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379 Royal Palms Dr elec permit CITY OF ATLANTIC BEACH to 800 SEMINOLE ROAD -- " ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 ELECTRICAL PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 IOBINFORMATION: Job ID: 17-ELEC-2965 Job Type: ELECTRIC ONLY Description: reground electrical service 220 amps/240 volts/single phase Estimated value: $180.00 Issue Date: 1/10/2017 Expiration Date: 7/9/2017 PROPERTY ADDRESS: Address: 379 ROYAL PALMS DR RE Number: 171491-0000 PROPERTY OWNER: Name: AURE, EUDOCIO P Address: 379 ROYAL PALMS DR GENERAL CONTRACTOR INFORMATION: Name: AMERICAN ELECTRICAL CONTRACTOR Earl W. Frick, EC13007311 Address: 5065 ST AUGUSTINE RD APT 13 QA EARL W. FRICK 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: $94.00 PERMIT IS APPROVED ONLY IN ACCORDANCE IVrM ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd,Atlantic Beach,FL 32233 r� I Ph(904)247-518826 Fax(904)247-5845 I — �L E,C— JOB ADDRESS: /") OUQ 11 h I m5 W f 1 V(L PERMIT# JEA INFORMATION REQUIRED ON ALL PERMITS 2DO AMPS c>?uO VOLTS PHASE VALUEOFWORK$ 186. 00 NEW SERVICE ❑ Overhead ❑ Underground D Underground up Pole ❑Residential(Main)Service ❑O-100 amps ❑101-150amps !151-200amps L amps #of Meters 'iCommercial(Main)Service ❑O-100amps ❑101-150amps J151-200amps []_amps ❑CTServiceamps Conductor Type Size LlMniti-Family(Main)Service UO-100 amps J 101-150amps 151-200amps U amps #of Unit Meters_ 11 Temporary Poled amps SERVICE UPGRADE U amps U CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) ❑100amps ❑150amps 11200amps ❑_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 Qo kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS GSwimming Pool ❑ Sign ❑Smoke Detectors_Qly UTransformers KVA UMotorshp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty volts/amps VALUE OF WORKS REPAIRS/MISCELLANEOUS ❑Replace Bumt/Damaged Meter Can 11 Safety ins action ❑Panel Change DOH to UG cn— 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 he(me and correct All provisions of laws andordinences governing this work will be complied with whether specified or not The permit does not give authority to violate the provisions of arty other state or lural law regulation conswction or the perfomntxe of mnsnuccon. L (t p�1/ �1 Property Owners Name E �yr--11 e- //�� p Phone Number O(/-0 yq AS73 Electrical Company fFWY-i Can aeCll-iCrtl I.lXS11'tX'ZWIe-_ OfficePhOneCW-137-7??DFax -9 - L)79 Co.Address: - I iNTkk6onJt ISP State r—t Zip 3c;10 License Holder(Print): a Certification/Registration# —C Notarized Si nature of License Holder Pao rva.n war svea emMs worn and subscribed bef e m this day ofL 20j my Awe M only I o<m sw�M1 a,rssrsori B50r90 ignature of Notary Publi (U ,) ATLANTIC BEACH PERMIT RECEIPT January 10, 2017 PERMIT DESCRIPTION: reground electrical service 220 amps/240volts/single phase PERMIT NUMBER: 17-ELEC-2965 ADDRESS:379 ROYAL PALMS DR CITY OF ATLANTIC BEACH OWNER: 800 SENBNOIE RD ATLANTIC BEAC,FL 3833 Electrical Repairs $35.00 011104017 10:09:03 CREDIT GAD State Elec DBPR Surcharge $2,00 VISA SALE CARO a Y•SN);XXII1t7Ip16308 INVOICE 0001 State Elec DCA Surcharge $2.00 SEQ rt; 0001 Bann s: 000174 $5s.00 AMoval Cade: 063686 Trade Permit Base Fee Erty McOod; Manai Mon; pane Tax AxmAL $0.00 Totals: Card Code: M $94.00 SALE AMOUNT O.w CUSTOMER COPY PPLO �N P�`ceFycH c�