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578 ROYAL PALMS DR - ELECTRIC f.-Sr\1. ,:. � �s, CITY OF ATLANTIC BEACH v 800 SEMINOLE ROAD " ATLANTIC BEACH,FL 32233•J INSPECTION PHONE LINE 247-5814 �J.219". ELECTRICAL PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 30B INFORMATION: Job ID: 15-ELEC-1946 Job Type: ELECTRIC ONLY Description: 14 outlets rewire Estimated Value: Issue Date: 8/17/2015 Expiration Date: 2/13/2016 PROPERTY ADDRESS: Address: 578 ROYAL PALMS DR RE Number: 171518-0000 PROPERTY OWNER: Name: WELLS FARGO BANK NA Address: P 0 BOX 2248 MAIL CODE Z3057-010 GENERAL CONTRACTOR INFORMATION: Name: ALL AMERICAN ELECTRICAL OF NORTH FLORIDA INC. Address: 4541 St Augustine RD STE 4 Phone: 904-962-0691 FEES: State Elec DBPR Surcharge $2.00 State Elec DCA Surcharge $2.00 Lighting Outlets. Including Fixtures $8.40 Trade Permit Base Fee $55.00 Total Payments: $67.40 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd,Atlantic Beach, FL 32233 Ph(904)247-5826 Fax (904)247-5845 JOB ADDRESS: 5 7 'o \\ R.,4\ONS PERMIT# JEA INFORMATION REQUIRED ON ALL PERMITS 2Q7) AMPS 12G4`1 VOLTS PHASE VALUE OF WORK$ NEW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up Pole ❑Residential(Main)Service 00-100 amps D 101-150amps ❑151-200amps D amps #of Meters ❑Commercial(Main)Service 00-100 amps 0101-150amps ❑151-200amps ❑ amps OCT Service amps Conductor Type Size ❑Multi-Family(Main)Service 00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters 0Temporary Pole D amps SERVICE UPGRADE ❑ amps 0 CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) 0100 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 0 Swimming Pool ❑ Sign ❑Smoke Detectors Qty ❑Transformers KVA [1 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 CI Panel Change DOH to UG 0Other: Q op\o,c.e, In A tQ-J - t \NCn.A.-71-2. 1" &o.'"Le 71.1\Q (C-0--k t, C Li 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 1 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 o construction. SQL.CS3 Property Owners Name —14:0J UtA.r j \ Phone Number Electrical Company All fon(1ri(2'1ceA- CIECA,Ac cA Office Phone' -O(M. ( Fax Co. Address:L041 Gk. fl1/4.rj3Sk),c s LA City 71,gr_tcc6 1."‘to \ State l Zipiaa�3 License Holder(Print): .,\n,D,s„ (f--,1 -c.69.5.1—) State Certification/Registration# €%.'3o1'3-0 O Notarized Signature of License Holder S� __ (�— fY P Notary Public State of Florida Before me this 1 7 day f" S::i[ .-.l; 20 l �; Shirley L Graham .V�• �K My Commission FF 086990 Signature of Notary Public �� w -1oE no Expires 02/14!2018 II ...........,,