1223 Jasmine St 2013 elec panel chg .
CITY OF ATLANTIC BEAC1
J 800 SEMINOLE ROAD
s)
J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00003085 Date 7/17/13
Property Address . . . . . . 1213 JASMINE ST
Tenant nbr, name . . . . . . 1223 DUPLEX
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
PANEL CHANGE
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Owner Contractor
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FRICK PATRICIA ANN KEHR ELECTRIC
1213 JASMINE ST 9438 PANDA ST
ATLANTIC BEACH FL 322331818 JACKSONVILLE FL 32220
(904) 778-2100
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Permit ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 1/13/14
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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
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904)247-5845
JOB ADDRESS: 75-ot S�Ilot e, �'� - CTT_lye L Ft. PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS
(ZAMPS ��(�VOLTS PHASE
VALUE OF WORK$ 2Gb
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
❑Residential(Main) Service
110-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
FJ Commercial(Main)Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps ❑CT Service amps
Conductor Type Size
Multi-Family(Main) Service
❑0-100 amps 11101-1 50amps ❑151-200amps ❑ amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 0200amps ❑ 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 El 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 Panel Change ❑OH to UG
Ej 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.
eyz
Property Owners Name. ev Phone Number �1 3 jo7
Electrical Company R e�'S ZL� Y+ Office Phone �t� Fax777 -0L I
Co.Address: �.D, k Li gs1 City ��X State Fj'_Zip 3 22
License Holder(Print): ID6't\3`1LA State Certification/Registration# L D6 3��ro
Notarized Signature of License Holder
Before me this day of 20
Signature of Notary Public