940 Sailfish Dr elec service upgrade 2014 , CITY OF ATLANTIC BEACH
J 800 SEMINOLE ROAD
s) ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
DR
Application Number . . . 14-00000078 Date 1/22/14
Property Address . . . . . . 940 SAILFISH DR
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
service upgrade
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Owner Contractor
-
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ARCHIPELAGO IMMOBILIEN, LLC KLG ELECTRIC INC
1140 N 20TH ST 11467 SORFORENKO DR
JACKSONVILLE BEACH FL 32250 JACKSONVILLE FL 32218
(904) 874-4266 (904) 704-7132
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Permit ELECTRICAL PERMIT
Additional desc . .
Permit Fee 125 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 7/21/14
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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 125 . 00 125 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 129 . 00 129 . 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
Ph(\9-04) 22447-5826 Fax (904) 247-5845
.TOB ADDRESS: \ PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS __AMPS )AU VOLTS PHASE
VALUE OF WORK$ J
NEW SERVICE 4 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 [1101-1 50amps ❑151-200amps ❑ amps [I CT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
[10-100 amps El 101-1 50amps [I151-200amps ❑ amps #of Unit Meters
[]Temporary Pole ❑ amps
SERVICE UPGRADE ❑ aQ� amps ❑ CT Service amps 4 (�
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps ❑200amps amps ❑CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 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) VALUE OF WORK$
Qty volts/amps
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can []Safety Inspection ❑Panel Change [I OH to UG
Other: 5n+J\_N6'WS
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
Electrical Company
L T Office Phone blA_rj M Fax
Co.Address: U — City - State �L Zip 3 —
License Holder(Print): l^ `f 0`V`"-,1 _State Certification/Registration# C��c�U�
Notarized Signature of License Holder 7
,1,w 3HIRLEYLGRAHAM Be re me this Z 2 day
t A,COMMISSION#DD 9 so
tPIRF3:February 14 201
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I n„"ll ndf-dTpNNntayPublicUnderw ature of Notary Publ