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451 camelia St 2013 elec safety o v CITY OF ATLANTIC BEACH J� 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00003676 Date 11/14/13 Property Address . . . . . . 451 CAMELIA ST Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ----------------------------------------------------------- Application desc safety ---------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- COMMUNITY FIRST CREDIT UNION KNIGHT ELECTRIC LLC C/O CENLAR FSB 425 PHILLIPS 908 11TH AVE S 425 PHILLIPS BLVD JACKSONVILLE BEACH FL 32250 EWING NJ 08618 (904) 247-9884 -------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . Permit Fee 90 . 00 Plan Check Fee . 00 Issue Date . . . Valuation 0 Expiration Date . . 5/13/14 --------------------------------------------------- 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 I CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach, FL 32233 Ph(904) 247-5826 Fax(904) 247-5845 .TOB ADDRESS: tM 641y\d1k S-rme'r PERMIT # JEA INFORMATION REQUIRED ON ALL PERMITS !d U AMPS V0 VOLTS PHASE VALUE OF WORK S NEW SERVICE Overhead ❑ Underground ❑1 Underground up Pole ❑Residentia (Main)Service 00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters ❑Commercial(Main)Service 00-100 amps ❑101-150amps ❑151-200amps amps OCT Service amps Conductor Type Size ❑Multi-Family(Main)Service 00-100 amps ❑101-150amps ❑151-200amps El-amps #of Unit Meters ❑Temporary Pole ❑ amps SERVICE UPGRADE []-amps ❑ CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) ❑100 amps ❑150amps ❑200amps ❑ amps ❑CT Service amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: 0-3 Damps 31-l 00amps 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 El Transformers KVA ❑Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty volts/amps VALUE OF WORK S REPAIRS/MISCELLANEOUS ❑Replace Burnt/Damaged Meter CanSafety Inspection ❑Panel Change ❑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. Qp 1 ff Property Owners Name NCA LS �/'t�t I-q-� Phone Number Electrical Companyvtcl'`T 1-� � _Office Phone Fax Co.Address: 96 g lit' Aor �. City A+ State Ft Zip ?2216 License Holder(Print): rw r State Certification/Registration# Ple(Y°tZS'2) Notarized Signature of License Holder Before me this day Signature of Notary Public