371 3RD ST ELECTRIC PERMIT CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
j m ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00001155 Date 7/21/14
Property Address . . . . . . 371 3RD ST
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . RES SF DISTRICT
Application valuation . . . . 0
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Application desc
REMOVE AND REPLACE METER JAWS
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Owner Contractor
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EILERS, ELIZABETH T FIRST CHOICE ELECTRIC INC
369 3RD ST 716 VALLEY FORGE RD. N.
ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266
(904) 241-1331
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 1/17/15
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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 ALI, 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) 247-55826 Fax (904) 247-5845
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JOB ADDRESS: 7_S_7 ( ��� S�r'c•e� �`` �Cy_ PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
❑Residential(Main) Service
❑0-100 amps 1110 1-I 50amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main) Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main) Service
❑0-100 amps 1110 1-15 Oamps ❑151-200amps ❑ amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
L 100 amps ❑150amps ❑200amps ❑ 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
El Swimming Pool ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VAL UE OF WORK$ 2 oQ,•�b
REPAIRS/MISCELLANEOUS
❑Replace!B�urnt/Damaged Meter Can ❑`Safety Inspection []Panel Change ❑OH to UG
❑Other: jj2d��cc��J G c.�t✓ -�c�-iS
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 F�1_-7 CV.C� c_'C' PA r-Al+ L _Office Phone 2'}1 13 3 Fax
Co.Addrefs: '7 (b City I,At�12 � State F-L Zip 3Z2�4_
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License Holder(Print): State Certification/Registration#
Notarized Signature of License Holder `��` a�_ �_c� `,-a� FL- `JS' ZL^SI— O q Iv�
Before me this day of 20
Signature of Notary Public