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1077 BEACH AVE GAR APT ELEC PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00000558 Date 4/11/14 Property Address . . . . . . 1073 BEACH AVE Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc FOR NEW ADDY 1077 GARAGE APT ---------------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- OKEN, DEBORAH MARIE LORE ELECTRICAL CONTRACTORS 1073 BEACH AVENUE 210 N. ROSCOE BLVD ATLANTIC BEACH FL 322335753 PONTE VEDRA BEACH FL 32082 (904) 273-1143 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . 100AMPS, 240 VOLT, 1PH Permit Fee . . . . 105 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 10/08/14 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00 STATE ELEC DBPR SURCHARGE 2 . 00 ----------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 105 . 00 105 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 109 . 00 109 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. '51 )�J% , CITY OF ATLANTIC BEACH 3 800 SEMINOLE ROAD J ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00000558 Date 4/11/14 Property Address . . . . . . 1073 BEACH AVE Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 -------------------------------------------------------------------------- Application desc FOR NEW ADDY 1077 GARAGE APT -------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ OKEN, DEBORAH MARIE LORE ELECTRICAL CONTRACTORS 1073 BEACH AVENUE 210 N. ROSCOE BLVD ATLANTIC BEACH FL 322335753 PONTE VEDRA BEACH FL 32082 (904) 273-1143 -------------------------------------------------------------------- - Permit . . . . . . ELECTRICAL PERMIT Additional desc . . 100AMPS, 240 VOLT, 1PH Permit Fee . . . . 105 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 10/08/14 --------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00 STATE ELEC DBPR SURCHARGE 2 . 00 ------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 105 . 00 105 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 109 . 00 109 . 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(90f4) 247-5826 Fax (904) 247-5845 JOB ADDRESS: � �? PERMIT# JEA INFORMATION REQUIRED ON ALL PERMIT / Y?e AMPS -Y0 VOLTS PHASE VALUE OF WORK$ 3o-o D NEW SERVICE ❑ Overhead [Underground ❑1 Underground up Pole esidential(Main) Service l 070-100 amps ❑101-150amps ❑151-200amps ❑ �O a amps # of Meters / f❑Commercial(Main) Service ❑0-100 amps ❑101-150amps 01151-200amps ❑ amps ❑CT Service amps Conductor Type Size ❑Multi-Family(Main) Service i0-100 amps ❑101-150amps 0I 151-200amps Ci amps #of Unit Meters ❑Temporary Pole ❑ amps SERVICE UPGRADE FI-amps f-1 CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) ❑100 amps ❑150amps ❑200amps ❑ amps [ICT 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 L I Swimming Pool ❑ Sign ❑Smoke Detectors_Qty CJ Transformers KVA ❑Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty volts/amps VALUE OF WORK$ REPAIRS/MISCELLANEOUS ❑Replace Burnt/Damaged Meter Can LSafety Inspection ❑Panel Change I]OH to UG ❑Other: -el L;f"4.1coll145) NY 0--NGb,Go1rY\ Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. 1 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'' 4 � Phone Number Electrical Company � )Dy e5 llC� Office Phone2-73/1cl,'3 Fax 323 9olyl Co.Address: ZlD // AS-6-,-2 c. g' (U6 City A'/9 State Zl//—Zip� g� License Holder (Print): /%/6, Stat 'fication/Registration Signature o g Notarized Si License Holder f WA" efore me this�l ay of n 20 � 9t1f CU1AY!FF tti 14&� � EAW2a„20,17 ignature of Notary Public