Permit Elec 27 Seminole 2011 z, 5 !�. -Vtr
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
137,4*,,. , . ATLANTIC BEACH, FL 32233
.,, . INSPECTION PHONE LINE 247 -5814
Application Number 11- 00001837 Date 9/13/11
Property Address 27 SEMINOLE RD
Application type description ELECTRIC ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
CHANGE OUT METER CAN
Owner Contractor
BUDNIK AND D ELECTRICIAL CONTR
6703 LAURINA PL
JACKSONVILLE FL 32216
(904) 509 -7306
Permit ELECTRICAL PERMIT
Additional desc . CHANGE OUT METER CAN
Permit Fee . . . 90.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 3/11/12
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.