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174 13TH ST - ELECTRIC REPAIR rj (1' \1, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 ELECTRICAL PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 16-ELEC-322 Job Type: ELECTRIC ONLY Description: ELECTRICAL - REPLACE BAD METER JAW AND INSULATOR Estimated Value: $500.00 Issue Date: 2/9/2016 Expiration Date: 8/7/2016 PROPERTY ADDRESS: Address: 174 13TH ST RE Number: 171831-0000 PROPERTY OWNER: Name: DISALVO, PETER Address: 3388 NE WINDSONG CT GENERAL CONTRACTOR INFORMATION: Name: BEACHES ELECTRIC SERVICES INC. Address: 214 COKESBURY CT QA TODD ASTOR LOCKWOOD 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: $94.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach, FL 32233 Ph(904)247-5826 Fax (904) 247-5845 15 — Et EC, 3 2T— JOB ADDRESS: 17 9 ( 3 TS s 4-- PERMIT# JEA INFORMATION REQUIRED ON ALL PERMITS I '0 AMPS d2L(o / VOLTS / PHASE VALUE OF WORK$ > x `— NEW SERVICE n Overhead n Underground 1 fr Underground up Pole ❑Residential(Main) Service 00-100 amps 0101-150amps 0151-200amps 0 amps #of Meters 0Commercial(Main) Service 00-100 amps 0101-150amps 0151-200amps ❑ am s Conductor Type Size p ❑CT Service amps ❑Multi-Family(Main)Service 00-100 amps 0101-150amps ❑151-200amps ❑ amps #of Unit Meters ❑Temporary Pole 0 amps SERVICE UPGRADE ❑ amps 0 CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) ❑100 amps 0150amps 0200amps ❑ amps OCT Service amps P ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: 0-30amps 31-100am s Appliances: 0-30am s p 101-200amps p A/C Circuits: 0-60am 61-100amps 101-200amps p s 61-100amps Heat Circuits: . # circuits @ kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS 0 Swimming Pool 0 Sign OSmoke Detectors Qty ❑Transformers KVA UMotors hp ?IRE ALARM SYSTEM (Requires 3 sets of plans) Qty volts/amps _ • VALUE OF WORK$ . tEPAIRS/MISCELLANEOUS 0Replace Burnt/Damaged Meter Can 0 Safety Inspection OPanel Change 0OH to UG Other: ae f\e c,--- ‘OCAA M e_A--2.6-- 3q c.-) S Ac--)p( ;nnit 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 ad 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 ecified 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 nstruction. D c •operty Owners Name li �T e C iTh I V v Phone Number ectrical Company -e cs-L(A.=-) Fled C L Sic,p fce Phone ' -9-318 Fax Fax r. Address: 21 t f CLC eSt' L ry C-1— City C2(...5 State e( Zip 3-2-°`(? tense Holder (Print): d /L'O c..r/ a c�X 3 1 Z �i S . e Certification/Registration# c-( 'tarized Signature of L.. r lot, •' 1:' • '•ER ��` a� s October s, ' ' y 3 A: ` t1�41 a day"i e-. ��� 20 Signature of Notary Publi ` '''