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44 Dewees Elec 2014 CITY OF ATLANTIC BEACH s1 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 ELECTRICAL PERMIT INSPECTION PHONE LINE 247-5814 % ALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: - LEG-50 Job Type: ELECTRIC ONLY Description: install outlet for charging station Estimated Value: Issue Date: 9/22/2014 Expiration Date: 3/21/2015 PROPERTY ADDRESS: Address: 44 DEWEES AVE RE Number: 169550-0000 PROPERTY OWNER: Name: MARTIN, SANDRA L Address: 44 DEWEES AVE PO BOX 330500 GENERAL CONTRACTOR INFORMATION: Name: ACE ELECTRICAL SERVICE OF N FL Address: Phone• - - FEES: State Elec DBPR Surcharge $2.00 State Elec DCA Surcharge $2.00 Trade Permit Base Fee $55.00 Electrical Repairs $35.00 Total Payments: $94.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach, FL 32233 j� Ph (904) 247-5826 Fax (904) 247-5845 JOB ADDRESS: �" J/e�••�Ce V� PERMIT JEA INFORMATION REQUIRED ON ALL PERMITS AMPS aYO VOLTS PHASE VALUE OF WORK$ 7 3• �� NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole ❑Residential (Main) Service ❑0-100 amps 1110 1-15 Oamps ❑151-200amps ❑ amps #of Meters []Commercial(Main) Service ❑0-100 amps ❑101-150amps ❑151-200amps El-amps ❑CT Service amps Conductor Type Size ❑Multi-Family(Main) Service ❑0-100 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 ❑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 Swimming Pool ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA ❑Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans& Fire Alarm Checklist) Qty volts/amps VALUE OF WORK$ REPAIRS/MISCELLANEOUS []Replace Burnt/DamagedM/eter /C'an ❑Safety Inspection El Panel Change El OH to UG Other: T/V f 4 6 c 0 vk71� `t�tL C'� S l o/✓ 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 f44S &a h�l� �'t T�� Phone Number Electrical Company �f,� �Ze, ,,r��� 7L✓%Lr' �� N�`S��• Office Phone Fax Co.Address: 31)7 W14Ln/� r J/��uw� City A-)c State,R Zip 3 ZZD License Holder (Print): • C.V .✓ S Certifica ion/Registration K ieeftw Ider DAVID P. WOODY p � MY COMMISSION#FF064042 Sworn and subscribed before in th s /0 day of -Stvf Z­�K At-k 20� 'P EXPIRES December 18,2017 Signature of Notary Public Cr� (407)398-0153 FloridallotaryService.com