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163 Sylvan Dr 2012 elec safety 41 `v , CITY OF ATLANTIC BEACH api\‘...., y 800 SEMINOLE ROAD 0 ATLANTIC BEACH,FL 32233 ") INSPECTION PHONE LINE 247-5814 12-00001781 Date 12/05/12 Application Number Property Address 163 SYLVAN DR Application type description ELECTRIC ONLY Property Zoning TO BE UPDATED Application valuation . . . • 0 Application desc safety Owner Contractor KERR, PAUL CRAWFORD ELECTRIC 163 SYLVAN DR P.O. BOX 51045 ATLANTIC BEACH FL 322334045 (904)E (904) 32240 241-5591 Permit ELECTRICAL PERMIT Additional desc . Plan Check Fee 00 Permit Fee . . . . 90 . 00 0 Issue Date . . . . Valuation . . . Expiration Date . . 6/03/13 Other Fees STATE ELEC DCA SURCHARGE 2 . 00 STATE ELEC DBPR SURCHARGE 2 . 00 g Fee summary Charged Paid Credited Due Permit Fee Total 90 . 00 90 .00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 4 . 00 . 00 Other Fee Total 4 . 00 . 00 . 00 Grand Total 94 . 00 94 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC 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 (904) 247-5845 / JOB ADDRESS: /b 3 SC/ JO O -/V PERMIT # /2 - / >8 / JEA INFORMATION REQUIRED ON ALL PERMITS 00 AMPS 0230 VOLTS / PHASE VALUE OF WORK$ NEW SERVICE ❑ Overhead Underground I IT Underground up Pole ❑Residential (Main) Service ❑0-100 amps ❑101-150amps ❑151-200amps Li amps # of Meters ❑Commercial(Main) Service C0-100 amps ❑101-150amps ❑151-200amps C. amps 1 C Service amps Conductor Type Size ❑Multi-Family(Main) Service ❑0-100 amps 11101-1 50amps ❑151-200amps 1 amps #of Unit Meters ❑Temporary Pole ❑ amps SERVICE UPGRADE El amps ❑ CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) 100 amps ❑150amps E200amps 1 amps OCT Service 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 1Swimming Pool ❑ Sign ❑Smoke Detectors Qty ❑Transformers KVA (Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty volts/amps VALUE OF WORK$ REPAIRS/MISCELLANEOUS E Replace Burnt/Damaged Meter Can A afety Inspection` ❑Panel Change ❑OH to UG C Other: g'./'►-�h. i A `c`-> goo ,xt OT P- Qv4 t / /r4f 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 /n,' ,4,met. ! 1 ( r Phone Number 2 'b y Electrical Company 64-6.../Fond f/'..r/-✓i'- Office Phone 2 // I5"7/ Fax 2 /-2.03 Co. Address: 2 3 D/ 7'n4r,.s1/2,,.,Ii Rat ? City /I)./L/e, &le t State/¢/6-Zip 3 u(( License Holder (Print): \I d) A 1.4Z I State Certification/Registration# C c i3 au 20 Notarized r cg, ,,f ;, A- , R, .,r MY COW R S :e e 957.?0 4f7PP. v lz EXPIR S.Feruary 14 2 Ufo - me this •a ,r, „1. Bondod 7hru Notary Public Underwriters 'TOM - -. _ --- ._ ,ture of Notary blic-----. 41