298 SHERRY DR ELEC PERMIT CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00003835 Date 12/13/13
Property Address . . . . . . 298 SHERRY DR
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
REPLACE POWER POLE
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Owner Contractor
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DUVAL CO.BD. PUB. #227 QUALITY ELECTRICAL SERVICE INC
1701 PRUDENTIAL DRIVE 2758 ERNEST ST
JACKSONVILLE FL 32207 JACKSONVILLE FL 3220S
(904) 388-9198
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . . REPLACE POWER POLE
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 6/11/14
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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
She (904) 247-5826 Fax (904) 247-5845
—ja . - -1-L .. -
JOB ADDRESS: �err 1)rive- PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS ;20 C) AMPS i
YL PHASE
L) VOLTS
VAL UE OF WORK co o
NEW SERVICE F-1 Overhead Ej Underground Underground up Pole
Residential(Main) Service
0-100 amps 1-1101-150amps 11 51-200amps I]_amps of Meters
I Commercial(Main) Service
1 0-100 amps Ll 101-I 50amps I �151-200amps I ]—amps -I CT Service amps
Conductor Type Size
Multi-Family(Main) Service
1L !0-100 amps 1--�101-150amps I i 151-200amps 1-1—amps # of Unit Meters
1 Temporary Pole !- I_amps
SERVICE UPGRADE E amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
-�100 amps -1 150amps F1.200amps ' ]_amps ECT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 3 1-1 00amps 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
[I Swimming Pool � i Sign [ !Smoke Detectors_Qty Transformers KVA 71 Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty_volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
['Replace Burnt/Damaged Meter Can -1 Safety Inspection I-jPanel Change I]OH to UG
�74Qther: PJAO�rx 10-0 W twr Q-
Permit becomes void if work does not commence within a ii, 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. -Dt,4VA 6o� 6&V44, Soa,&*eo Phone Number
Property Owners Name
Electrical Company Uaitv,7�j —office Phone &__Fax
Co. Address: 4 S+ City :TAJ�4 cwt v,'I(e Statee�_Zip j—
License Holder(Print): W4 �r 0 om ale, State Certification/Registration# 7/
Notarized Signature of License Holder FiGo53Q--1Z -514 -
go,
Before me this 13 day of 20
JENNIFER WALKER
MY OMMISSION#FF 011480 Signature of Notary Public
EXPIRES:Apdl 24,2017
0$0 Bonded Thru Note
ry Public Under0ters