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
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Application desc
Repairs to circuits and panel as needed
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Owner Contractor
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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
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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
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Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00
STATE ELEC DBPR SURCHARGE 2 . 00
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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