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1213 Jasmine St 2013 elec panel chg � jay tell `I J CITY OF ATLANTIC BEAM s) 800 SEMINOLE ROAD J ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00003086 Date 7/17/13 Property Address . . . . . . 1213 JASMINE ST Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc PANEL CHANGE ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ FRICK PATRICIA ANN KEHR ELECTRIC 1213 JASMINE ST 9438 PANDA ST ATLANTIC BEACH FL 322331818 JACKSONVILLE FL 32220 (904) 778-2100 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . PANEL CHANGE Permit Fee . . . . 90 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 1/13/14 ---------------------------------------------------------------------------- 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(90C4) 247-5826 Fax (904) 2(�47-5845 G JOB ADDRESS: 1 2 ) a S 1M��e- .J�, ci��t �.� r ( � PERMIT# JEA INFORMATION REQUIRED ON ALL PERMITS 1 AMPS a�L/C) VOLTS PHASE VALUE OF WORK$ 7!}�� NEW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up Pole ❑Residential(Main) Service 110-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters ❑Commercial(Main) Service ❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps OCT Service amps Conductor Type Size '--'Multi-Family(Main)Service 11,0-100 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 1-1200amps ❑ amps OCT 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 L'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 \I'�anel Change 11 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 Ske o Phone Number q13 Electrical Company �� tet- J L Office Phone /00 F021- 002- 1 Co. ax — 002- Co.Address: :© 1J �� City . ) r't.yc State El, Zip 2 2.39 License Holder(Print): v \ State Certification/Registration#I-12 OD 1 l b Notarized Signature of License Holder Before me this day of 20 Signature of Notary Public