Permit Elec 346 2nd St 2012 % A
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00000693 Date 6/04/12
Property Address . . . . . . 346 2ND ST
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
circuits / switches
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Owner Contractor
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MALONE MARY C HOWARD ELECTRICAL SERVICES
346 2ND ST 719 FRUIT COVE DR E
ATLANTIC BEACH FL 32233 ST JOHNS FL 32259
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 73 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 12/01/12
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Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00
STATE ELEC DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 73 . 00 73 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 77 . 00 77 . 00 . 00 . 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) 247-5 826 Fax(904) 247-5 845
JOB ADDRESS: (a PERMIT#
A4-\C"1 'k-- /( ' ruc,3--
JEA INFORMATION REQUIRED ON ALL PERMITS 1 '�_C)AMPS QN6VOLTS PHASE
VALUEOFWORK$ 100D
NEW SERVICE 0 Overhead El Underground Underground up Pole
FIResidential. (Main) Service
EO-100 amps 0 101-150amps El 151-200amps []—amps #of Meters
0Commercial(Main) Service
EO-100 amps D 101-1 50amps 0 151-200amps El amps [I CT Service amps
Conductor Type— Size
EMulti-Family(Main) Service
110-100 amps [110 1-15 Oamps El 151-200amps []—amps of Unit Meters
0 Temporary Pole El amps
SERVICE UPGRADE []—amps 11 CT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
11100amps 11150amps E1200amps [I amps [I CT Service amps
ADDITIONS,REMODEI�§,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: __L(.o 0-30amps 3 1-1 00amps 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: 10-
OTHER ELECTRICAL PROJECTS
El Swimming Pool El Sign L1 Smoke Detectors_Qty El Transformers KVA 11 Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans&Fire Alarm Checklist)
Qty_volts/amps VAL UE OF WORK$
REPAIRS/MISCELLANEOUS
[]Replace Burnt/Damaged Meter Can El Safety Inspection El Panel Change El OH to UG
EOthen
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 perforinance of
construction.
Property Owners Name of maloinp_ Phone Number
Electrical Company Scr ,, Lx Office Phone Qj_�() -,_Q9Ei Fax
City
,,�,, N State r-( Zip :3
Co. Address: Q-L"L
License Holder(Print): State Certification/Registration# i_379S
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