97 Levy Rd unit 131 2013 elec safety CITY OF ATLANTIC BEAO,,,,
800 SEMINOLE R01AD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
�F .,
Application Number . . . . . 14-00000011 Date 1/08/14
Property Address . . . . . . j97aTenant nbr, name . . . . . . 99
Application type description Y
Property Zoning . . . . . . . O
Application valuation . . . .
Application desc
safety
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Owner Contractor
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ATLANTIC BEACH COMMERCE AND CRAWFORD ELECTRIC
STORAGE CENTER, INC. P.O. BOX 51045
1101 CHANNELSIDE DR SUITE 247 JACKSONVILLE BEACH FL 32240
TAMPA FL 33602 (904) 241-5591
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 7/07/14
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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 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
n CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax(904)247-5845
JOB ADDRESS: dPERMIT#
Cli
JEA INFORMATION REQUIRED ON ALL PERMITS 10 .2 AMPS � VOLTS PHASE
VALUE OF WORK$ ZUy
NEW SERVICE ❑ Overhead ❑ Underground Ol Underground up Pole
❑Residential(Main) Service
❑0-100 amps 11101-1 50amps ❑151-200amps ❑ amps #of Meters
LICommercial(Main)Service
❑0-100 amps ❑101-150amps 1:1151-200amps ❑ amps [I 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 [I 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 El Smoke Detectors_Qty ❑Transformers KVA []Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VAL UE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can afety Inspection ❑Panel Change DOH 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 (J�1 " ' �" Phone Number e�r`7f
Electrical Company �` � le Office Phone 2 `-53�/ Fax
Co.Address: .Z 3r) ��s� /��w' / °�t City State Zip 2Z-rl
Vr
License Holder(Print): .Tv�� � ' L State Certification/Registration# Fc 1300 Z.,4
Notary der
b,.,.., c• . �dRAHAM ` 20 J
M,CommISSION#OD 957760 efore me this y f
*` EXPIRES:February 14,2014
3onded Thtu Notary Public Underwriters
ignature of Notary Pu