke Detectors_Qty ❑Transformers KVA -Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK$
Qty volts/amps
REPAIRS/MISCELLANEOUS
Replace Burat/Damaged Meter Can Ll Safety Inspection ']Panel Change OH to UG
Nbther:
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. 1 I
Property Owners Name �IG11.4�' i 7 Phone Number
Electrical Company American Electrica Contracting, INC Office Phone 904-737-7770 Fax
Co.Address: 5065-3 St Augustine Rd City Jacksonville State FL Zip 32207
-tse Holder (Print):Earl W. Frick e C rtifi10
cation/Registration# ER0015 31
1arized Signature of License Holder v�
,On Notary Public State of Florida worn and subscribed be re me his ay f
20
Myna M Daly ignature of Notary Publ
�e� M Commission EE 850790
Apf„lo� Expirar0l/2512017