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623 Selva Lakes Cir 2014 elec t,. CITY OF ATLANTIC BEA 7 _ 800 SEMINOLE RX ;r ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00000021 Date 1/17/14 Property Address . . . . . . 623 SELVA LAKES CIR Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ----------------------------------- Application desc REGROUND ELECTRIC UNDERGROUND SVC 200AMP 240V 1PH ---------------------------------- Owner Contractor ------------------------ -------------- ---------- CORBITT, TERESA BOYKO AMERICAN ELECTRICAL CONTRACTOR 5065 ST. AUGUSTINE RD #13 623 SELVA LAKES CIRCLE ATLANTIC BEACH FL 32233 (904)JACKS737-7FL 32207 770 ---------- ----------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc • Plan Check Fee . 00 Permit Fee . . . . 90 . 00 0 Issue Date Valuation Expiration Date . . 7/16/14 ---------- ----------------------- ___ Other Fees STATE ELEC DCA SURCHARGE 2 . 00 STATE ELEC DBPR SURCHARGE 2 . 00 _ ________ ----- Fee summary Charged Paid Credited . 00 _ _ ---------- ----- ---------- - . 00 Permit Fee Total 90 . 00 90 . 00 00 . 00 Plan Check Total . 00 . 00 Other Fee Total 4 . 00 4 . 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 rr Ph (904) 247-5826 Fax (904) 247-5845- ADDRESS: b a �el 1�(`. IR �� l i rC'a PERMIT# JEA INFORMATION REQUIRED ON ALL PERMITS 9 Uu AMPS VOLTS PHASE VALUE OF WORK$ NEW SERVICE ❑ Overhead Underground ❑T Underground up Pole residential(Main) Service 0-100 amps 101-150amps 1151-200amps amps #of Meters Commercial(Main) Service 10-100 amps 101-150amps -151-200amps amps CT Service amps Conductor Type Size Multi-Family(Main) Service 10-100 amps ^1101-150amps I !151-200amps amps #of Unit Meters Temporary Pole f amps SERVICE UPGRADE amps CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) 100 amps 150amps i 200amps amps l 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 !1 Sign iSmoke Detectors_Qty (Transformers KVA Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty volts/amps VALUE OF WORK$ REPAIRS/MISCELLANEOUS Replace Burnt/Damaged Meter Canll i11 Safety Inspection I Panel Change OH to UG Other: e UlAh) C �4f,'LPA 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 df 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 �'�� �0l 64' ' Phone Number 0 -� � P Electrical Company I'1 (A 1Q /�`( � Offi P ne-737"777 /Fax Co.Address:, .�' j ��nl°, /`-�r Ci StatdZlZip JF U/ Li a Holder (Print): Stat C cation/Registration# N older Notary P Stats of Florida J 20 . . Anna M Sworn an subscribed bCoree this day oyi Q# 790 ��•o� iexPire.otnsr2o>t Signature of Notary Pub �; ►