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318 Skate Rd elec 2013 (repr meter can) 1 �!v CITY OF ATLANTIC BEACH Is1 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00002437 Date 4/05/13 Property Address . . . . . . 318 SKATE RD Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc REPAIR METER CAN ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ BOSTEN, MIRIAM R & R ELECTRIC COMPANY 318 SKATE RD P.O. BOX 60665 ATLANTIC BEACH FL 322333820 JACKSONVILLE FL 32236 (904) 768-6166 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 90 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 10/02/13 ---------------------------------------------------------------------------- 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. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach, FL 32233 Ph (904)11247-5826 Fax (904) 247-5845 .TOB ADDRESS: 3 I S1� x00 e '? _ck - A-�l�,.-h C �C�� 31233 PERMIT# JEA INFORMATION REQUIRED ON ALL PERMITS ;ZC�O AMPS a40 VOLTS / PHASE VALUE OF WORK$ a J S 00 NEW SERVICE ❑ Overhead ❑ Underground ❑J Underground up Pole Residential(Main) Service 0-100 amps 101-150amps 151-200amps amps #of Meters Commercial(Main) Service 0-100 amps 101-150amps 151-200amps amps CT Service amps Conductor Type Size Multi-Family(Main) Service 0-100 amps 101-150amps 151-200amps amps #of Unit Meters Temporary Pole amps SERVICE UPGRADE amps CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) 100 amps 150amps 200amps amps CT 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 Swimming Pool Sign Smoke Detectors Qty Transformers KVA Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist) Qty volts/amps VALUE OF WORK$ REPAIRS/MISCELLANEOUS Replace Burnt/Damaged`pMeter Can Safety Inspection Panel Change OH to UG Other: Repq� aa e -to ser-v%c _ CoexCLe.{urs i n tnAer Can 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. M Property Owners Name / r c Phone Number 53 -3 Cy S'7 Electrical Company �`� CI e,G��Cil N . FL , (x c, Office Phone -764-5555 Fax 70?-%-2L4C> Co. Address: �� x �� City,c-c�r(Sc�� State FL. Zip 3e�23� License Holder (Print): State rtification/Registration# CC�7i31F5 Notarized f o Signature License Holder g o�PaY Pole KATHY L ANSLEY Sworn and subscribed before me t is day of a •".,c * * MY COMMISSION I EE 198478 EXPIRES:May 20,2016 Signature of Notary Public r9JFOF F',0 Bw6d Tlw Wo Not"SoMm