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246 Jasmine St 2012 meter can o+. t C y`f CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12-00000656 Date 5/29/12 Property Address . . . . . . 246 JASMINE ST Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc replace meter can and line - --------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ ROSARIO EDWIN HARRY PEPPARD ELECT CONTRACTOR 600 10TH AVENUE P.O. BOX 654 NEW YORK NY 100363014 MIDDLEBURG FL 32050 (904) 282-4425 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 90 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 11/25/12 ---------------------------------------------------------------------------- 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 �- -R S-7-01eln—, 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: 0—S 1M i vu �P_ PERMIT# JEA INFORMATION REQUIRED ON ALL PERMITS /O AMPS P,q D VOLTS / PHASE VALUE OF WORK$ 500, 00 NEW SERVICE ❑ Overhead ❑ Underground E3Underground up Pole ❑Residential(Main) Service 110-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters ❑Commercial(Main) Service 00-100 amps ❑101-150amps ❑151-200amps ❑ amps ❑CT Service amps Conductor Type Size ❑Multi-Family(Main) Service ❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters ❑Temporary Pole ❑ amps SERVICE UPGRADE ❑ amps ❑ CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) ❑100 amps ❑150amps ❑200amps ❑ amps ❑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$ REPAIRS/MISCELLANEOUS �� � � "�'1 KReplace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑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. Property Owners Name JF� �2 Phone Number 9p41` Electrical Company k/ct v'y GO, Pe ,n,o c'r'A tF/c-: T�'/c.� (CG iv /', Office Phone So-/r,2 F -max Co. Address: X33 oS/c,o <U� l ey'v�6L.e- _e //1'1% - City 1/YI i Jc_l /,e 1)t.1� �- State !�/ Zip 3 0 6 License Holder(Print): _: ayy-y t J, U- 12 ,0 cState Certification/Registration# rEc /-3 0,0 2,2 �5' r Notarize ��-2 to), r� MY COMMISSION#y 1 ,20 rn and subscribed bf suscreeore this� ,, / a of t'2 20/2- EXPIRES:February 14 20� y 1 W BMW Ttuu Notary Public Underwriters l 3 �� ature of Notary Publi � � y �-2� 6