925 AMBERJACK LN 2013 ELEC UPGRADE CITY OF ATLANTIC BEACH
J 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00002214 Date 2/22/13
Property Address . . . . . . 925 AMBERJACK LN
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
upgrade service 100 to 200 amps
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Owner Contractor
_ ------------------------
EASTERBROOKS, WILLIAM EMZ ELECTRICAL LLC
925 AMBERJACK LANE 2043 POMPANO PARKWAY
ATLANTIC BEACH FL 322334226 ORANGE PARK FL 32073
(904) 626-4776
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . . 00
Permit Fee . . . . 125 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . 0
Expiration Date 8/21/13
Other Fees .
STATE ELEC DCA SURCHARGE 2 . 0
STATE ELEC DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
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----------------- ----------
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Permit Fee Total 125 . 00 125 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 129 . 00 129 . 00 . 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
Ph(904) 247-5826 Fax (904) 247-5845
S - N PERMIT# r 2— 2/
JOB ADDRESS: � 2 G�I�e_�Sftci! L
JEA INFORMATION REQUIRED ON ALL PERMITS 0 D AMPS VOLTS PHASE
VALUE OF WORK$ D�-Yj <Loo
NEW SERVICE Overhead ❑ Underground ❑T Underground up Pole 2 �
❑Residential(Main) Service
❑0-100 amps ❑101-150amps ❑151-200amps []_amps #of Meters
-Commercial(Main) Service
10-100 amps ❑101-150amps ❑151-200amps []—amps ❑CT Service amps
Conductor Type Size
❑Multi-Family(Main) Service
❑0-100 amps El 10 1-1 50amps ❑151-200amps ❑ amps # of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE K' 2Oy amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps ❑200amps ❑ amps [ICT 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: i 0-60amps 61-100amps
Heat Circuits: / # circuits @ iJ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming 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
❑Replace Burnt/Damaged Meter Can []Safety Inspection '-]Panel Change ❑OH to UG
[]Other:
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 GJ i A1*7 /IS 7—C- .90 Phone Number
Electrical Company L.= M ZL L ` R' L �- _Office Phone -Z V' `17 7G Fax
JJ ) S N 3 c-&M r jD City :' State�Zip 3""ZZs"7
Co. Address: S
License Holder(Print): C• .3 ARRi //Y1 Q"J'�-gS State Certification/Registration# EC c.X10i 7 -
Notari ed Signature of License Holder &'
May SHIRLEY L GRAHAM day o -
fore me this
MY COMMISSION#DD 957760
EXPIRES:February 14,2014
Bonded Thn!Notary Public underAders ignature of Notary Public