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Permit Elec Safety 386 Sargo Rd 2011 r ,„ leN CITY OF ATLANTIC BEACH SA 800 SEMINOLE ROAD !,-4 -.e. ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 '' : C J 2 ' Application Number 11- 00002067 Date 5/11/11 Property Address 386 SARGO RD Application type description ELECTRIC ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc safety inspection Owner Contractor ZELTVAY SHIRLEY MARCO ELECTRICAL CONTRACTORS 386 SARGO ROAD 720 MILL CREEK ROAD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32211 (904) 743 -3350 Permit ELECTRICAL PERMIT Additional desc . SAFETY INSPECTION Permit Fee . . . 90.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 11/07/11 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 h (904) 247 -5826 Fax (904) 247 -5845 Jos ADDRESS: 3 tr° PERMIT # `1 ZOO 7 JEA INFORMATION REQUIRED ON ALL PERMITS 00 AMPS v2 44) VOLTS / PHASE VALUE OF WORK $ /O D '° NEW SERVICE ❑ Overhead ❑ Underground rlJ Underground up Pole ❑Residential (Main) Service ❑ 0 -100 amps ❑ 101- 150amps ❑ 151- 200amps LI amps # of Meters Ll Commercial (Main) Service [10-100 amps ❑ 101- 150amps [1151- 200amps ❑ amps ❑ CT Service amps Conductor Type Size [- 1Multi Family (Main) Service ❑0 -100 amps ❑ 101 150amps ❑ 151- 200amps ❑ amps # of Unit Meters El Temporary Pole ❑ amps SERVICE UPGRADE ❑ amps L1 CT Service amps NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.) [ 1100 amps ❑ 150amps 11200amps CI amps L1 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 LI Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist) VALUE OF WORK $ Qty volts /amps REPAIRS/MISCELLANEOUS ❑Replace Burnt /Damaged Meter Can I" afety Inspection ❑Panel Change Fl 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. /J / ' J le-t-/ , e f�Y �/ Phone Number 1( "' ©`P- 7 Property Owners Name / / / _ Electrical Company / 0 ethi -/ 1�"'t 1, 7 1 %' -''e Office Phone 5i/ Fax 4 7 - 13 - 7 Co. Address: # 7. 2 O on g e C'G∎ /ee City g�t"''u�li State 6 zip322 // License Holder (Print): � Q h2 / 9. m 14' �� /n State 'fication/Registration # P/300 226 Notari ed Si se Holder . , 1 ' NOTARY PUBLIC Sworn and subscribed before me this i ) day of M ow 1 20 ! I STATE OF FLORIDA \�,`^ j (b ^ • '"`_~'' Comm# EE /1 ij2O Signature of Notary Public `' A 9 l `0, Fmgres 12/11/2014