382 6th St 2014 elec CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
Application Number . . . . . 14-00001218 Date 7/31/14
Property Address . . . . . . 382 6TH ST
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . RES SF DISTRICT
Application valuation . . . . 0
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Application desc
2 circuits 90 amps
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Owner Contractor
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KIRBY ELECTRICAL SERVICES INC
KENNEY, DENISE MARIE
2213 ALICIA LN 3473 SARA DRIVE
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32277
(904) 201-0221
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Permit . . . ELECTRICAL PERMIT
Additional desc . . . 00
Permit Fee . . . . 59 . 00 Plan Check Fee .
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 1/27/15
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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 59 . 00 59 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 63 . 00 63 . 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: 6 T" _ST PERMIT#
VAL UE OF WORK$ S00.0(2
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
❑Residential(Main) Service
-10-100 amps ❑101-150amps ❑151-200amps ❑ amps # of Meters
Commercial(Main) Service
00-100 amps ❑101-150amps ❑151-200amps Ci amps ❑CT Service amps
Conductor Type Size
Multi-Family(Main) Service
E10-100 amps El 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 ❑200amps ❑ amps ❑CT Service amps
❑
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 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 L i Motors h
❑Swimming Pool ❑ Sign []Smoke Detectors_Qty ❑Transformers KVA p
FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK$
Qty volts/amps
REPAIRS/MISCELLANEOUS
Burnt/Damaged Meter Can / []Safety Inspection/ ❑Panel Change ❑OH to/UG
Zr:OtheQ r� W'fe_ 4-e S u 6 ay! T' � !ter b 1141
rev �—
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. Y la , i
Property Owners Name >`Ali Phone Number Q 6
L ( � '76V 201-- 22/Fax V
Electrical Company �r�J� �C��/C/C��/ ��i'��� Office Phone U
,3 y73 S�� 1/� • City �� .� State /�C . Zip 32z 77
Co.Address: 'l
License Holder(Print): l�r r �' ���7� State Certification/Registration# � ��S 46
Notarized Signature of License Holder
Before me this day of 20
Signature of Notary Public