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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 --------------------------------------------- Application desc safety inspection ------------------------------------------- Owner Contractor --------------------- ------------------------ WALSH, NATHAN WARREN ELITE ELECTRICAL SERVICES LLC 443 SKATE RD 11611 CAPE HORN AVE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32246 (904) 353-0190 ------------------------------------------ Permit . . . . . . ELECTRICAL PERMIT Additional desc . . . 00 Permit Fee . . . . 90 . 00 Plan Check Fee Issue Date . . . . Valuation . . . . 0 Expiration Date . . 8/23/14 --------------------- ---------------------------- 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