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Permit Elec Repair UG 1731 Seminole 2010 TIC BEACH CITY OF ATLAN SS 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 -5826 INSPECTION PHONE LINE 247 Application Number . . . . . 10-00001279 Date 10/20/10 Property Address . . . . . . 1731 SEMINOLE RD Application type description ELECTRIC ONLY Property Zoning . . . . . . . To BE UPDATED Application valuation . . . . 0------------------------------ ---------------------------------------------- Application desc repair under ground secondary ---------------------------------------- ------------------------------------ Contractor Owner ------------------------ ------------------------ R & R ELECTRIC COMPANY JONES, WAYNE P.O. BOX 60665 1731 SEMINOLE ROAD JACKSONVILLE FL 32236 ATLANTIC BEACH FL 32233 (904) 768-6166 --------------------------- ------------------------------------------------ Permit . . . . . . ELECTRICAL PERMIT Additional desc - - 90 . 00 Plan Check Fee . 00 Permit Fee . . . . Valuation . . . . 0 Issue Date . . . . Expiration Date - - 4/18/11 -------------------------------- ------------------ -------------------------EC DCA SURCHARGE 2 . 00 Other Fees . . . . . . . . . STATE EL STATE ELEC DBPR SURCHARGE 2 . 00 -------- --- ------------------ ------------------------------Credited Due Fee summary Charged Paid -- ---------- ---------- ------ --- ----- ----- Permit-Fee-Total 90 . 00 90 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 4 . 00 4 . 00 . 00 . 00 Other Fee Total 94 . 00 94 . 00 . 00 . 00 Grand Total PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PERMT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd,Atlantic Beach,FL 32233 Ph(904)247-5826 Fax(904)247-5845 JoBADDRESS: 1731 Seminole Road PERNUT NEW SERVICE ElOverhead F-1 Underground 0 Underground up Pole DResidential(Main) Service 0 151-200amps 0 __arnps # of Meters 00-100 amps 0101-150amps 0 Commercial(Main) Service 0 151-200amps 0 ___amps OCT Service amps 00-100 amps 0 10 1-15 Oamps Conductor Type Size OMulti-Family(Main) Service 00-100 amps 0101-150amps 0 151-200amps 0 ---amps #of Unit Meters OTemporary Pole 0—amps amps SERVICE UPGRADE 11 --amps 0 CT Service 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 31-100amps _101-200amps Appliances: —0-30amps —3 1-1 00amps —10 1-200amps A/C Circuits: —0-60amps —61-I 00amps Heat Circuits: # circuits @—kw Number of Lighting—0utlets, Including Fixtures: OTHER ELECTRICAL PROJECTS ctors_Qty 0 Transformers—KVA OMotors_hp OSwimmingPool 0Sign OSmokeDete FIRE ALARM SYSTEM (Requires 3 sets of plans &Fire Alarm Checklist) Qty—volts/amps VALUE OF WORK$ REPAIRS/MISCELLANEOUS 0 Safety Inspection OPanel Change COH to UG 0 Replace Burnt/Damaged Meter Can VOther; Repair burnt underground secondary 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, Property Owners Name Buck & Buck Realty Phone Number (904) 641-9466 Electrical Company R & R Electric of North Fl, Inc—office phone 764-5555 Fax 768-8240 Co.Address: P.O. Box 60665 City Jacksonville State Fl Zip 32236-0665 License Holder(Print)! Robert A. Sallet Jr .—State Certification/Registration# EC1318 f Lic H r Notarized Signature of License Holder Sworn and subscribed before me t day of 20/,/) c KATHY L ANSLEY MY COMMISSION#DD T79607 Signature of Notary Public EXPIRES:May 20,2012 11117 OF F700 Bonded Thru Budget Notary Seftes