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174 15th St 2014 ELEC CITY OF ATLANTIC BEACH s) 800 SEMINOLE ROAD j ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00000161 Date 2/04/14 Property Address . . . . . . 174 15TH ST Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ------------------------------------------------------------------------- Application desc weatherhead 150 amp panel change and repairs ------------------------------------------------------------------------ Owner Contractor - ------------------------ ----------------------- JONES, MARY BRONWYN AMERICAN ELECTRICAL CONTRACTOR PONCIROLI, CHARLES 5065 ST. AUGUSTINE RD #13 174 15TH ST JACKSONVILLE FL 32207 ATLANTIC BEACH FL 32233 (904) 737-7770 ------------------------------------------------------------------ Permit ELECTRICAL PERMIT Additional desc . . Permit Fee 90 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 8/03/14 ------------------------------------------------------------ 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 qw CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach, FL 32233 Ph (904) 247-5826 Fax (904) 247-5845 ADDRESS: I 1�l I5 �Ck. PERMIT# JEA INFORMATION REQUIRED ON ALL PERMITS U AMPS a qC) VOLTS PHASE VALUE OF WORK$ I'6W NEW SERVICE ❑ Overhead ❑ Underground QT Underground up Pole Residential(Main) Service s #of Meters am 0-100 amps 101-150amps 151-200amps P Commercial(Main) Service ams CT Service amps i 0-100 amps 101-150amps 151-200amps P Conductor Type Size Multi-Family(Main)Service ams #of Unit Meters -_'0-100 amps 101-150amps 1151-200amps P Temporary Pole amps SERVICE UPGRADE amps CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) 100 amps 150amps 200amps amps CT Service amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: 0-30amps 31-100amps 101-200amps P 0-30am s 31-100amps 101-200amps .Appliances: A/C Circuits: 0-60amps 61-100amps Heat Circuits: # circuits @ kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS KVA Motors hp Swimming Pool Sign Smoke Detectors_Qty Transformers FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK Qty volts/amps REPAIRS/MISCELLANEOUS Replace Burnt/Damaged Meter Can L,'Safety Inspection ']Panel Change OH to UG Other: � Ce �ne� h��1 I`J (. .r„`:C' ("�n 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. j n �r t/ �� , Phone Number `7�" �`1� -��_I Property Owners Name 1Y1�f 1C(�fl [I e��ri C q' �n�l U��u �r�C Office Phone �77aFax qe:�� 7�7- 1 `�_ Electrical Company 3aa�� Co. Address: 3 c-.. anti ?K- _D_oc,c� City jmv State Zip �>> cJ �U ' LIL-e Holder (Print): - c �Lk �� rtification/Registration# a r( Notarized Signature of License Holder ` rn and subscribed befor-4 e t 's_� y of 20 Notary Pudic State of Florida . Anna M Daly '�j My Commission EE 850790 Si ature of Notary Public ?p' Expires 01/25/2017