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Permit Elec Lighting 1545 main St 2012 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ` ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12-00000886 Date 7/13/12 Property Address . . . . . . 1545 MAIN ST Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 13431 -------------------------------------------- Application desc LIGHTING RETROFIT ------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ PAR PRO LTD L & S ENTERPRISES, LLC P O BOX 330177 600 OAK ST SUITE lA ATLANTIC BEACH FL 322330177 PONCE INLET FL 32127 (386) 304-0722 --------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . LIGHTING RETROFIT Permit Fee . . . . 90 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 1/09/13 ---------------------------------------------------------------------------- Special Notes and Comments need noc ---------------------------------------------------------------------------- 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.A'T'LANTIC BEACH 800 Seminole Rd,Atlantic Beach,FL 32233 Ph(904)2447--5826 Fax(904)247-5845 12, �jJOB.ADDRESS: / MdL,#'n !t f�7 &Z�'G / /�A3 223 3 PERMIT# a�(a ,TEA INFORMATION REQUIRED ON ALL PERMITS /00 AMPS VOLTS .3 PHASE VALUE OF WORK$ � NEW SERVICE ❑ Overhead ❑ Underground Underground up Pol O� LlResidential(Main)Service f':;0-100 amps 0101-150amps 0151-200amps i7 amps # Meters `JCommercial(Main)Service ..!0-100 amps n 101-150amps 7,151-200amps O amps '7 CT Service amps Conductor Type Size , :Multi-Family(Main)Service -0-100 amps 0101-150amps 151-200amps - amps #of Unit Meters ::'Temporary Pole amps SERVICE UPGRADE ;--i amps 0 CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) 100 amps 0150amps 0 200amps a amps L CT Service amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Swatches: 0-3 Damps 31-100amps 101-200amps Appliances_ 0-30amp3 31-100amps 101-200amps A/C Circuits: 0-60amps 61-100amps Heat Circuits: # circuits @ kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROTEC'T'S 7Swimming Pool 0 Sign 7Smoke Detectors_Qty ^Trafnsformers KVA :,Motors lap FIRE ALARM SYSTEM (Requires 3 sets Of Plans&Fire Alarm Checklist) Qty volts/amps VALUE OF WORK S REPAIRW/MISCELLANEOUS '_s replace Burnt/Damaged Meter Can L,Safety Inspection 0 Panel Change _IOH to UG :Other: 1 v Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. [hereby certify that l have read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will bt complied with whether specified or not. The permit does not give authority to violate the provisions ofany other state or local law regulation construction or the performance of construction. Property Owners Name 'TaS o h R b eE rt caE L.e z- Phone Nurnber l I Z Y4- �13 Q ! Electrical Company—L** E,\kCC p i~►5 e5, L 1,C Office Phone3%(d 3 04.0'7 2,2-Fa _3# •3 oy 07 2. Co.Address:kQ (2a k,'Et j+z- r� ( a_ City lX+ (alydwn a e Stated Zip� ,� ej License Holder(Print): twin t"__ ill ,n State Certification/Registration#woo EG ear z t,,l t Nv �.�° der Notary Pua�arae of Florida ..._ °a McC0m""t MY G*nan+siori EE0961b4 warn and subscribed before m this r ` day of 13-ItIV201 AAy Go aw FM*"Of/0612015 ignature of Notary Public ,�C.� l NOTICE OF COlk"NCEMENT State of Tax folio No. Cowtty of To Whom It May Concern_ The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following iniomatio .is stated in this NOTICE C F COMMENCEMENT. Leo Description of property beimg improved: a -Address.pfptopeajx.br. . ,n,V rr yed w j 5 !S 5-r. A C.Arur i C 6F-(--fie(-1 F-r— r--� 23 General description,of improvements: Owner.��1S011.1 Address-- Owner's interest in sits ofthe improvement: Fee Simple Titleholder(if other than owner): Name: Contractor; L '+' S En kges LLC Address:&00 Qqk, G+-. A TbrtQ a.n e F� 2 Telephone No.. 2 Fax No: ,� Surety(if any) Q � Address: Amount of Bond$ i C3 CN Telephone No: Fax No: 6 U a± Name and address of any person maldug a loan for the construction of the'improvements N $ Name. r ._ - Address: I a$w 21) Phone No: Fax No. # 8 o Name of person within the State of Florida,other t m himself designato I by owner upon whom notices or other d z'>x ° served_ Name: Address: Telephone No: - Fax No: - - In addition to himself; owner desipates the following person to recei e a copy of the lienor's Notice as provided in Section 713.06(2)(b),Florida Stables. (Fill in at Owner's option) f Name- Address: Telephone No: Fax No: ' Expiration date of Notice of Commencement(the expiration date is one( )year from the date of recording anles§a different date is specified): THIS SPACIE POR RECORDER'S USE ONLY OWyw � Signed Date: T �CQ/-Z-01 Before me isday of in the County of Duval,State Of Florida,has persoJ6- ppex vd �� �; I VOLANDA NEGRON Notary Public at Large,State o;Flqpj4da,County of Duval. Notary Public-Stale of Florida My commission eWir : Com. aj !oo }� My Co .Expires Apr 17,2016 Personally known: Or ProducedId Caemisebn#a 190435 Identification -