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60 Ocean Blvd new service r�y1l`Jrfr J`s CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J 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: 15-ELEC-1142 Job Type: ELECTRIC ONLY Description: COMM REPLACE 800 AMP UG SERVICE 800AMP 240VOLT 1PH Estimated Value: Issue Date: 5/14/2015 Expiration Date: 11/10/2015 PROPERTY ADDRESS: Address: 60 OCEAN BLVD RE Number: 170227-0000 PROPERTY OWNER: Name: JUBRAN AND JUBRAN A ET AL Address: 9912 VINEYARD GENERAL CONTRACTOR INFORMATION: Name: AMERICAN ELECTRICAL CONTRACTOR Address: 5065 ST AUGUSTINE RD APT 13 QA EARL W. FRICK Phone: - - FEES: New Commercial Electrical $190.00 Trade Permit Base Fee $55.00 State Elec DBPR Surcharge $2.00 State Elec DCA Surcharge $2.00 Total Payments: $249.00 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: M04;e PERMIT# JEA INFORMATION REQUIRED ON ALL PERMITS ::3bQ AMPS VOLTS t PHASE VALUE OF WORK$6 jp NEW SERVICE ❑ Overhead ❑ Underground ❑J Underground up Pole ❑Residential(Main) Service 110-100 amps ❑1014 50amps ❑151-200amps ❑ amps #of Meters ❑Commercial(Main) Service ❑0-100 amps 101-150amps ❑151-200amps ❑ amps CT Service amps Conductor Type Size ❑Multi-Family(Main)Service 110-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters []Temporary Pole ,J amps SERVICE UPGRADE ❑ amps ❑ CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) ❑100 amps ❑150amps ❑200amps ❑ amps ❑CT Service amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: 0-30amps 31-100amps 101-200amps Appliances: 0-30amps 31-100amps 101-200amps A/C Circuits: 0-60amps 61-100amps Heat Circuits: # circuits @ kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS ❑Swimming Pool ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA ❑Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty volts/amps VALUE OF WORK$ REPAIRS/MISCELLANEOUS ❑Replace Burnt/Damaged Meter Can El Safety Inspection []Panel Change ❑OH to UG Other: � •�� _ O(.t�1 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 —3 F-,0QQdTMfy1SPhone Numbeld "J-4--q 363 Electrical CompanyiwAc, r ' Office PhonlV 1(? -jM—9` 78 Fax% 74691 Co. Address:S City��CX1V i l� State zip,;wq License Holder (Print): - C- �.._- State Certification/Registration# 001Q Notarized Signature of License Holden 4� �� " "• --- Sworn and subscribed before me t ' -�_� ay of /�1 20/� t= PAUL R BAGBY MY COMMISSION#FF170363 ? �t Signature of Notary Public EXPIRES January 23,2019 ?AT= (407)3ea-0153 FbrWallota setvica-com