2335 Fiddlers Ln elec panel chg 2014 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
j ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . 14-00000219 Date 2/19/14
Property Address . . . . . . 2335 FIDDLERS LN
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
panel chg
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Owner Contractor
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LASCH WAYNE D AMERICAN ELECTRICAL CONTRACTOR
2335 FIDDLERS LANE 5065 ST. AUGUSTINE RD L3
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207
(904) 737-7770
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . . . 00
Permit Fee . . . . 90 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 8/18/14
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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
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
_ Ph(904) 247-5826 Fax (904) 247-5845
.T1l w ADDRESS: X1335 ��c�� � ����e' PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS oAMPS {�\ VOLTS ( PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead Underground E3Underground up Pole
Residential(Main) Service
0-100 amps 101-150amps I]151-200amps amps #of Meters
Commercial(Main) Service
10-100 amps 101-150amps 01151-200amps amps CT Service amps
Conductor Type Size
Multi-Family(Main)Service
0-100 amps -101-150amps 1151-200amps 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: 0-30amps 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 I Transformers KVA -'Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK$
Qty volts/amps
REPAIRSIMISCELLANEOUS
Replace Bumt/Damaged Meter Can -i Safety 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. _
Property Owners Name
�( qOq+ L 3(�� (��, �OSS C� Phone Number � ��
I
Electrical Company Wl e�i�n �(,�rl C�� ��>� Office Phone `101-�fl-T"70 Fax q0q- (13' 105�
Co. Address: 3 S� �U 1�5�'r` rc� City 'SDI) I`� State F Zip 3�a��
L' a Holder (Print) (fit I J • ���� a rtification/Registration#
Not cMignature
er
• Notary C//� �/1 204
Anna worn and subscribed b fore mo this y of
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a� Pirenature of Notary Pu lc