443 Skate Rd 2014 safety elec CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
r� ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
DDII
Application Number . . . . . 14-00000266 Date 2/24/14
Property Address . . . . . . 443 SKATE RD
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
safety inspection
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Owner Contractor
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WALSH, NATHAN WARREN ELITE ELECTRICAL SERVICES LLC
443 SKATE RD 11611 CAPE HORN AVE
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32246
(904) 353-0190
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . . . 00
Permit Fee . . . . 90 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 8/23/14
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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
Ph(904) 247-5826 Fax(904) 247-5845
L—�
JOB ADDRESS: All, PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS (/ VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
❑Residential (Main) Service
❑0-100 amps ❑101-150amps 1-200amps #of Meters
El Commercial(Main) Service
00-100 amps [1101-1 50amps ❑151-200amps ❑ ❑
Conductor Type Size
❑Multi-Family(Main)Service
❑0-100 amps ❑101-150amps [�200amps ❑ #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE E
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑ ❑ ❑
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
E hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
1 : ` t-m ❑
C
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 ( ria d � ffice Phone Fax
Co.Address: �� City -1 A State ' , Zip
License Holder(Print): ' iJ ��i Stat Cifi
ecation/Registration#
Notarize
,>0 Notary Public State of Floridrture
Shirley L Graham Bhis _�Cia 2,11
My Commission FF 086990
OF expires oti�ano�s f Notary Pub