Permit Elec Safety 1824 Mayport Rd 2012 .?1 1
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00000832 Date 7/03/12
Property Address . . . . . . 1830 MAYPORT RD
Tenant nbr, name . . . . . . 1824: ELITE CONSTRUCTION
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO 3E UPDATED
Application valuation . . . . 0
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Application desc
SAFETY INSPECTION
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Owner Contractor
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OSSI KLOTZ LLC CRAWFORD ELECTRIC
P 0 BOX 330833 P.O. BOX 51045
ATLANTIC BEACH FL 32233 JAX BEACH FL 32240
(904) 241-5591
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . . SAFETY INSPECTION 1824
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 12/30/12
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Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00
r
STA..'E ELEC DBPR SURCHARGE 2 . 00
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Fee summary Charged Faid 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 ONLV IN ACCORDANCE WITH ALL CITV OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT A�?PLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic I leach, FL 3223 3
Ph(904) 247-5826 Fax(004) 247-5845
JOB ADDRESS: PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WOA K S
NEW SERVICE 0 Overhead Underground D Underground up Pole
EResidential(Main) Service
EO-100 amps F1 101-150amps Ll 151-200amps 0 amps of Meters
L Commercial(Main) Service
EO-100 amps 1110 1-1 50amps El 151-200amps El amps FICT Service amps
Conductor Type Size
[]Multi-Family(Main) Service
EO-100 amps F1 101-150amps El 151-200amps amps of Unit Meters
[-]Temporary Pole []_____amps
SERVICE UPGRADE 7,______,amps 11 CT Service amps If'30
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
L_1100amps E1150amps E1200amps D amps EICT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSO RY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 3 1-1 00amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 6 1-I 00amps
Heat Circuits: 4 circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
-1 Swimming Pool EFI Sign E Smoke Detectors_Qty El Transformers KVA El Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans& Fire Alarm Checklist)
Qty_volts/amps VALUE OF WORK S
REPAIRS/MISCELLANEOUS
El Replace Burnt/Damaged Meter Can ion Pan I Change E OH to UG
4.
-1 Other:
Permit becomes void if work does not commence withil a six r6dhth perio(&Wwork is r 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 end ordinances governing this work will be complied with whether
specified or not. The permit does not give authority to violate the provisions of any loth or state or local law regulation construction or the performance of
construction.
Property Owners Name Phone Number
Electrical Company Office Phone Fax--
Co.Address: City State_Zip
Licens 11SAM F - /5;, 4 State Ce k�. Regist-r-ation#
EXPIRES:May 21,2015
Nota
(emu,
wom subscribed before e is da 201-1/
Signature of Notary Publik�a