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Permit Elec Replace meter jaws 2010 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 -�/-�VT ��J�- Application Number . . . . . 10-00001117 Date 9/09/10 Property Address . . . . . . 16S4 COQUINA PL Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc replace meter jaws ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ WILLIFORD, DEBORAH ALL SERVICE ELECTRIC GROUP 16S4 COQUINA PLACE 1S56 WHITLOCK AVE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32211 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 90 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 3/08/11 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 90 . 00 90 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 90 . 00 90 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: C-� Permit Number: -Cfi _!d_S_aqC 0(,QCV__) C-\r0J<_ Legal Description_ �OC) 0-0 Floor Area of Sq.Ft. Parcel# S-71 �2 274 Valuation of Work$_ Proposed Work heated/cooled non-heated/cooled &Z r7 Class of Work(circle one): New Addition Alteration Move Demolition pool/spa window/door ZeRo Use of existing/proposed strupture(�)f�ircle one): Commercial esidentia If an existing structure,is a fire sprinider system installed? (Circle one): L"Csrigko� Florida Product Approval # For multiple products use product approval form Describe in detail the type of work to be performed: Pe P `�JC�(-,D Property Owner Information: Name: CA r Address: 0 1 V city kCT*IC- — State Eii`p�l Phone 90�- TJ Is C)IS<D E-Mail or Fax 4 (Optional) C-DQ C(Z> Contractor Information: Company Name: (\AA --ff, \j utl 1,C_ �PQualify�,ing Agent: Address:— \"Zi f)(_;5" 1-0v-)I --k-[cc L V�\j--k'_ V . CCL 1\1Uw I 14!n' State [-�'L Zip Office Phone 9,D4-'-)(19-- SQ-5-1--)- Job Site/Co tact Number 9 QQ-j LI(4:SC15(� Fax State Certification/Registration# C- (' r*-, _ I - Architect Name& Phone 0f\Z_ Engineer's Name&Phone# n C%"-X Fee Simple Title Holder Name and Address )r\c" Bonding Company Name and Address n C_-s�sz_ Mortgage Lender Name and Address_ n C-3f\—� A a he eb ade 0 in a ermit to do the work and installations as indicated I certify that no work or installation has commenced prior to the 11 be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null p pp"c 'io 's r Y d th rk uance 0 a erm't a- at all wo wl ,not co, ncd"thin six(6)months, or if construction or work i's suspended or abandonedfor eriod ofsix(6)months at any time after 88 P k ied I u,m"tan that separate permits must be secured Work,Plumbing,Signs,awl 11s, Pools, Furnaces, Boilers,Heaters, , d'.'d "k is, m.ec d d for Electrical Tanks andAir Conditioners,etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. 1 here certify that I have read and examined this application and know the same to be true and correct. Allprovisions of laws and ordinances governing thi's 1�work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the grovisions ofany otherfederal,state, or local aw regulating construction or the performance ofconstruction. ;ignature of Owner Signature of Contractor Orint Name Print Name )C) ................................................................................................... ............ .................................. ,worn to and subscribed before me Swo to and subscribe before me lis Day of 20 this i`8� .Day of:Sw V__v V" 20 __— 4 MICIiELMth%79 S N IXTIl M431 2017 �otary Public My C()MMISSION# D91943 V_X Xptp,E&Nov*MW W 2012 Revised 0 1.26.10 CO, �W