440 Osprey Key 2013 elec pnel chg . S!•:��I:rJ
CITY OF ATLANTIC BEACH
Is) 800 SEMINOLE ROAD
j ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00003831 Date 12/12/13
Property Address . . . . . . 440 OSPREY KEY
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
PANEL CHANGE
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Owner Contractor
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JACKSON EDMUND W JR ALDERMAN ELECTRIC LLC
440 OSPREY KEY 4622 ORT
FARMS CIR
ATLANTIC BEACH FL 322334367 JACKSONVILLE FL 32210
(904) S91-1092
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Permit ELECTRICAL PERMIT
Additional desc . . . 00
Permit Fee . . . . 90 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 6/10/14
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Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00
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
J, �p
Ph(904) 247-558/2/6 Fax (904) 247-5845
JOB ADDRESS: 7 S / / Ail, PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS �-0 AMPS Of30 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
[10-100 amps ❑101-150amps ❑151-200amps amps [ICT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
El Temporary Pole ❑ amps
SERVICE UPGRADE []_______amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 0200amps ❑ amps ❑CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-3 Damps 31-l 00amps 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 KVA [I Motors hp
ElSwimming Pool [ISign ❑Smoke Detectors_Qty [I Transformers
FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK$
Qty volts/amps
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection t'Panel Change [10H 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. �/ _
Property Owners Name / r,- 1 l' Phone Number
Electrical Company rN
/� ,� I=l� .t Office Phone,5��—/09�- Fax
Co. Address: .1,� U �-- _� S City �A, ' State !�• Zips/v
a /I
License Holder(Print):
1-���� State Certification/Registration# l
Notarized Signature of License Holder �3
JMFBWAIYER
Before me this Ziay of �� 20
as ...
.: MY COMMISSION#FF 011480
%'. EXPIRES:April 24,2017 Signature of Notary Public
.RPF t�,,• Bonded Thru Notary Public UnderwrAer6