725 ATLANTIC BLVD #15 - SERVICE UPGRADE CITY OF ATLANTIC BEACH
l 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: 17-ELEC-3124
Job Type: ELECTRIC ONLY
Description: ELECTRIC - SERVICE UPGRADE TO 600 AMPS
Estimated Value: $2,400.00
Issue Date: 1/27/2017
Expiration Date: 7/26/2017
PROPERTY ADDRESS:
Address: 725 ATLANTIC BLVD UNIT 15
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: AMERICAN ELECTRICAL CONTRACTOR
Earl W. Frick, EC13007311
Address: 5065 ST AUGUSTINE RD APT 13 QA EARL W. FRICK
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Switch Outlets $15.00
Trade Permit Base Fee $55.00
Electrical Service Change $210.00
Switch Outlets $6.00
Total Payments: $290.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH AI.I. CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach,FL 32233
Ph(904)247-5826 Fax (904)247-5845
JOB ADDRESS: / 4+{UArc)1 C l')c..) Lit PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS oWO AMPS o20 , VOLTS ,3 PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground nJ Underground up Pole
LiResidential(Main)Service
LO-100 amps r 101-150amps 151-200amps amps #of Meters
:Commercial(Main) Service
i0-100 amps i 101-150amps 151-200amps 1. amps -QCT Service amps
Conductor Type Size
GMulti-Family(Main)Service
LO-100 amps f 101-150amps 151-200amps f amps #of Unit Meters
CTemporary Pole ,_! amps
SERVICE UPGRADE yeQQamps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
L1100 amps [.l50amps 1200amps amps !_ CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: /O 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: c:DS-
OTHER ELECTRICAL PROJECTS
'Swimming Pool Sign !:Smoke Detectors Qty I'Transformers KVA 1-1Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans) f7M O
Qty volts/amps VALUE OF WORK$'7O J
REPAIRS/MISCELLANEOUS
ElReplace Burnt/Damaged Meter Can I lSafety inspection _IPanel Change '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/4Ian rte Pex) main LLe_. Phone Number
Electrical Company AT e r 1 CC.4'1 EkA- 1 cr.f COAr0G'II'1�, Office Phone9011-i), 7-7�7O Fax 1)( -7,37-/b l9
Co.Address: -3 S' /0•�.�S�t-•1S---t r`` J City .kS0110► )if__State FL Zip 3,3X7
License Holder(Print): �,CAV � k ..) Fr} .,St Certification/Registration# W7,3 I 1
Notarized Signature of License Holder � G (-3
e" PAUL R BAGGY Sworn and subscribed before me is �,ll\ of f. ! •r 20 ill
.- - i MY COMMISSION#FF170383
;� •f Signature of Notary Public 1
•?;,��% EXPIRES January 23,2019
nor)iie•olea Florlc#allotaryt5QMea,com
Xis r +'s� ATLANTIC BEACH
PERMIT RECEIPT
J
"� � r January�Jj�1J a ua y 2 7, 2017
PERMIT DESCRIPTION: ELECTRIC-SERVICE UPGRADE TO 600 AMPS
PERMIT NUMBER: 17-ELEC-3124
ADDRESS: 725 ATLANTIC BLVD UNIT 15
OWNER:
CITY OF ATLANTIC BEACH —
State Elec DBPR Surcharge $2.00 800 SEMINOLE RD
ATLANTIC BEAC,FL 32233
01:27/2017 11:07:12 —
State Elec DCA Surcharge $2.00
CREDIT CARD
VISA SALE —
Switch Outlets $15.00 CARD; X 630
INVOICE 0002
Trade Permit Base Fee $55.00 Batch
0 0002
Approval Code: 08491G
Electrical Service Change $210.00 . Entry Method: Manual
Mode: Online
Tax Amount: $0,00 —
Switch Outlets $6.00 Card Code: M
SALE AMOUNT $290.00
Totals:
$290.00
CUSTOMER COPY
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