Permit 601 Jasmine St safety inspection 2010 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 10-00001215 Date 10/05/10
Property Address . . . . . . 601 JASMINE ST
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
safety inspection
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Owner Contractor
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ORATTAC INDUSTRIES LLC
12740 SHELLCRACKER RD
JACKSONVILLE FL 32226
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . . SAFETY INSPECTION
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 4/03/11
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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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 PERYnT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233,�
Ph(904) 247-5826 Fax (904)247-5845
JOB ADDREss: PERmrr#
NEW SERVICE ElOverhead EJ Underground El Underground up Pole
OResidential(Main) Service
00-100 amps 0101-150amps 0 151-200amps 0 ___aiftps #ofMeters
OCommercial(Main) Service
00-100 amps 0101-150amps 0 151-200amps 0 'amps OCT Service amps
Conductor Type Size
oMulti-Family(Mami ) Service
00-100 amps 0101-150amps 0 151-200amps 0 __�amps #of Unit Meters
OTemporary Pole 0 arnips
SERVICE UPGRADE 0 amps 0 CT Service—amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100amps 0150amps 0200amps 0 amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 3 1-1 00amps 101-200amps
Appliances: 0-30amps 3 1-1 00amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
OSwimmingPool OSign 0 Smoke Detectors_Qty OTransformers KVA OMotors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans &Fire Alarm Checklist)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
OReplace Burnt/Dam�agEed QMet r�C Safety Insp ction 0 Panel Change COH to UG
00ther: A JA At-ftge'U4
� _ F - _ IF
Permit becomes void if work does not cornmenJ6 within a-A month period or work is suspended or abandoned for six months. I hereby cer*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.
Property Owners Name Phone Number
����r:!SLU&ffice Phone ax
Electrical Company
Co.Address: city clotZA" statert- zipA�
IV State Certification/Registration#fk"14,6
License Holder(Print): LI-7- . .
Notarized Signature ofLkense Holder
Sworn,and subscribed be re MY 20-A-
_)(P 6 Febrnva
rUN 14,2o
Signature of Notary Publi