232 Seminole Rd 2014 elec a'z) CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
±� ATLANTIC BEACH, FL 32233
ELECTRICAL PERMIT INSPECTION PHONE LINE 247-5814
ALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
30B INFORMA .
o14-LLLU-71
Job Type: ELECTRIC ONLY
Description: replace service
Estimated Value:
Issue Date: 9/22/2014
Expiration Date: 3/21/2015
PROPERTY ADDRESS:
Address: 232 SEMINOLE RD
RE Number: 170516-0000
PROPERTY OWNER:
Name: KAUFFMAN TRUST, JOEL
Address: P O BOX 50819
GENERAL CONTRACTOR INFORMATION:
Name: ACE ELECTRICAL SERVICE OF N FL
Address:
Phone: - -
FEES:
Electrical Primary Service $50.00
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $109.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach,FL 32233
Ph(904) 247-5826 Fax 904) 247-5845
JOB ADDRESS: �� / ^ PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS r9U Q AMPSv VOLTS
PHASE
CV
VALUE OF WORK$�O
NEW SERVICE X Overhead ❑ Underground ❑T Underground up Pole
—Residential(Main) Service ❑ ams #of Meters
L-0-100 amps ❑101-150amps 151-200amps p
=Commercial(Main) Service CCT Service amps
E0-100 amps ❑101-150amps El151-200amps []—amps
Conductor Type Size
Multi-Family(Main)Service ❑ ams #of Unit Meters
❑0-100 amps 1110 1-15 G&mps ❑151-200amps p
Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps ❑150amps ❑200amps ❑ amps CCT Service amps
❑
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,TC. s
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps p
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS ❑Transformers KVA El Motors hp
❑Swimming Pool ❑ Sign ❑Smoke Detectors_Qty
FIRE ALARM SYSTEM (Requires 3 sets of plans&Fire Alarm Checklist) VALUE OF WORK
Qty volts/amps
REPAS/MISCELLANEOUS
eplace Burr maged Meter Can ❑Safety Inspection ❑Panel Change OH to UG
Other: �� S��✓ ��
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.
Phone Number
Property Owners Name
e
��— -7p, &Z' •/� Office Phone yds 3ZZ,?J3d9 Fax ,9 _12'e_-2_,1XElectrical Company
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Co. Address: '�'' r �
(Print): �,g.L o� ate Certification/Registration# ���30US��Z
License Holder ( )
Notarized Si nature o License Holder V�2 20
DAVID P. WOODY da of S
worn and subscribed before m s Y
KAY COMMISSION#FF064042 �
EXPIRES December 18,2017 ignature of Notary Public
(407)'3;8-'0153 FloridallotaryService.com