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2005 Beach Ave (2) CITY OF ATLANTIC BEACH s 800 SEMINOLE ROAD J :5 ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 r !tit Application Number . . . . . 14-00001477 Date 9/08/14 Property Address . . . . . . 2005 BEACH AVE Application type description ELECTRIC ONLY Property Zoning . . . . . . . RES SF DISTRICT Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc panel change ---------------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- CORSE TRUST, HERBERT L KNIGHT ELECTRIC LLC 2005 BEACH AVE 908 11TH AVE S ATLANTIC BEACH FL 32233 JACKSONVILLE BEACH FL 32250 (904) 247-9884 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 90 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 3/07/15 --------------------------------------------------------------------------- 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: �UU S- PI 6l a�� PERMIT# JEA INFORMATION REQUIRED ON ALL PERMITS ;2M AMPS 2W VOLTS PHASE VALUE OF WORK S NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole ❑Residential(Main)Service 00-100 amps 0101-150amps 151-200amps El-amps #of Meters ❑Commercial(Main)Service ❑0-100 amps ❑101-150amps 151-200amps ❑ amps [I 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 [I 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 []Smoke Detectors_Qty [ TransforinerS KVA Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans Qty volts/amps VALUE OF WORK$ REPAIRS/MISCELLANEOUS ❑Replace Burnt/Damaged Meter Can ❑Safety Inspection 19!anel Change [j 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" L— Phone Number r, Electrical Company PI r C Z- U- Office Phone 2`'i7 � Fax Co.Address: �� �_ City T+- - State Yl Zip ?22 S7 License Holder(Print): eiut OF—-- State Certification/Registration# W1314 ZSZ 3 Notarized Signature of License Holder p®pgAHAMWAWHn Sworn and subscribed befo this day of 20 MY COMMISSION N EE 057349 EXPIRES:May 21,2015 SW"T"W"Public Under~ Signature of Notary Publ I