1647 W Park Ter elec 2014 j yll1j-
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
ELECTRICAL PERMIT INSPECTION PHONE LINE 247-5814
Jr, r - ALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job - -
Job Type: ELECTRIC ONLY
Description: OUTLETS SWITCHES CU
Estimated Value:
Issue Date: 9/23/2014
Expiration Date: 3/22/2015
PROPERTY ADDRESS:
Address: 1647 W PARK TER
RE Number: 172020-0324
PROPERTY OWNER:
Name: MARTIN, WILLIAM & MELISSA,
Address: 1647 W PARK TER
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Switch Outlets $9.00
Trade Permit Base Fee $55.00
Total Payments: $68.00
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 (,9904) 247-5845
JOB ADDRESS: I UA-1 P(-k j V-- TO M U PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS Z�60 AMPS A46 VOLTS PHASE
VALUE OF WORK S
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
Residential(Main) Service
0-100 amps - 101-150amps 151-200amps - amps # of Meters
Commercial(Main) Service
0-100 amps 101-150amps C 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 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: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ k
Number of Lighting Outlets, Including Fixtures: _ 5
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 S
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can -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. 1i
Property Owners Name m(Wi O Phone Number
Electrical Companyf b w IPV epa Ck ,TgS-t0AtM1q�Mffice PhonegblQ4 -DFax
Co. Address: LDA-3 1 (7)6S 1rG (')hVe. City�CA =VC State fLZip` 1
License Holder(Print): r State Certification/Registration#6C 13W31a-S—
No 1 older
BrAlr (4
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Commission#EE 051072Sworn and bs ribed beforenthis 2 3 day of 5;L 20g
a `a' Expires December 22,2014
Baled TW Tmy Fain In,,,dwe 800-3857019
Signature of Notary Publi