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1820 Mayport Rd #14 elec safety CITY OF ATLANTIC BEACH s) 800 SEMINOLE ROAD J ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00000699 Date 5/02/14 Property Address . . . . . . 1820 MAYPORT RD 1 Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc SAFETY INSPECTION ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ OSSI KLOTZ LLC VALDAN ELECTRIC CO. 338 19TH STREET ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 716-3626 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 90 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 10/29/14 ---------------------------------------------------------------------------- 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: ,G d PERMIT# / � JEA INFORMATION REQUIRED ON ALL PERMITS —rr AMPS ;VO, VOLTS PHASE2_016 3 VAL UE OF WORK NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole ❑Residential(Main)Service s #of Meters 00-100 amps [110 1-15 0amps ❑151-200amps ❑ amp ❑Commercial(Main)Service s OCT Service amps [10-100 amps ❑101-150amps ❑151-200amps ❑ P Conductor Type Size [I Multi-Family(Main)Service #of Unit Meters [10-1000-100 amps ❑101-150amps ❑151-200amps ❑ amPs []Temporary Pole ❑ amps SERVICE UPGRADE ❑ amps ❑ CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) ❑100 amps ❑150amps 0200amps ❑ amps OCT Service amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: 0-3 Damps 31-l 00amps 101-200amps Appliances: 0-30amps 31-100amps 101-200amps A/C Circuits: 0-60amps _61-100amps Heat Circuits: # circuits Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS ❑Swimming Pool ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA ❑Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans) VAL UE OF WORK$ Qty volts/amps REPAIRS/MISCELLANEOUS ❑Replace Burnt/Damaged Meter Can ZafetyInspection ❑Panel Change [I 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 J Fri /( Phone Number /a / �X Oe (���� , Office Phone Fax Electrical Company Co.Address: 3 2 3 Vl �(`t�'� (C� � 1— City State ZiP � License Holder(Print): State Certification/Registration# Notarized Signature of License Holder � JENNIFERWALK , fore me this day of 20 A y MY COMMISSION P r 1 `�' ;- EXPIRES:April'�; ui7 Public W. fAd' aonaea Thru ratan VW gllature of Notary —