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440 Osprey Key 2013 elec pnel chg . S!•:��I:rJ CITY OF ATLANTIC BEACH Is) 800 SEMINOLE ROAD j ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00003831 Date 12/12/13 Property Address . . . . . . 440 OSPREY KEY Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ------------------------------------------- Application desc PANEL CHANGE ------------------------------------------- Owner Contractor ------------- ------------------------ JACKSON EDMUND W JR ALDERMAN ELECTRIC LLC 440 OSPREY KEY 4622 ORT FARMS CIR ATLANTIC BEACH FL 322334367 JACKSONVILLE FL 32210 (904) S91-1092 ------------------------------------------ Permit ELECTRICAL PERMIT Additional desc . . . 00 Permit Fee . . . . 90 . 00 Plan Check Fee Issue Date . . . . Valuation . . . . 0 Expiration Date . . 6/10/14 --------------------- ------------------------------ 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 J, �p Ph(904) 247-558/2/6 Fax (904) 247-5845 JOB ADDRESS: 7 S / / Ail, PERMIT# JEA INFORMATION REQUIRED ON ALL PERMITS �-0 AMPS Of30 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 [10-100 amps ❑101-150amps ❑151-200amps amps [ICT Service amps Conductor Type Size ❑Multi-Family(Main)Service ❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters El 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: 0-3 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 KVA [I Motors hp ElSwimming Pool [ISign ❑Smoke Detectors_Qty [I Transformers FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK$ Qty volts/amps REPAIRS/MISCELLANEOUS ❑Replace Burnt/Damaged Meter Can ❑Safety Inspection t'Panel Change [10H 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 / r,- 1 l' Phone Number Electrical Company rN /� ,� I=l� .t Office Phone,5��—/09�- Fax Co. Address: .1,� U �-- _� S City �A, ' State !�• Zips/v a /I License Holder(Print): 1-���� State Certification/Registration# l Notarized Signature of License Holder �3 JMFBWAIYER Before me this Ziay of �� 20 as ... .: MY COMMISSION#FF 011480 %'. EXPIRES:April 24,2017 Signature of Notary Public .RPF t�,,• Bonded Thru Notary Public UnderwrAer6