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555 AQUATIC DR 2015 ELEC r lJ� 01 S, CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD 1 ATLANTIC BEACH, FL 32233 J INSPECTION PHONE LINE 247-5814 ELECTRICAL PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-ELEC-778 Job Type: ELECTRIC ONLY Description: SECURE METER CAN AND REPLACE OUTLETS 100AMP230VOLT Estimated Value: Issue Date: 4/2/2015 Expiration Date: 9/29/2015 PROPERTY ADDRESS: Address: 555 AQUATIC DR RE Number: 171818-5330 PROPERTY OWNER: Name: IBARRECHE, GERARD Address: 555 AQUATIC DR GENERAL CONTRACTOR INFORMATION: Name: CRAWFORD ELECTRIC Address: P O BOX 51045 QA JOHN ROBERT CRAWFORD III Phone: - - FEES: State Elec DBPR Surcharge $2.00 State Elec DCA Surcharge $2.00 Electrical Repairs $35.00 Trade Permit Base Fee $55.00 Total Payments: $94.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PERMIT APPLICATION 3 CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach, FL 32233 � _ ` ��� -7-B�^ Ph(904) 247-5826 Fax (904) 247-5845 l� .TOB ADDRESS: C7 A ac, k, J PERMIT# JEA INFORMATION REQUIRED ON ALL PERMITSAMPS�r .b VOLTS PHASE -;-- VALUE OF WORK$ Z�� u NEW SERVICE ❑ Overhead ❑ Underground ❑J Underground up Pole ❑Residential(Main)Service ❑0-100 amps L-1 101-150amps a 151-200amps LI amps # of Meters Ll Commercial(Main)Service 00-100 amps ❑101-150amps ❑151-200amps ❑ amps OCT Service amps Conductor Type Size ❑Multi-Family(Main)Service 00-100 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 0200amps ❑ amps OCT 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 [I Smoke Detectors_Qty ❑Transformers KVA ❑Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty volts/amps VALUE OF WORK$ REPAIRS/MISCELLANEOUS ❑Replace Burnt/Damaged Meter Can El Safety Inspectiiioon ❑Panel Change ❑OH to UG ❑Other: �Cc A M.BA 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 l 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 //7� Phone Number Electrical Company CiJ, 'T'j ��/c�✓� Office Phone 9a 7-25(,(40 t FaxZ yl-903 7 Co.Address: 2-3 1 !"Yl�N'S��'1+71 City we &-oA State__ffZip ,-ZZ1l License Holder(Print): Jd�*►/� �� J�'` State Certification/Registration# E�`3od 2Y�q Notarized Signature of License Holder Before me this day of 20 Signature of Notary Public