60 SEMINOLE LANDING REPLACE FEEDERS °t, CITY OF ATLANTIC BEACH
f 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ELEC-1998
Job Type: ELECTRIC ONLY
Description: replace feeders
Estimated Value:
Issue Date: 8/24/2015
__Exppiration Date: 2/20/2016
PROPERTY ADDRESS:
Address: 60 SEMINOLE LANDING RD
RE Number: 168908-1022
PROPERTY OWNER:
Name: WANKAT, ALLEN L
Address: 60 SEMINOLE LANDING RD
GENERAL CONTRACTOR INFORMATION:
Name: CRAWFORD ELECTRIC
Address: P O BOX 51045 QA JOHN ROBERT CRAWFORD III
Phone: 904-241-5591 - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Electrical Repairs $35.00
Trade Permit Base Fee $55.00
Total Payments: $94.00
$ 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)247-58/26 Fax(9044) 247-5845
JOB ADDRESS: b Q ,eM;,6h1e. L„OLAO Rd/ PERMIT#
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JEA INFORMATION REQUIRED ON ALL PERMITS °'AMPS �4C VOLTS PHASE
7 O �
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
❑Residential(Main)Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps # of Meters
❑Commercial(Main)Service
110-100 amps ❑101-150amps ❑151-200amps ❑ amps L CT Service amps
Conductor Type Size
[]Multi-Family(Main)Service
00-100 amps ❑101-150amps n,151-200amps C amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 0200amps ❑ amps 0 C 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: T_
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign ❑Smoke Detectors_Qty ❑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 ❑
/ Safety Inspection ❑Paanel Change�'� ❑lOOHto UG
'Other: Ateglgr.t
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 /),Q �l« IlN L Phone Number
Electrical Company 404-C 41 Office Phone WY U2-'.r,Max 9 l * X 37
Co.Address: '71 �►s�i (i'n 'Mal R j_ City 1 Statj: Zip 412_2-�V
License Holder(Print): State Certification/Registration# JE C I3 b6ZKYr
Notarized Signature of License Holder
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ore me is y o 0�
REM
40 State of Florida
raham S nature of Notary P
ion FF 086990
4/2018