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Elec Safety Inspection 2012 CITY OF ATLANTIC BEACH. j 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12-00000518 Date 5/01/12 Property Address . . . . . . 460 STURDIVANT AVE Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 --------------------- ------ ----------------------------- -------------------- Application desc SAFETY INSPECTION ------------------------------------------------------ ---------------------- Owner Contractor ------------------------ ------------------------ EIGHTH STREET ENTERPRISES, INC SILVER STRAND ELEC INC 460 STURDIVANT AVENUE 1921 FIRST ST ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 422-4200 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 90 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 10/28/12 -------------------- --------------------------- ------- ---------------------- 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 Fax (904) 247-5845 JOB ADDRESS: ko �To( .f VAN l ��� � PERMIT# JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE VALUE OF WORK$ NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole ❑Residential(Main) Service ❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters ❑Commercial(Main) Service ❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps I]CT Service amps Conductor Type Size ❑Multi-Family(Main) Service ❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters 1_j Temporary Pole ❑ amps SERVICE UPGRADE ❑ amps ❑ CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) ❑100 amps ❑150amps ❑200amps ❑ amps [I 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 ❑Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans& Fire Alarm Checklist) Qty volts/amps VALUE OF WORK$ REPAIRSIMISCELLANEOUS ❑Replace Burnt/Damaged Meter Canafety Inspection []Panel Change 11 OH to UG Other: CC 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 Electrical Company_S i lWr- _S-T7�1iln oafC�/1 C XVCOffice Phone – Fax Co.Address: `I \ P\\1 City NCnTU� tateF Zip OrIfti— —rte License Holder (Print): AN State Certification/Registration# Notarized Signa ; c c hthtisslo ubscribed befor m is da f f� 20/ W. aq," ExFi�ES:Febr t y Pf; .• bonded 7hni Notary Pubic 'eMrfters f Notary Public