Electric Permit 695 Atlantic Blvd. . -- J
q tr 1 � t, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
j ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5826
Application Number 10- 00001483 Date 2/16/11
Property Address 695 ATLANTIC BLVD
Application type description ELECTRIC ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
upgrade service add outlets and circuits
Owner Contractor
ELITE PRO REALTY BUDNIK AND D ELECTRICIAL CONTR
6703 LAURINA PL
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216
Permit ELECTRICAL PERMIT
Additional desc .
Permit Fee . • • • 122.20 Plan Check Fee . . .00
Issue Date . . . . 12/17/10 Valuation . . . . 0
Expiration Date . . 6/15/11
Other Fees STATE ELEC DCA SURCHARGE 2.00
STATE ELEC DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 122.20 122.20 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 126.20 126.20 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.