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1058 LITTLE CYPRESS KEY ELEC CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00000515 Date 4/04/14 Property Address . . . . . . 1058 LITTLE CYPRESS KEY Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc SAFETY INSPECTION ------------------------------------------------------------------------ Owner Contractor ------------------------ ------------------------ WELLS FARGO BEACH ELECTRICAL INC 1058 LITTLE CYPRESS KEY 1272 NIPIGON AVE ATLANTIC BEACH FL 322334349 ATLANTIC BEACH FL 32233 (904) 329-0009 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 90 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 10/01/14 ---------------------------------------------------------------------------- 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 JOB ADDRESS: �D S (� &l/ 7TZ �'f��SS �� PERMIT# JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS ( PHASE VALUE OF WORK$ /757'—r"' NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole 1 (Residential(Main) Service C 0-100 amps ❑101-150amps ❑151-200amps ❑ amps # of Meters Commercial(Main) Service 10-100 amps ❑101-150amps [I 151-200amps ❑ amps ❑CT Service amps Conductor Type Size I Multi-Family(Main) Service C'0-100 amps [7101-150amps ❑151-200amps L'_amps # of Unit Meters ` ITemporary Pole !.I amps SERVICE UPGRADE ❑ amps CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) 100 amps D 150amps ❑200amps I 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 1='Swimming Pool ❑ Sign FSmoke Detectors_Qty 1Transformers KVA ❑i Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty volts/amps VALUE OF WORK$ REPAIRSIMISCELLANEOUS Replace Burnt/Damaged Meter Can Safety Inspection ❑Panel Change IJ 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 a rity to violate the provisions of any other state or local law regulation construction or the performance of construction. W1/AD Property Owners Name – `J Phone Number 2 S 9G�¢ Electrical Company t�� G t�L L /�G Office Phone OPOT Flax Co.Address: �?i �2- /�lpl6ol✓ � /� City A��C �'�tate 6" L Zip -3Z-7-55 License Holder (Print): 1�� ''� State Certification/Registration# roe 3o 14 z$"/ Notarized Signature of License Holder Before me this day of 20 Signature of Notary Public