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2299 N Fairway Villas Ln elec safety CITY OF ATLANTIC BEACH SS .• J 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 ~�- INSPECTION PHONE LINE 247-5814 Application Number 14-00000556 Date 4/11/14 Property Address . . . . . . 2299 N FAIRWAY VILLAS LN Application type description ELECTRIC ONLY Property Zoning . . . . . . . PLANNED UNIT DEVELOPMENT Application valuation . . . . 0 ---------------------- ----------- ------------------------------ ------------------------------- Application desc safety inspection -------------------------------- Owner Contractor -------------- ------------------------ ---------- FEDERAL HOME LOAN MORTGAGE BEACH ELECTRICAL INC 2299 FAIRWAY VILLAS LN N 1272 NIPIGON AVE ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (888) 275-1651 ------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . Plan Check Fee . 00 Permit Fee . . . . 90 . 00 0 Issue Date Valuation Expiration Date . . 10/08/14 ----- Other Fees STATE ELEC DCA SURCHARGE 2 • STATE ELEC DBPR SURCHARGE 2 . 00 _ ________ ---- Fee summary Charged Paid Credited _ _ ------ -- ----- ---------- ---------- - . 00 Permit Fee Total 90 . 00 90 . 00 00 . 00 Plan Check Total • 00 . 00 Other Fee Total 4 . 00 4 . 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 �J G Ph(904) 247-5826 Fax(904)p247-X58/45 JOB ADDRESS: !� 2 c` � 1�WAy «LA5 Df`� 'V PERMIT# JEA INFORMATION REQUIRED ON ALL PERMITS AMPS Z VOLTS PHASE VALUE OF WORK$ ! ' NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole ❑Residential(Main)Service 00-100 amps ❑101-150amps ❑151-200amps amps #of Meters ❑Commercial(Main)Service 00-100 amps ❑101-150amps ❑151-200amps El-amps ❑CT Service amps Conductor Type Size ❑Multi-Family(Main)Service ❑0-100 amps ❑101-150amps ❑151-200amps ❑ 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: 0-3 Damps 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 [I Smoke Detectors_Qty ❑Transformers KVA ❑Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK$ Qty volts/amps REPAIRS/MISCELLANEOUS ❑Replace Burnt/Damaged Meter Can Xafety 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 7 1r/ PGO Phone Number Electrical Company g6A-C ( ���/Z(C-4 t- l kG Office Phone X02 Fax Co.Address: ( 2 ?Z NI PI 60A) A� 41City '�� f^tate Zip _�3� License Holder(Print): W(GuA'4� G '10 State Certification/Registration# ?;0/'0 Z�( Notarized Signature of License Holder ` G o'W►,,., Notary Public State of Florida efore me this da of 2 Shirley L Graham My commission FF 086990 ignature of Notary Public °o.nom Expires 02/14/2018