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631 BEGONIA ST - ELECTRIC Sr��yr- CITY OF ATLANTIC BEACH • f I 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: 15-ELEC-1910 Job Type: ELECTRIC ONLY Description: ELECTRICAL - 120 V. 20 AMP CIRCUIT Estimated Value: Issue Date: 8/11/2015 Expiration Date: 2/7/2016 PROPERTY ADDRESS: Address: 631 BEGONIA ST RE Number: 170919-1035 PROPERTY OWNER: Name: MORELAND, PETER W Address: 1510 N 4RD AVE GENERAL CONTRACTOR INFORMATION: Name: LIBERTY ELECTRICAL CONTRACTORS Address: PO BOX 8743 QA LOUIS JOSEPH DEPETRIS Phone: 904-745-1850 _ 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: $94.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd,Atlantic Beach, FL 32233 Ph (904)247-5826 Fax(904) 247-5845 i J-E LEC- nip JOB ADDRESS: (j3 ( 6-3,( / c Sit • PERMIT# JEA INFORMATION REQUIRED ON ALL PERMITS _AMPS L/0 VOLTS 7 PHASE VALUE OF WORK$ NEW SERVICE ❑ Overhead n Underground I IT Underground up Pole ❑Residential(Main) Service 00-100 amps ❑101-150amps Li 151-200amps a amps #of Meters ❑Commercial(Main)Service 00-100 amps ❑101-150amps ❑151-200amps amps CICT Service amps Conductor Type Size ❑Multi-Family(Main)Service 00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters ETemporary Pole D amps SERVICE UPGRADE I 1 amps D CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) ❑100 amps D 150amps D200amps 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 i ❑Swimming Pool ❑ Sign ❑Smoke Detectors Qty ❑Transformers KVA Motors .r�j hp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty volts/amps VALUE OF WORK$ 7.r9f9 REPAIRS/MISCELLANEOUS ❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑OH to UG ❑Other: • ► l� - I • 4 - A •• 4 ' /. � / 7, I ,% C- 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 / ,,e AbalcivsAive Phone Number S 7c;10 Electrical Company '_. ' 4 , if ,i.a,. f Office Phone 79'KS-/rJ /Fax 7 y,�'lo O Co.Address: / Lid--V Mu ,ry° A1,� City 4':90 Stater/ Zip f f License Holder(Print): • ` 19 /lam__ * i , I S)9 ertification/Registration#622=1_24 Notarized Signature of License Holder Arl,■ i# L- 3(j-C30-5S �-M I 3-0 ;:v�;, JENNIFER WALKER :efore me this t 1 . ~day e f /\V 20 i S \:" ��,h;1 MY COMMISSION FF 011480 I / (ACkitit.,;": ,fit Bo dP EN P 4uoaenvrHeii Signature of Notary Publ '����•