267 Jasmine St 2014 elec TI
CITY OF ATLANTIC BEA
J 800 SEMINOLE ROAD
r� ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000055 Date 1/16/14
Property Address . . . . . . 267 JASMINE ST
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
SAFETY INSPECTION 125AMPS, 240VOLTS, 1PHASE
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Owner Contractor
------------------------
------------------------ JAX FRANCES M JAX ELECTRICAL CONTRACTING INC
T
HOJASMINE ST 1839 LANE AVE #100; SUITE 110
267
ATLANTIC BEACH FL 322331731 NVILLE
(9C4)O 483-8384FL 32210
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . Plan Check Fee . 00
Permit Fee . . . . 90 . 00 0
Issue Date Valuation
Expiration Date . . 7/15/14
-------------------------------------------- ------
Other Fees .
STATE ELEC DCA SURCHARGE 2 . 0
STATE ELEC DBPR SURCHARGE 2 . 00
___ _ ________ ---
Fee summary Charged
Paid Credited ----Due---
----- --
00 . 00
Permit Fee Total 90 . 00 90 . 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 , L
JOB ADDRESS' Z
6 .7 JoSP'ji tn e S� PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS _-L-2. AMPS VOLTS PHASE
VALUE OF WORK$ Z`' v
NEW Bread ❑ Underground ❑T Underground up Pole
❑Residential(Main) service ams #of Meters
❑0-100 amps 101-150amps ❑151-200amps ❑ P
[]Commercial(Main)Service ams [I CT Service amps
00-100 amps ❑101-150amps ❑151-200amps ❑ p
Conductor Type Size
[I Multi-Family(Main)Service ams #of Unit Meters
[10-100 amps ❑101-150amps [I 151-200amps ❑ P
[I Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 0200amps ❑ amps [I CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-3 Damps 31-l 00amps ps
101-200am
Appliances: 0-30amps 31-100amps ps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS ❑Transformers KVA El Motors hp
❑Swimming Pool ❑ Sign ❑Smoke Detectors_Qty
FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK$
Qty volts/amps
REPAIRSIMISCELLANEOUS
[]Replace Burnt/Damaged Meter Can afety Inspection []Panel Change [i OH 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
ions of laws
ces governing this work will be
read this application and mit the does note give authority o ve to be true and iolate thelprrov provisions of any othersta el or local law regulation onstruc on or theed perfoth whether
rmanc of
specified or not. The perm g
construction. ��l" C�.� SOY\
Phone Number
Property Owners Name � %c "` // 11
�'l-r-oOffice Phone q�f 3 I Fax
Electrical Company -3
C' eAveS. City �c,kivA x,11 e StateF - Zip 3
Co.Address: Zv/7 L A ��X 30�,�Z 3 5
License Holder(Print): -'l U State Certification/Registration#
Notarized Signature of License Holder �kA^N 20 I q
R efore me this SS%y of
JENNIFERW1t4f!0
MY COMMISSION#F, tbda
EXPIRES:Ap6t 24.ndOetrwr, , ignature of Notary Public
F bP` Bonded TV"Notary Pubk
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