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Permit 645 Mayport Rd unit 5 & 6 2011 safety elec CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 11-00002526 Date 8/22/11 Property Address . . . . . . 645 MAYPORT RD UNIT 6 Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc SAFETY INSPECTION ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SUN COAST FAMILY PRACTICE HAZOURI ELECTRIC, INC. 645 MAYPORT ROAD P.O. BOX 56559 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32241 (904) 219-8809 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 90 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 2/18/12 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00 STATE ELEC DEPR 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 13EACH 800 Seminole Rd, Atlantic Beach, FL 32233 Ph(904) 247-5826 Fax (90 4)247-5845 JOB ADDRESS: PERMIT# I/- 0��06 JEA INFORMATION REQUIRED ON ALL PERMITS _2.,�f7o AMPS _��VOLTS PHASE VALUE OF WORK$ NEW SERVICE 0 Overhead F-1 Underground ED Underground up Pole []Residential(Main) Service LIO-100 amps 0 101-1 50amps El 151-200amps El_amps of Meters [I Commercial(Main) Service E10-100 amps F1101-150amps El 151-200amps 11 amps DCT Service amps Conductor Type Size E]Multi-Family(Main) Service E10-100 amps Ej 10 1-15 Oamps El 151-200amps 11 amps #of Unit Meters FjTemporary Pole El amps SERVICE UPGRADE amps 0 CT Service_amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) 11100amps 11150amps D200amps El _,amps 11CT Service amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: 0-30amps 3 1-1 00amps 10 1-200amps Appliances: 0-30amps 31-100amps 101-200amps A/C Circuits: 0-60amps 61-1 00amps Heat Circuits: 4 circuits @ kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS [I Swimming Pool El Sign El Smoke Detectors_Qty L]Transformers KVA D Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans&Fire Alarm Checklist) Qty volts/amps VALUE OF WORK S REPAIRSIMISCELLANEOUS Replace Burnt/Damaged Meter Can El Safety Inspection Ei Panel Change [I OH to UG 00ther: �'&to '�7 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 Phone Number Z Electrical Company 0 0,4 e�t/ Office Phone Y_ 11�,-ZZYl Fax fr-V Co. Address: Ir /0- 2,1 city, State'(�y ZiT)..3 'z 0 License Holder(Print): OL?- 4L(11 �__ 1-) 0 I-L, State Certification/Registration# 0 10 Notarized Signature of License Holder t— or,-'I*k b111MV L UNAMAK— day of h'd "I Sworn C 1 i day of 20 M cund!!LnlejThruNotu,� (? Signalt - X IQ Xt rl I 1_ V1 t�� INV CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 11-00002525 Date 8/22/11 Property Address . . . . . . 645 MAYPORT RD UNIT 5 Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc SAFETY INSPECTION ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ HAZOURI ELECTRIC, INC. P.O. BOX 56559 JACKSONVILLE FL 32241 (904) 219-8809 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 90 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 2/18/12 ---------------------------------------------------------------------------- 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 . ........ Ph(904) 247-5826 Faff (904)247-58.A5-- JOB ADDRESS: T r4 06 C� 0 n j t PERMIT# V JEA INFORMATION REQUIRED ON ALL PERMITS Ion AMPS VOLTS _PHASE VALUE OF WORK S NEW SERVICE F-1 Overhead F1 Underground Underground up Pole EResidential(Main) Service E0-100 amps E 10 1-1 50amps 0 151-200amps amps of Meters El Commercial(Main) Service E10-100 amps El 101-1 50amps 0 151-200amps amps ECT Service amps Conductor Type Size DMulti-Family(Main)Service E10-100 amps [110 1-15 Oamps Ll 151-200amps amps 4 of Unit Meters 0 Temporary Pole E amps SERVICE UPGRADE amps El CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) 0100amps E1150amps E200amps 11 amps EICT Service amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: 0-30amps 3 1-100amps 101-200amps Appliances: 0-30amps 31-100amps 10 1-200amps A/C Circuits: 0-60amps 61-100amps Heat Circuits: # circuits @ kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS ESwimming Pool 0 Sign [I Smoke Detectors_Qty ETransformers—KVA OMotors hp FIRE ALARM SYSTEM (Requires 3 sets of plans&Fire Alarm Checklist) Qty volts/amps VALUE OF WORK$ REPAIRSIMISCELLANEOUS il Replace Burnt/Damaged Meter Can Ei Safety Inspection El Panel Change [I OH to UG []Other: Se�c'2 ):Li f0e 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 Phone Number L Electrical Company Office Phone Z L4�! ZZY LFax AV- )ZZ Co.Address: P0 7s— Citv S+- 0� L/ State Zip Z 2,0 License Holder (Print): tate Certification/Registration Notarized Signature of License Hold IA ZMlHU-:ELrMA,l`1A 4.- jthis da o 20 M Bonded Thru Public erwrite 1A --A I SiJIIRLLU%� kJJL INW&� - W.