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1728 W Park Ter 2013 upgrade service CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD 1 r� ATLANTIC BEACH FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00002903 Date 6/19/13 Property Address . . . . . . 1728 W PARK TER Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ----------------------------------------------- Application desc service upgrade /switches outlets ---------------------------------------------- Owner Contractor ----------------- ------------------------ SAUNDERS, JEREMY AMERICAN ELECTRICAL CONTRACTOR 152 LONG LOTS RD 5065 ST. AUGUSTINE RD #13 NEW CANAAN CT 06840 JACKSONVILLE FL 32207 (904) 737-7770 -------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . OVERHEAD . 00 Permit Fee 137 . 80 Plan Check Fee . Issue Date . . . Valuation 0 Expiration Date . . 12/16/13 --------------------- --------------------------- Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 07 STATE ELEC DBPR SURCHARGE 2 . 07 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----- ---------- - Permit Fee Total 137 . 80 137 . 80 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 14 4 . 14 . 00 . 00 Grand Total 141 . 94 141 . 94 . 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 �J Ph (904) 247-5826 Fax (904) 247-5845 .TOB ADDRESS: �/ PERMIT# SEA INFORMATION REQUIRED ON ALL PERMITS 1 AMPS �o VOLTS a% -L) PHAS VALUE OF WORK$ NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole Residential(Main) Servift ams #of Meters 0-100 amps U I-150amps l 51-200amps p Commercial(Main) Service '0-100 amps 101-150amps 151-200amps amps CT Service amps Conductor Type Size Multi-Family(Main) Service #of Unit Meters 0-100 amps 101-150amps _1151-200amps amPs Temporary Pole ! amps SERVICE UPGRADE 1 OD amps CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) CT Service amps 100 amps 150amps 200amps 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: / Z OTHER ELECTRICAL PROJECTS Transformers KVA Motors hp Swimming Pool Sign Smoke Detectors_Qty FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist) VALUE OF WORK$ Qty volts/amps REPAIRS/MISCELLANEOUS Replace Burnt/Damaged Meter Can !Safety Inspection Panel Change iOH to UG d Ph�irno Other: `e Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. 1 hereby certify that 1 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. (� 3� I �,{'� 1� L�i')�� Phone Number gio 1 Property Owners Name �/ Phone 5Y-/52. Fax Electrical Company �"rl'Cci ill _ // 5��tp 1 �� PState�Zi o_vi Co. Address:� � 5T-421),� License Holder (Print): L t` Sta ertification/Registration# /�� Nota 'z l i nature of License Holder Notary Public State of Florida worn and subscribed be ore m this da o C)� 20�� Anna M Daly �y1 My Commlaelm EE$50780 g Expima 01125/017 i nature of Notary Publ 0S ds 06 `pR