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1197 Mayport Rd Unit 1195 2012 safety elecJOB ADDRESS: ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach, FL 32233 Ph (904) 247-5826 Fax (904) 247-5845 -- t PERMIT # fdZ�� /�� JEA INFORMATION REQUIRED ON ALL PERMITS 1iAMPS VOLTS PHASE ,;� oG VAL UE OF WORK $ l 3 NEW SERVICE ❑ Overhead C,'Residential (Main) Service 1 '0-100 amps �_'101-150amps Commercial (Main) Service f10-100 amps 101-I50amps Conductor Type 7 Multi -Family (Main) Service 10-100 amps :1101-150amps fi Temporary Pole I amps ❑ Underground ❑1 Underground up Pole 1151-200amps -' amps # of Meters I 151-200amps amps ]CT Service amps Size 11151-200amps 1 amps SERVICE UPGRADE [. amps I CT Service amps NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.) 100 amps ❑ 150amps 200amps i I amps CTService # of Unit Meters 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 11 Swimming Pool H Sign ]Smoke Detectors_Qty >Transformers . FIRE ALARM SYSTEM (Requires 3 sets of plans Qty volts/amps KVA 1_]Motors VALUE OF WORK $ REPAIRS/MISCELLANEOUS Replace Burnt/Damaged Meter Can afety Inspection Panel Change _IOH to UG I Other: hp 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's Phone Number �,.ia�aauawv v %os-S— �3z� rax Zip .3 # �Zo ?� 2V_, 2, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12-00001540 Date 10/30/12 Property Address . . . . . . 1197 MAYPORT RD Tenant nbr, name . . . . . . UNIT 1195 Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ------------------------------------- Application desc Safety Inspection 200AMP 120/240V 1Phase ---------------------- -- -------------------------------------------------- PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Contractor Owner ------------------------ SAFAR ANTON VALDAN ELECTRIC CO. 6949 LA LOMA DR 338 19TH STREET FL 322172668 ATLANTICACH B 3626 FL 32233 JACKSONVILLE T ----------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . SAFETY INSPECTION Plan Check Fee .00 Permit Fee . . . . 90.00 10/19/12 Valuation . . . 0 Issue Date . . . . Expiration Date . . 4/23/13 _ _ ------ STATE ELEC DCA SURCHARGE 2.00 Other Fees STATE ELEC DBPR SURCHARGE 2.00 Charged Paid Credited Due Fee summary ----- -- ----------------- Permit Fee Total ---------- 90.00 ---------- 90.00 .00 00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.00 4.00 .00 Grand Total 94.00 94.00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES.