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381 MAIN ST - SAFETY ELECTRIC I. ' -; CITY OF ATLANTIC BEACH 1-Ky 800 SEMINOLE ROAD ' 't` " 'r ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 119`' ELECTRICAL PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 16-ELEC-2558 Job Type: ELECTRIC ONLY Description: safety inspection - 150 amp power off due to water damage Estimated Value: $75.00 Issue Date: 11/14/2016 Expiration Date: 5/13/2017 PROPERTY ADDRESS: Address: 381 MAIN ST RE Number: 170903-0000 PROPERTY OWNER: Name: NOEL, MARGARET H Address: 381 MAIN ST GENERAL CONTRACTOR INFORMATION: Name: JAGUAR ELECTRIC , EC0002219 Address: P 0 BOX 7748 QA LOUIS ELLERY HOWARD Phone: - - FEES: Electrical Repairs $35.00 State Elec DBPR Surcharge $2.00 State Elec DCA Surcharge $2.00 Trade Permit Base Fee $55.00 Total Payments: $94.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FI.ORI11 k BUILDING CODES. i ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach, FL 32233 Ph(90j4�).247-5826 Fax(904) 247-5845 S1 JOB ADDRESS: 39 ) )7Q 1 t) S' 1 _ PERMIT# JEA INFORMATION REQUIRED ON ALL PERMITS /.,--r-' AMPS ,21/0 VOLTS I PHASE _., U VALUE OF WORKS - =-'' /j.52 — NEW SERVICE ❑ Overhead ❑ Underground [11 Underground up Pole CResidential(Main)Service U0-100 amps U 101-150amps L.I 151-200amps t.] amps # of Meters UCommercial(Main)Service 00-100 amps 0101-I50amps U 151-200amps L. _amps OCT Service�__ amps Conductor Type Size 0 Multi-Family(Main)Service 00-100 amps 0 101-150amps L?151-200amps [I amps #of Unit Meters ❑Temporary Pole C] amps SERVICE UPGRADE t I amps L CT Service_ amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) 0 100 amps 0150amps U200amps U amps f]CT Service amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: 0-30amps 31-100amps 101-200am ps I Appliances: 0-30amps 31-I00amps 101-200amps A/C Circuits: 0-60amps 61-100amps Heat Circuits: # circuits @ kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS DSwimming Pool 0 Sign C1 Smoke Detectors_Qty [ Transformers KVA UMotors hp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty volts/amps VALUE OF WORK$ REPAIRS/MISCELLANEOUS 0Replace Burnt/Damaged Meter Can )Safety Inspection Cl Panel Change _[]]OH to UG i DOther: I! O lq in PC,cc x °cc due, -k2 (.JCtkr C�GY14cJ'-Com, 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 of construction. Property Owners Name I/�' /C r Gr r noLE....., Phone Number Electrical Company_)Q30 0 r F, 1 e.c-br C- Office Phone 778 ?Sj(Fax �1 n O? "9X872 Co.Address: 6,1n-30o l 'n Kid le, b U raj ie d City ----I (kX State �'L Zip �' ,7 p�� License Holder(Print): l-0015 1.--b(-3�C /•' State Certification/Registration# 15C " c2a 1 Notarized Signature of License holder �0 (4:3., 4c>"1.O cir & - �PK�,,,,, STEPHANIE B HUSKISSON Before me this 1/ day •f ove V'I�IL 20 112_ t s..�• ,.o Notary Public-State of Florida 0 i . �•� Commisabnm #r ff 853666 Signature of Notary Public , // `• . ' ...�-..,: My Comm.Expires Jan 25.2020 „ °`"•,• Bonded through National Notary Assn.