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193 BEACH AVE #4 - ELECTRIC 1:-\1`r i' �r? '9 CITY OF ATLANTIC BEACH �= __ 800 SEMINOLE ROAD If ATLANTIC BEACH, FL 32233 J'' INSPECTION PHONE LINE 247-5814 ELECTRICAL PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 17-ELEC-3718 Job Type: ELECTRIC ONLY Description: ELECTRIC - 2 SWITCHES Estimated Value: $500.00 Issue Date: 4/10/2017 Expiration Date: 10/7/2017 PROPERTY ADDRESS: Address: 193 BEACH AVE 4 RE Number: None PROPERTY OWNER: Name: Travis, Russell L Address: GENERAL CONTRACTOR INFORMATION: Name: JAGUAR ELECTRIC , EC0002219 Address: P 0 BOX 7748 QA LOUIS ELLERY HOWARD Phone: - -_ FEES: State Elec DBPR Surcharge $2.00 State Elec DCA Surcharge $2.00 Switch Outlets $1.20 Trade Permit Base Fee $55.00 Total Payments: $60.20 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH • 800 Seminole Rd, Atlantic Beach, FL 32233 7 n • Ph (904)247-5826 Fax (904) 247-5845 v La 7"'3 18 JOB ADDRESS: C �- '! jPERMIT# /7} —3 JEA INFORMATION REQUIRED ON ALL PERMITS S AMPS jaO/W)VOLTS I PHASE VALUE OF WORK$ 560 . o-- NEW SERVICE ❑ Overhead ❑ Underground nl Underground up Pole CResidential(Main)Service _0-100 amps H 101-150amps L1151-200amps amps #of Meters 1.1Commercial(Main)Service L0-100 amps 0101-150amps U151-200amps _amps UCT Service_ amps • Conductor Type Size C.-,Multi-Family(Main)Service C:0-100 amps U 101-150amps L 151-200amps A amps #of Unit Meters (Temporary Pole Cl amps SERVICE UPGRADE 1.1 amps LI CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) I i100 amps U 150amps t 200amps 1 amps 1 ICT Service amps ADDITIONS,REMODEL REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: 1 0-30amps 31-100amps 10l-200amps 11 1 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 Li Sign Cl Smoke Detectors_Qty UTransformers KVA .1Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty volts/amps VALUE OF WORK$ l • REPAIRS/MISCELLANEOUS UReplace Burnt/Damaged Meter Can 0Safety Inspection ;Panel Change LOH to UG El Other: 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 l")S,.5 e__ 1, I ( f---0..v(-S Phone Number Electrical Company 7f3&Le/fr^ &lL—C7j`,e / 2i C• Office Phone ,...50r'41673 Fax j -S'S- 7 Co.Address: 40..37 C/I)) 9;L/kt ,A4, 5 City ,�i9--- State P' Zip 3 L Dl uL License Holder(Print): � i 5 1�13-r _.� tate Certificatio ; 'egistration# OOO 2-P1 S Ail .1111.1 Notarized Signature of License Holder ' — — — — Before me this l 0 day of �/jF(Fri l 20 17 -•P`,,,� ciP ��,= MARGARET M.MANAHAN ► Signature of Notary Public .� _ Notary Public-State of Florida 9, _" 2 Commission#FF 244026 i 4 �%,tir;;.', My Comm.Expires Sep 6,2019 0