725 ATLANTIC BLVD #01 - ELECTRICAL ., r. 1r ,
cy Apr - �
„ CITY OF ATLANTIC BEACH
,, • _ r si 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ELEC-2637
Job Type: ELECTRIC ONLY
Description: 25 elec fixtures
Estimated Value:
Issue Date: 11/6/2015
Expiration Date: 5/4/2016
PROPERTY ADDRESS:
Address: 725 ATLANTIC BLVD UNIT 01
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: IDEAL CONDITIONS ELECTRICAL
Address: 5971 -5 PO POWERS AVE CLIFFORD D SNELL
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
i
State Elec DCA Surcharge $2.00
1
Lighting Outlets, Including Fixtures $15.00
Trade Permit Base Fee $55.00
Total Payments: $74.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph 904)247-5826 Fax (904)247-5845
JOB ADDRESS: -1A5 ,L 7 l, , f 1/oI (/J,'1 I PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
n .
VALUE OF WORK S J 3 "J
NEW SERVICE ❑ Overhead Underground ( 11 Underground up Pole
Li Residential(Main)Service
00-100 amps ❑101-150amps a 151-200amps ❑ amps #of Meters
OCommercial(Main)Service
00-100 amps ❑101-150amps 0151-200amps ❑ amps OCT Service amps
Conductor Type Size
0 Multi-Family(Main)Service
00-100 amps 0 101-150amps ❑151-200amps 0 amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE n amps 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100 amps ❑150amps 0200amps ❑ amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 1d 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures: I S
OTHER ELECTRICAL PROJECTS
ID Swimming Pool 0 Sign OSmoke Detectors_Qty " Transformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection OPanel Change 00H to UG
UOther:
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 )) ) Phone Number
Electrical Company -Idea/ en' ;:g s Jhdr'c�, G r]■ Office Phone .fl 9--V1IQ Fax
Co.Address: Cj 1 l —5 pQo\,.,Qtc City '\ State T L cxx Zip 3 —1
License Holder(Print): C.):T f Sn .)) Stat• Certification/Registration# 'C-13 0 OL`i 11S
Notarized Signature of License Holder e
_4`�"r`O. Notary Public State of Florida ` e me this / of ) `�20 /
Shirley L Graham �
1. if My commission FF 086990 Si a'attire of Notary Pu .� �L
of cad Expires 02/14/2018 0