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1089 Atlantic Blvd Unit 25 elec safety 2012 .:� CITY OF ATLANTIC BEACH r> 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 JA Application Number . . . . . 12-00000618 Date 5/21/12 Property Address . . . . . . 1089 ATLANTIC BLVD Tenant nbr, name . . . . . . UNIT 25 Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc safety inspection ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ ASHLAND INVESTMENT, INC. KNIGHT ELECTRIC LLC 7880 GATE PARKWAY SUITE 300 910 11TH AVE S JACKSONVILLE FL 32256 JAX BEACH FL 32250 (904) 247-9884 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 90 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 11/17/12 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00 STATE ELEC DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 90 . 00 90 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 94 . 00 94 . 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 j//}}Gq Ph(904) 24,7--5826 Fax (904) 247-5845 JOB ADDRESS: l�°'D / �v (� �.) c). '#- '�5— PERMIT# 14? JEA INFORMATION REQUIRED ON ALL PERMITS AMPS 2410 VOLTS �_PHASE VAL UE OF WORK$ NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole ❑Residential(Main) Service ❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters Commercial(Main) Service 00-100 amps ❑101-150amps ❑151-200amps ❑ amps ECT Service amps Conductor Type Size Multi-Family(Main) Service ❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps # of Unit Meters El Temporary Pole ❑ amps SERVICE UPGRADE ❑ amps ❑ CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) ❑100 amps ❑150amps ❑200amps ❑ amps El CT 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 @ kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS ❑Swimming Pool ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA ❑Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans&Fire Alarm Checklist) Qty volts/amps VALUE OF WORK$ REPAIRS/MISCELLANEOUS El Replace Burnt/Damaged Meter Can "Safety Inspection El Panel Change El 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 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. n Property Owners Name ( � Phone Number Electrical Company L-06 L.LOffice Phone X77' 0VFax 2L17�a Co.Address: _ 5, City 7A�- State Zip 72251 License Holder (Print): 5kvL 4�A � State Certification/Registration# Notarized Signat SHIRLEY L.GRAHAM dffmd bscribed before this o o 20� EXPIRES:February 14,2014 y 7••....•P� ARB q. 13onded T u Not Public U derrniters otary Public