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153 Belvedere St 2012 elec safety � ? CIT OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 I Application Number . . . . . 12-00001383 Date 9/24/12 Property Address . . . . . . 153 i PELVEDERE ST Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc safety inspection ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SIMMONS MARK W & CATHARINE B ELITE ELECTRICAL SERVICES LLC 153 BELVEDERE 11611 CAPE HORN AVE ATLANTIC BEACH FL 322334106 JACKSONVILLE FL 32246 (904) 353-0190 ---------------------------------------------------------------------------- Permit . . . ELECTRICAL PE IT Additional desc . . SAFETY INSPEC ON Permit Fee . . . . 90 . 00 Plan Check Fee 00 Issue Date . . . Valuation 0 Expiration Date 3/23/13 ---------------------------------------------------------------------------- Other Fees . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00 STATP ELEC DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged P' id Credited Due ----------------- ---------- ------ ---------- ---------- Permit Fee Total 90 . 00 190 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 94 . 00 194 . 00 . 00 . 00 i i I I i i I PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITP OFA LANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PERMIT,{APPLICATION I CITY OF ATLANTIC BEACH / DG 800 Seminole Rd, Atlantic Beach, FL 32233 G h 04 47-5826 Fax (904) 247-5845 .TOB ADDRESS: / / � � PERMIT# ' /3�� JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE VALUE OFW K$ NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole ❑Residential (Main) Service 110-100 amps 1110 1-1 50amps ❑151-200amps amps # of Meters Commercial(Main) Service 110-100 amps 101-150amps 1 1151-200amps amps ❑CT Service amps Conductor Type Size I-(Multi-Family(Main) Service ❑0-100 amps Cs 101-I50amps I 151-200amps ❑ amps # of Unit Meters 5 Temporary Pole I i amps i SERVICE UPGRADE C] amps I] CT Ser ice amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ET .) ,F7100 amps 7150amps 1 1200amps I amps C CT Service amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSC RY 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 1 1 Sign ❑Smoke Detectors_Qty Tran formers KVA Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans Qty volts/amps VALUE OF WORK$ REPAIRS/MISCELLANEOUS ❑Replace Burnt/Damaged Meter Can Ilafety Inspection ]Panel Change IOH to UG /� I [_1 Other: Permit becomes void if work does not commence within a six month period or work is§uspended 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 zind ordinances governing this work will be complied with whether specified or not. The permit does not give authority to violate the provisions of any of cr state or local law regulation construction or the performance of construction. Property Owners Name a x� z/ w/ �� V Phone Number Electrical Company �� ,- IVIJOffice P-hon"e �l) ax Co. Address: �� -� 1 City �1� State Zip License Holder (Print): A% ! -StateXertl1ficati Registration# Notarized Signat tv SHIRLEY L.GRA :*. MYC0vA;S8W5aW s bscribed bef this day 20� �o EXPIRES-February 14,2014 pF Bonded Thru Not ,Public Underwritersawal ligotary Pu � 321� fF4373g2l