44 Jackson Rd 2014 safety inspectn elec �� s "• CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000065 Date 1/21/14
Property Address . . . . . . 44 JACKSON RD
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
SAFETY
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Owner Contractor
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HARRIS DARRYL LAMAR & LACRESHI MAXIMUM CONTRACTING GROUP
1159 DORWINION DR 111 MARISCO WAY
JACKSONVILLE FL 32225 JACKSONVILLE FL 32220
(904) 887-3086
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . . SAFETY INSPECTION . 00
Permit Fee 90 . 00 Plan Check Fee .
Issue Date . . . Valuation 0
Expiration Date . . 7/20/14
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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
Ph(904)-247-5826 Fax (904) 247-5845
JOB ADDRESS: L� %�CAA CQAI �C�'/ 4-T L �7i G /?C-"z 2.?:U PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS ,�2 yLo VOLTS PHASE
/Z
VALUE OF WORK$
NEW SERVICE [A Overhead ❑ Underground Ol Underground up Pole
❑Residential(Main) Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main)Service
110-100 amps ❑101-150amps ❑151-200amps amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
110-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 11200amps ❑ amps OCT 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
❑Swimming Pool ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can Iafety Inspection []Panel Change DOH 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 Phone Number
Electrical Company MI m d Lr7A/%j�GTN C, i1,�.� Office Phone Toll 17 308 6 Fax
Co.Address: /// /!"Sw LV44J City t State •-L Zip.?,20,4p
License Holder(Print): 2 C7� State Certification/Registration# CC 1300 k77-2
Notarized Signature of License Ho[de
Bore me this 1Laoo 20SHIRLEY 1.GRAHAM
aY COMMISS;ON#DD 957760
• 'a= EXPIPES F�nniary�¢,2a Ia nature of Notar Pub
y
Bonded ThruNotaryPublic Undeiwriter�'
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