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1093 HIBISCUS ST - ELECTRIC REPAIR ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800..Seminole Rd,Atlantic Beach-, FL 32233 F: Ph(904)247-5826 Fax (904)247-5845 I G- C_l `i- L JOB ADDRESS: j Oq 1 S 14 t v i Sd u S ST- PERMIT# JEA INFORMATION REQUIRED ON ALL PERMITS Z-00 AMPS ZZaOLTS St no,le . PHASE t VALUE OF WORK$ Underground ET Underground up Pole NEW SERVICE ❑ Overhead ❑ � DResidential(Main)Service s # of Meters 0 0-1 00 amps E 101-150amps f_ 151-200amps amps 0 Commercial(Main)Service CT Service amps =i0-100 amps :3 101-150amps "-;151-200amps amps Conductor Type Size ❑Multi-Family(Main)Service # of Unit Meters 00-100 amps :i l 01-150amps 151-200amps amps OTemporary Pole 0 _ _amps SERVICE UPGRADE . . amps CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) OCT Service amps 0 100 amps 0 l 50amps 0200amps 0 amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: 0-3 Oamps 31-100amps Appliances: 0-30amps 31-100am 61-100amps 101-200amps A/C Circuits: 0-60amps 1- Ps Heat Circuits: # circuits @ kw_ Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS Transformers KVA Motors hp C Swimming Pool C Sign H Smoke Detectors Qty FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK Qty volts/amps REPAIRS/MISCELLANEOUS )I I t�> t'c i 1 Replace Burnt/Damaged Meter Can Safety Inspection Panel Change Other: Re?iWChs RIccelaitt SIAM) ((mere CActgecrS To SerNice posT readPermit ) h becomes void if know the not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have l ces ng this work will be ed with whether pethis application r and does note ae to be true and give authority to violate therrect. 1prov provisions of any otherovisions of laws asta a or local law regulation construction or the performance of specified or not. The permit construction. `- ') •tY\4t1 ` l�-n Q J { ( Phone Number Property Owners Name ' O1 Electrical Company S i Iver STraMn El 1'1iC } SNC. Office Phone 161-1119"(0)Fax � 7i (Jq Min STreeT City JIePTUr✓e rAState p 3O Co. Address: 097 -/ /�� / ?�. �'69 State Certification/Registration# License Holder(Print): 3 I4/U I6W Notarized Si, , . ' i f-----=-' r Q 20 r :k..%" t ica�F�92a951B: ore ,i this C� day a �i t'i : EXPIRES October 6,2019 `�. �` '' tt Mo" _nature of Notary Publici ala -- .'4:::T::.:9 til,r•f,•: - ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd,-Atlantic-Beach-,-FL,-3223-3- �— .--- -- Ph(904)247-5826 Fax (904)247-5845 I (D_FC—i�-,,C), JOB ADDRESS: I 0 l 3 J4 t b i Sd u S Sr PERMIT# JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE VALUE OF WORK$ NEW SERVICE ❑ Overhead ❑ Underground ❑J Underground up Pole ❑Residential(Main)Service 00-100 amps ❑101-150amps ❑151-200amps 0 amps #of Meters 0 Commercial(Main)Service O 0-100 amps 0101-150amps 0151-200amps Li amps OCT Service amps Conductor Type Size ❑Multi-Family(Main)Service O 0-100 amps ❑101-150amps 0151-200amps 0 amps #of Unit Meters 0 Temporary Pole 0 amps SERVICE UPGRADE ❑ amps 0 CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) 0100 amps 0150amps 0200amps 0 amps OCT Service amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: 0-3 Damps 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 OTransformers 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 DOH to UG Other: Re?tipcr For cehiry STANAo-f-F(Li.ere ( rlupcTs To Service /i'litT 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 Nj o t—M4!\. i fi r`n bJ I ( Phone Number Electrical Company 5 i/V e r STr t ) EI.cTr C ) xN C, Office Phone O - "OFax Co.Address: 09 gel k/r4 STrC T City Ye Prove gm State Fl Zip .0 (6 License Holder(Print): MG/4/\1 l eve 7T— /. 1 .‹eState Certification/Registration# -/W10 / Notarized Si:na r' i ' • , • - ,2 •r TONT GINDLESPERGER I /' ��'i'�� B; ore this t o day • l,0 ,.,� h1Y COrAMISSION t FF 924951 � 'l .� I 20 3:4 :a EXPIRES:October 6,2019 _al / . 1 •. Bonded Thru No!ary Pubic Unde • — — ature of Notary Public _ �/ link CITY OF ATLANTIC BEACH \sl 800 SEMINOLE ROAD J ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 —01119' ELECTRICAL PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 16-ELEC-1884 Job Type: ELECTRIC ONLY Description: ELECTRICAL - REPLACE PORCELAIN STAND OFF Estimated Value: Issue Date: 8/18/2016 Expiration Date: 2/14/2017 PROPERTY ADDRESS: Address: 1093 HIBISCUS ST RE Number: 171088-0114 PROPERTY OWNER: Name: TURNBULL, NORMAN L & KAREN L, * Address: 12076 HANSON CREEK DR GENERAL CONTRACTOR INFORMATION: Name: SILVER STRAND ELECTRIC INC Address: 249 MYRA ST QA JOHN BARTEE LOVETT 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.