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427 Inland Way 2014 Panel Chg CITY OF ATLANTIC BEACH i 800 SEMINOLE ROAD J ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Jjilt Application Number . . . . . 14-00000171 Date 2/07/14 Property Address . . . . . . 427 INLAND WAY Application type description ELECTRIC ONLY Property Zoning . . . . . . . RES SF DISTRICT Application valuation . . . . 0 ----------------------------------- Application desc PANEL CHANGE 200AMP 240VOLTS SINGLE PHASE ------------------------------------ Owner Contractor ------------------------ ------------------------ TILLMAN STANLEY W LIGHTHOUSE ELECTRICAL CTR. 427 INLAND WAY 2345 URBAN ROAD ATLANTIC BEACH FL 322334682 JACKSONVILLE ACK O VIL E FL 32210 ---------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . Plan Check Fee . 00 Permit Fee . . . . 90 . 00 0 Issue Date Valuation Expiration Date 8/06/14 ------------------------------------ _ STATE ELEC DCA SURCHARGE 2 • 00 Other Fees STATE ELEC DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due _ ---------- ---- -- Permit Fee Total 90 . 00 90 . 00 00 . 00 . 00 Plan Check Total • 00 . 00 . 00 Other Fee Total 4 . 00 4 . 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 Ph(904) 247-5826 Fax (904)247-5845 JOB ADDRESS: C)z f"' ;�D to 0-� PERMIT# JEA INFORMATION REQUIRED ON ALL PERMITS '200 AMPS -24O VOLTS PHASE VAL UE OF WORK NEW SERVICE ❑ Overhead Underground OT Underground up Pole []Residential(Main) Service [10-100 amps ❑101-150amps 1,151-200amps ❑ amps #of Meters ❑Commercial(Main) Service ❑0-100 amps El101-150amps ❑151-200amps ❑ amps [I CT Service amps Conductor Type Size ❑Multi-Family(Main)Service s # of Unit Meters E10-100 amps ❑101-150amps El 151-200amps El amP ❑Temporary Pole ❑ amps SERVICE UPGRADE ❑ amps ❑ CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) 100 amps ❑150amps ❑200amps ❑ amps [I 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 []SwimmingPool ❑ Sign El Smoke Detectors_Qty ❑Transformers KVA []Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK$ Qty volts/amps REPAHZSIMISCELLANEOUS [I Replace Burnt/Damaged Meter Can El Safety Inspectionanel Change COH 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. �j t/ -�'AIJ 7_1 L,--ff)� 'v Phone Number 24-7 4eQ Property Owners Name '7 _ _ L Electrical Company 0C-WT � "0 ''� �" ` � Office Phone 4-O� Fax 3 ' Co.Address: 23`{� V��AtiJ City Pty, Stated — Zip 3Z 10 (p 2.� License Holder(Print): GRAVE=- State Certification/Registration#FG�� Notarized Signature of License Holder 'I, ZpRY p� fore me this of 20 �`f 2° e' KAREN STWZI _ * �* MY COMMISSION AEE EXPIRES:October 6,Jr ature of Notary Pub tel'FOF F,C' Bonded T1,u Budget Notary Servile,