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1089 Atlantic Blvd # 4 safety inspectn elec 2012 CIT OF ATLANTIC BEACH s) 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12- 0000902 Date 7/18/12 Property Address . . . . . . 1089 ATLANTIC BLVD Tenant nbr, name . . . . . . UNIT 4 Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO EE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc safety inspection ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ ASHLAND INVESTMENT, INC. KNIGHT ELECTRIC LLC 7880 GATE PARKWAY SUITE 300 910 11TH AVE S JACKSONVILLE FL 32256 JAX BEACH FL 32250 (904) 247-9884 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . SAFETY INSPECTION Permit Fee . . . . 90 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 1/14/13 ---------------------------------------------------------------------------- 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 OFATLANTIC 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 04)247-5845 JOB ADDRESS: O c ''nn l �►—t !_c4,-\41L 1 U6 �f q PERMIT# JEA INFORMATION REQUIRED ON ALL PERMITS C�� AMPS 2-40 VOLTS 1 PHASE VALUE OF WO $ NEW SERVICE ❑ Overhead ❑ Underground ❑t Underground up Pole ❑Residential(Main)Service 110-100 amps ❑101-150amps 11151-200amps ❑ amps #of Meters ❑Commercial(Main)Service ❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps Ll 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 Sery a amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC) ❑100 amps ❑150amps ❑200amps ❑ amps ❑CT Service amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSOI Y 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 g--kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS ❑Swimming Pool ❑ Sign []Smoke Detectors_Qty ❑Trans rmers KVA []Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans&Fire Alarm Checklist) Qty volts/amps VALUE OF WORK$ REPAIRS/MISCELLANEOUS ❑Replace 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 supended 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 Q r Phone Number qQ a---Cl Qd Q Electrical Company A_ 'F_ -r C f r l Office Phone_D4_)-928L4 Fax DL0-q 8L Co.Address: Cb& I I l e, S , City X R,� State FL_ Zip c",�S d License Holder(Print): State Certification/Registration#C( 1 R1 laS a 3 Notarized Signature of Licens DEBORAN�D Alp _. MY sswN subscribed before m this day of 2V;, EXPIRES.MP 21'Underon+tets Rf ;o dedThru nfNntnry Piihlir