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215 Beach Ave 2014 elec `i CITY OF ATLANTIC BEACH j-' 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 ELECTRICAL PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 14-ELEC-482 Job Type: ELECTRIC ONLY Description: 1 circuit Estimated Value: Issue Date: 11/20/2014 Expiration Date: 5/19/2015 PROPERTY ADDRESS: Address: 215 BEACH AVE RE Number: 170188-0000 PROPERTY OWNER: Name: SIMMONS, RICHARD L Address: 211 BEACH AVE GENERAL CONTRACTOR INFORMATION: Name: AMERICAN ELECTRICAL CONTRACTOR Address: 5065 ST AUGUSTINE RD APT 13 QA EARL W. FRICK Phone• - - FEES: State Elec DBPR Surcharge $2.00 State Elec DCA Surcharge $2.00 AC Circuits $5.00 Trade Permit Base Fee $55.00 Total Payments: $64.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. From:9047371099 11/19/2014 11:17 #813 P.002/002 ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach, FL 32233 Ph (904) 247-5826 Fax (904) 247-5845 JOB ADDRESS: ©(�� 1�%y�� PERMIT# JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE VALUE OF WORK$ r W. 0 NEW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up Pole .;Residential(Main)Service 0-100 amps ;:?101-1 SOamps 151-200ampsamps #of Meters Commercial(Main) Service 0-100 amps 101-LSOamps 151-200amps amps CT Service amps Conductor Type Size 'Multi-Family(Main)Service [. 0-100 amps ;l O 1-I SOamps 151-200amps amps #of Unit Meters _=Temporary Pole C amps SERVICE UPGRADE amps CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) A00 amps C 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 DSwimming Pool 71 Sign `:.Smoke Detectors`Qty JITransformers KVA `Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty volts/amps VALUE OF WORK$ REPAIRS/MISCELLANEOUS Replace Burnt/Damaged Meter Can Safety Inspection` (�([ Panel Change "_ OH to UG .Other: Uil) ((CLL eG C�" Cil 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. ,�, / (.0g Property Owners Name 1L1+�C ilr� rnm S Phone Number `(�D —�gCo—7AQ Electrical Company Amefilan F Office Phone61W-M-921DFax`90-M-1699 Co. Address: (c>S- ST, N2 tritc�c_y = city State ZipcccL License Holder(Print): �( ' .� 1, Sta �cation/Registration # No der ZZ�� Notary Public State of Florida f C Anne M Daly worn and subscribed ibefore me;this I d of v 202,LI/ My Commis m EE 850780 as Expiroeotn5/2o,7 ignature of Notary Pi blic l C