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Permit Elec 325 4th St 2012 (2) ZIA CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12-00000663 Date 5/30/12 Property Address . . . . . . 325 4TH ST Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Repairs to circuits and panel as needed ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ KAPLAN,MARINA R REVOCABLE AMERICAN ELECTRICAL CONTRACTOR LIVING TRUST 5065 ST. AUGUSTINE RD 413 745 NORTHBROOK RD JACKSONVILLE FL 32207 KENNETT SQUARE PA 19348 (904) 737-7770 ---------------------------------------------------------------------------- Permit . . . . . ELECTRICAL PERMIT Additional desc . REPAIRS TO PANEL & CIRCUITS Permit Fee . . . . 90 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 11/26/12 ---------------------------------------------------------------------------- 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: Ll�Ij-) 11-e 6--l" 7-- PERMIT# JEA INFORMATION REQUIRED ON ALL PERMITS -Z AMPS _:�LY-40LTS ----/—PHASE VALUE OF WORK$ NEW SERVICE El Overhead El Underground Underground up Pole -111esidential(Main) Service I�0-100 amps I101-150amps 151-200amps ' j Commercial(Main) Service amps #of Meters � �0-100 amps 1[ �10 1-1 50amps 151-200amps amps I Conductor Type Size CT Service amps �Multi-Family(14ain)�Service : �0-100 amps 1 �10 1-I 50amps 151-200amps Temporary Pole �i—amps —amps #of Unit Meters SERVICE UPGRADE I _amps CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) 100 amps i'�150amps i200amps � _amps CT Service amps ADDITIONS, REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: _0-30amps 3 1-1 00amps Appliances: —0-30amps -3 1-1 00amps —101-200amps A/C Circuits: —0-60amps 61-1 00amps —101-200amps /`9 Heat Circuits: # circuits (a)— Number of Lighting Outlets, Including Fixtures:kw OTHER ELECTRICAL PROJECTS Swimming Pool Sign ' !Smoke Detectors—Qty Transformers KVA Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans&Fire Alarm Checklist) QtY—volts/amps REPAIRS/MIsCELLANEOUS VALUE OF WORK$ 'Replace Burnt/Damaged Meter Can 1 Safety Inspection 1 l�Panel Change JOH to UG Othe Qe- Permit becomes void if work does not commence within a six month period or wor i's suspended or abandoned for six months. I h—e reby 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 perfon-nance of construction. Property Owners Name Z90 Phone Number Electrical Company ffipe hone7---;?9 ' Co.Address:, nT 44) Cit Fax License Holder (Print): State/-49 zi-vgl��J/ e Ce ification/Registration # Holder COMM# 7ej zo, Expires V251203 Sworn and subscribed befor me his cla pssn.,Inc 20LZfqorida ............ .......... Signature of Notary Public