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
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Application desc
safety inspection
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Owner Contractor
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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
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . Plan Check Fee . 00
Permit Fee . . . . 90 . 00 0
Issue Date Valuation
Expiration Date . . 10/08/14
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Other Fees
STATE ELEC DCA SURCHARGE 2 •
STATE ELEC DBPR SURCHARGE 2 . 00
_ ________ ----
Fee summary Charged
Paid Credited
_ _ ------ --
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- . 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