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Permit Elec 700 Amberjack Ln 2012 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12-00001742 Date 12/28/12 Property Address . . . . . . 700 AMBERJACK LN Application type description RESIDENTIAL ALTERATION Property zoning . . . . . . . TO BE UPDATED Application valuation . . . . 5000 ---------------------------------------------------------------------------- Application desc REMOVE FLAT ROOF & CHNG PITCH TO 4/12 GABLE END ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ FORE, FRANCIS HOMEOWNER BLDG SVCS, INC (RC) 700 AMBERJACK LANE 739 BROOKMONT AVE E ATLANTIC BEACH FL 322334202 JACKSONVILLE FL 32211 (904) 322-1054 --- Structure Information 000 000 CHG FLT ROOF TO 4/12 GABLE END Occupancy Type . . . . . . RESIDENTIAL ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc OUTLETS, SWITCHES, SMOKE DET. Sub Contractor BILL THOMPSON ELECTRIC CO, INC Permit Fee . . . . 97 .40 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 6/26/13 ---------------------------------------------------------------------------- Special Notes and Comments 2010 FLORIDA BUILDING CODE, 2008 NATIONA1 ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00 STATE ELEC DEPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 97 .40 97 .40 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 101 .40 101 .40 . 00 . 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 P (904) 247-5826 Fax (904) 247-5845 JOB ADDRESS: PERMIT# LZ--1741z-. JEA INFORMATION REQUIRED ON ALL PERMITS 2-&249 AMPS 2-z,,'O VOLTS Z PHASE VALUE OF WORK$ NEW SERVICE F-1 Overhead Ej Underground EDUnderground up Pole OResidential (Main) Service 00-100 amps 0 101-150amps 0 151-200amps E—amps of Meters C Commercial(Main) Service E10-100 amps 11101-150amps 0 151-200amps O—amps OCT Service amps Conductor Type Size OMulti-Family(Main) Service 00400 amps 0 10 1-15 Oamps 0 151-200amps El amps 9 of Unit Meters 0 Temporary Pole El __amps SERVICE UPGRADE O—amps 0 CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) 0100amps 0150amps 0200amps 0 amps OCT Service amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: -55— 0-30amps 31-100amps 101-200amps Appliances: __2_0-30amps 31-100amps 10 1-200amps A/C Circuits: 0-60amps 61-100amps Heat Circuits: # circuits @ kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECT5-- 0 Swimming Pool 0 Sign 09moke Detectors YQty 0 Transformers KVA 0 Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans&Fire Alarm Checklist) Qty_volts/amps VALUE OF WORK$ REPAIRSIMISCELLANEOUS 0 Replace Burnt/Damaged Meter Can 0 Safety Inspection OPanel Change OOH to UG OOther: 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 Phone Number Electrical Company S-//-/ "t— 4<-Pr Office Phone 7 7 Fax Z7 Co. Address: 401 X�px City State/-'C_/, Zip7Z_—`;� 77,License Holder (Print): Certification/Registratioi Notarized Signature 0�f License Holder DOW L BAKU MY COMMISSION#DD 853524 Sworn and subscribed before me diis d�aX,a / -cet-VL P2 e Y_ 20 1" EXPIRES:March 30,2013 BMW Thm Wtwy PUM UNW"bm I Signature of Notary Public (�Sj