Permit Elec 372 5th St 2013 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00000404 Date 1/28/13
Property Address . . . . . . 372 5TH ST
Application type description RESIDENTIAL ADDITION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 1000
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Application desc
SUMMER KITCHEN
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Owner Contractor
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SCOTT BRIAN AND KAY CROSS TIMBERS CONSTRUCTION
2078 BEACH AVE 2770 EAGLE HAVEN DR
ATLANTIC BEACH FL 32233 GREEN COVE SPRINGS FL 32043
(904) 838-8154
--- Structure Information 000 000 SUMMER KITCHEN
Construction Type . . . . . TYPE 5-B
Occupancy Type . . . . . . RESIDENTIAL
Flood Zone . . . . . . . . ZONE X
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . . OUTLETS/FIXTURES OUTDOOR KITCH
Permit Fee . . . . 59 . 80 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 7/27/13
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Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONA1 ELECTRIC CODE
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Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00
STATE ELEC DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 59 . 80 59 . 80 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 63 . 80 63 . 80 . 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 13EACH
800 Seminole Rd,Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: -3 -75-1 A50 PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS _1?j&�,c VOLTS PHASE
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VALUEOFWORK$ 161()0100
NEW SERVICE F� Overhead Underground Underground up Pole
Residential(Main)Service PV
0-100 amps 1,1101-150amps 11 51-200amps amps #of Meters
Commercial(Main)Service
0-100 amps I ilOI-150amps 11 51-200amps
Conductor Type Size amps 'CT Service amps
Multi-Family(Main)Service
1 0-100 amps I 110 1-I 50amps 151-200amps ______amps # of Unit Meters
Temporary Pole i 1 amps
SERVICE UPGRADE
amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
'CT Service amps
� :100amps 1-1150amps 200amps amps
ADDIPMS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
(Outleo/Switches: 3 0-30amps 3 1-1 00amps 101-200amps
'AWiances: 0-30amps 3 1-1 00amps 101-200amps
A/C Circuits: 0-60amps 61-1 00amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
SwimmingPool 1_] Sign H Smoke Detectors_Qty ' Transformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty_volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can :;Safety Inspection 'Panel Change ; :OH to UG
)(Other: i A3-srA,U_ wqyz j) FOR- 00yVWA- Iciruh-vi
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 13ftA A,4 17�49 1 Phone Number
Electrical Company �7"AV.LA 4 Ejgt�C, 10W I C4C1_ Office Phone 6 -�17_57 Fax 'ZZ3-70,5L
Co.Address: Ll I_AUu,)-woQ F04f) City::Y&- gr_ff State A- zip R15C
License Holder(Print): I—A&UM' A (�UA_)W Aj State Certification/Registration#EIZ13ol S We
Notarized Signature of License Holder
Before me this e\2f day of JZ"", 2013
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Signature of Notary Pu Tda"
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