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78 W 4th St elec 2013 fire damage repairs CITY OF ATLANTIC BEACH • , y 800 SEMINOLE ROAD r3 ATLANTIC BEACH,FL 32233 J INSPECTION PHONE LINE 247-5814 �JFfl�� 13-00002363 Date 4/12/13 Application Number 74 W 4TH ST Property Address • • • • ' ' 78 W 4TH ST Tenant nbr, name . . . . . Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation 16000 ------------------------- Application desc FIRE DAMAGE REPAIRS ------------------------ Contractor Owner COX, RUSSELL AARON JONSSON CONSTRUCTION 14003 TOMAKA RD 333 SAN PABLO RD N FFL 32225 JACKSONVILLE L 32225 JACKSONVILLE (904) 591-0599 --- Structure Information 000 000 FIRE DAMAGE REPAIRS Occupancy Type . . . . . . RESIDENTIAL ----- ---- Permit ELECTRICAL PERMIT Additional desc . . 1 OUTLET, 2 APPLC . 00 Permit Fee . . . . 57 . 60 Plan Check Fee 0 Valuation Issue Date 10/09/13 _ Expiration Date ---- 2 . 00 Other Fees • STATE DCA SURCHARGE2 , 00 • STATE ELEC DCA SURCHARGE 2 , 00 STATE ELEC DBPR SURCHARGE 2 . 00 STATE DBPR SURCHARGE ------------------------ eCredited Due Fee summary g ---------- ---- Chard Paid--- ------------ --- ------- . 00 57 . 60 57 . 60 ----------------- . 00 Permit Fee Total 00 60 00 . 00 Plan Check Total 8 . 00 00 . 00 Other Fee Total 8 . 00 65 . 60 65 . 60 00 . 00 Grand Total 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: 719 kles, `f n� . yneer'l PERMIT# /3-2343 ,IEA INFORMATION REQUIRED ON ALL PERMITS /DD AMPS ?Vo VOLTS PHASE VALUE OF WORKS zh&60 NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole ❑Residential(Main) Service U0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters rCommercial(Main) Service u0-100 amps ❑101-150amps ❑151-200amps ❑ amps OCT Service amps Conductor Type Size GMulti-Family(Main)Service 00-100 amps ❑101-150amps (7151-200amps ❑ amps # of Unit Meters OTemporary Pole ❑ amps SERVICE UPGRADE ❑ amps ❑ CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) ❑100 amps ❑150amps 0200amps ❑ amps OCT Service amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: 1 0-30amps 31-100amps 101-200amps Appliances: 2 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 LSwimming Pool ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA FJ Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty volts/amps VALUE OF WORKS REPAIRS/MISCELLANEOUS ❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change OOH to UG ElOther: 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 6x, /�uss�s ro-r, / Phone Number 19D Electrical Company � -+ &0m4 ' �e '� -'r �ii4t in Office Phone t9o4l) 7. BGo Fax '766• &Lz Co.Address: 'lSZ3 Al 614, � `� City ✓A41ro"vlll State ,4'/ Zip e2%yo8 License Holder(Print): ja-wcs 44--,-e, State Certification/Registration# EQ 13OIZ744 Motarized Signature of License Holder efore me is / I day of �� I 20 13 ,�•!'�"�: JUDITH T. JOHNSON — ;'= MY COMMISSION*DD970523 Signature of Notary Public EXPIRES March 14,2014 (I07)316-0153 RkidalloteryServlce.com