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469 ATL BLVD #11 ELEC SAFETY PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . 14-00000467 Date 3/27/14 Property Address . . . . . . 469 ATLANTIC BLVD Application type description ELECTRIC ONLY Property Zoning . . . . . . . COM GENERAL DISTRICT Application valuation . . . . 0 -------------------------------------------------------------- Application desc UNIT #11 200AMP 208 VOLTS 3PH ----------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- DIAMOND REAL ESTATE PROPERTIES AMERICAN ELECTRICAL CONTRACTOR 6517 LOU DRIVE SOUTH 5065 ST. AUGUSTINE RD #13 JACKSONVILLE FL 32216 JACKSONVILLE FL 32207 (904) 737-7770 -------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . 90 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 9/23/14 ------------------------------------------------------------------- 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 9P CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach, FL 32233 Ph (904) 247-5826 FaxJ 904) 247-5845 �jcr1 , I ' JOB ADDRESS: `� � & PERMIT#L 'y� S JEA INFORMATION REQUIRED ON ALL PERMITSAMPS �WVOLTS PHASE VALUE OF WORK$ NEW SERVICE ❑ Overhead ❑ Underground ❑J Underground up Pole Residential(Main) Service !0-100 amps 101-150amps 151-200amps amps #of Meters Commercial(Main) Service 0-100 amps 101-150amps 151-200amps amps CT Service amps Conductor Type Size Multi-Family(Main) Service 0-100 amps `7101-1101151-200amps amps #of Unit Meters Temporary Pole r amps SERVICE UPGRADE amps CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) ,100 amps 1150amps 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 C Sign 1Smoke Detectors_Qty Transformers KVA 1Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans &Fire Alarm Checklist) VALUE OF WORK$ Qty volts/amps REPAIRS/MISCELLANEOUS Replace Burnt/Damaged Meter Can Safety Inspection I 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 !1 iASOor' Phone Number C L`� Office Phone i ( b't'� Fax Electrical Company r?'1 1 A►� 5_3 City +nv State c( Zip Co. Address: I 1_ nse Holder (Print): t ertif ation/Registration # older � N Notary Public r ( � Anna M Daly Sworn and subscribed b fore me his�day o 20 g My Commission EE 850790 •,�„r� E)Oro*01/2612017 Signature of Notary Publi CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j � ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 N a ! �JF31�? Application Number . . . . 14-00000467 Date 4/04/14 Property Address . . . . . . 469 ATLANTIC BLVD Application type description ELECTRIC ONLY Property Zoning . . . . . . . COM GENERAL DISTRICT Application valuation . . . . 0 ---------------------------------------------------------------------- Application desc UNIT #11 x200AMP 240 VOLTS 1PH ------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- DIAMOND REAL ESTATE PROPERTIES AMERICAN ELECTRICAL CONTRACTOR 6517 LOU DRIVE SOUTH 5065 ST. AUGUSTINE RD #13 JACKSONVILLE FL 32216 JACKSONVILLE FL 32207 (904) 737-7770 ---------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . Permit Fee 90 . 00 Plan Check Fee 00 Issue Date . . . . 3/27/14 Valuation . . . . 0 Expiration Date . . 9/28/14 ------------------------------------------------------ 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.