810 Sailfish Dr 2014 elec CITY OF ATLANTIC BEACH
f 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
ELECTRICAL PERMIT INSPECTION PHONE LINE 247-5814
'44 J CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 14-RAAR-65
Job Type: RESIDENTIAL ALTERATION
Description: interior repairs
Estimated Value: $5,000.00
Issue Date: 10/14/2014
Expiration Date: 4/12/2015
PROPERTY ADDRESS:
Address: 810 SAILFISH DR
RE Number: 171155-0000
PROPERTY OWNER:
Name: WILLIAMS ET AL, ERIC
Address: 810 SAILFISH DR
FEES:
BUILDING PERMIT FEE $75.00
STATE DCA SURCHARGE $1.13
STATE DBPR SURCHARGE $1.13
Total Payments: $0.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845
.TOB ADDRESS: '%I F'SL PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS ,-X0 AMPS VOLTS PHASE
VALUE OF WORK$ /&()0
NEW SERVICE Overhead ❑ Underground ❑1 Underground up Pole
Residential (Main) Service
0-100 amps - 101-150amps X51-200amps -aoy amps # of Meters
Commercial(Main) Service
10-100 amps -=101-150amps -151-200amps -- amps —CT Service amps
Conductor Type Size
Multi-Family(Main) Service
0-100 amps -101-150amps ❑151-200amps - amps #of Unit Meters
--Temporary Pole - amps
SERVICE UPGRADE ❑ 0O amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
-100 amps 150amps --200amps --_amps -;CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 100-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0/ 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures: Z7
OTHER ELECTRICAL PROJECTS
-Swimming Pool F 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 77 Safety Inspection Panel 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 Phone Number 90 4(- a5&5
Electrical Company e 6-1e,-4,i,.. I Office Phone /moo y�qG 5&fix
Co.Address: 15U l)✓Nnt A vC-"vC City JA X State f-1- Zip 3 1$
License Holder(Print): e a State Certification/Registration# 6)elWly9a�l
Notarized Signature of License Holder
Sworn and subscribed before me this day of 20
Signature of Notary Public