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1197 UNIT 1195 Mayport Road Safety Inspection Permit 2012 b JCJ CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 fit Application Number . . . . . 12-00001540 Date 11/14/12 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 ------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- SAFAR ANTON VALDAN ELECTRIC CO. 6949 LA LOMA DR 338 19TH STREET JACKSONVILLE FL 322172668 ATLANTIC BEACH FL 32233 (904) 716-3626 --------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . SAFETY INSPECTION Permit Fee 90 . 00 Plan Check Fee 00 Issue Date . . . . 10/19/12 Valuation . . . . 0 -----Expiration Date-_-_-----4/23/13 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 OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES.