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2329 Barefoot Trac 103 elec I, CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00003117 Date 7/22/13 Property Address . . . . . . 2329 BAREFOOT TRAC Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc OUTLETS SWITCHES REMODEL ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ HOSTO, MICHAEL D. RIVER CITY ELEC CONTRACTORS 2329 BAREFOOT TRACE 12496 GATELY OAKS LN E ATLANTIC BEACH FL 322336604 JACKSONVILLE FL 32225 (904) 220-8216 ---------------------------------------------------------------------------- Permit ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 59 . 80 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 1/18/14 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00 STATE ELEC DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 59 . 80 59 . 80 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 63 . 80 63 . 80 . 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 y�Ph(904) 247-5826 Fax (904) 247-5845 JOB ADDRESS: 2L� (� ,A e- 4 4- %/`Q��, PERMIT # JEA INFORMATION REQUIRED ON ALL PERMITS AO _AMPS 0,�V VOLTS PHASE VALUE OF WORK$ NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole []Residential(Main) Service ❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters []Commercial(Main) Service 00-100 amps 1110 1-I 50amps ❑151-200amps L; amps ECT Service amps Conductor Type Size ❑Multi-Family(Main)Service 00-100 amps [110 1-I 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 11200amps ❑ amps ❑CT Service amps ADDITIONS,REMODELS REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: 7T�-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 ❑Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty volts/amps VALUE OF WORK$ d r REPAIRS/MISCELLANEOUS El Replace Burnt/Damaged Meter Can ❑Safety Inspection []Panel Change I]OH to UG Cee/Z thrtG O 2 Pte,S 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 Phone Number i00, Electrical Company a /�� AOffice Phone Fax Co.Address: /oL q q gL `^ City State Zip 3 Zi ZS License Holder(Print): : tate Cert ification/Registration# 4�iA� o/�/9 Z Notarized Signature of License Holder Gc_— 00/79 s 2 da 0 0 SHIRLEY L.GRAHAM 2g 'Ay COMMIS a EXPIREOS " �� o Notary Pub y S:Fe Bonded Th.Notary Nblic UntlenN m