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
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Application desc
safety
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Owner Contractor
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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
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc .
Permit Fee 90 . 00 Plan Check Fee . 00
Issue Date . . . Valuation 0
Expiration Date . . 5/13/14
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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 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