962 Ocean Blvd ERES17-0146 App Ocec kJ
,,rs,..,U,Jr.„, INVOICE #
City of Atlantic Beach INV-1716
�14, 800 Seminole Road Date Due: 11/8/2017
Atlantic Beach, FL, 32233
HAPPY CAT ELECTRIC INC.
3787 CATANIA PL
JACKSONVILLE, FL
JACKSONVILLE, FL 32224
Invoice Date: 10/9/2017
Record# Record Type Fee Group Fee Description Quantity Amount
ERES17-0146 ELECTRICAL RESIDENTIAL ELECTRICAL ELEC REPAIRS AND MISC 0 $35.00
ELECTRICAL BASE FEE 0 $55.00
STATE SURCHARGES STATE DBPR SURCHARGE 0 $2.00
STATE DCA SURCHARGE 0 $2.00
$94.00
Invoice Total:$94.00
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Please send your payment to this address:
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Printed: Monday,October 09,2017 10:10 AM 1 of 1 or
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233 S 7 .. /
C Ph(904)247-5826 Fax (904) 247-5845 e R (p
JOB ADDRESS: 1 (D 2- O C e ct, ISI V -,;z2.. Z S PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 206 AMPS 2 40 VOLTS / PHASE
VALUE OF WORK$ goo- ab
NEW SERVICE ❑ Overhead ❑ Underground ❑I Underground up Pole
:Residential(Main)Service
:- 0-100 amps i:101-150amps U 151-200amps ❑ amps #of Meters
iCommercial(Main)Service
L0-100 amps 101-150amps ❑151-200amps ❑ amps ❑CT Service amps
Conductor Type Size
L Multi-Family(Main) Service
0-100 amps J 101-150amps ❑151-200amps ❑ amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) 1
100 amps E.150amps :200amps Li amps ❑CT Service amps V
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. `- q
Outlets/Switches: 0-30amps 31-100amps 101-200amps G— �
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 -1 Sign 1 Smoke Detectors_Qty :Transformers KVA 1 Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can ❑Safety Inspection anel Change ❑OH to UG
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 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 constructiop or the performance of
construction. q
Property Owners Name . ) 0 S� C rt'-1- Phone Number90-1-71(9-11./39
10� --716 - N 7 3q
Electrical Company t'1&f i c &4 E I ec l e, Office Phone 0.1-716-11./39 Fax>J-Z 9-50 Ye
�7 1 C :\ Place_ City �h(,L•Jonv.'ltG State FL Zi S,722,LI
Co.Address $ P
License Holder(Print): . La iS eif( State Certification/Registration# 6C wall o S
Np�lri '§,'nat ANGELICA SAN MIGUELer
r ;1 .1 Notary Public-State of Florid orn and subscribed before me this #` day of 201
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=My Comm.EapUs Oct 28,2017
••:«;` a, Commission 0 FF 041129 gnature of Notary Public