556 Seaspray 2014 elec ��!yL`1rjJ�
CITY OF ATLANTIC BEACH
J 800 SEMINOLE ROAD
r� ATLANTIC BEACH, FL 32233
ELECTRICAL PERMIT INSPECTION PHONE LINE 247-5814
ALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMA N:
o - -
Job Type: ELECTRIC ONLY
Description: KITCHEN REMODEL
Estimated Value:
Issue Date: 9/23/2014
Expiration Date: 3/22/2015
PROPERTY ADDRESS:
Address: 556 SEASPRAY AVE
RE Number: 170703-0422
PROPERTY OWNER:
Name: TRINDAD, PAUL ANTHONY
Address: 556 SEASPRAY AVE
GENERAL CONTRACTOR INFORMATION:
Name: FRANKLIN ELECTRIC SERVICE
Address:
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Electrical Repairs $35.00
Trade Permit Base Fee $55.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach,FL 32233
Ph(904) 247-5826 Fax(904) 247-5845
JOB ADDRESS: Sro SRA +� J PERMIT#
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JEA INFORMATION REQUIRED ON ALL PERMITS I sO AMPS VOLTS I PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground E3Underground up Pole
❑Residential(Main) Service
❑0-100 amps ❑101-150amps 11151-200amps El amps #of Meters
❑Commercial(Main)Service OCT Service amps
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps
Conductor Type Size
❑Multi-Family(Main)Service ams #of Unit Meters
E10-100 amps ❑101-150amps El 151-200amps LlP
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 11200amps ❑ amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-3 Damps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps _61-100amps
Heat Circuits: # circuits (9kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA ❑Motors hp
FUZE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK$
Qty volts/amps
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change Li OH to UG
work is suspended or abandoned for six months. I hereby certify that I have
Permit becomes void if work does not commence within a six month period or
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 201; -l06N
Electrical Companyy2lka"A) jEjf cr21(_ 002WI Cf Office Phone/Zj-j4 L5' Fax
Co.Address:
p O $o>L 51 Z 3 7 City mss( l3q4 State FZ Zip 3Z2_L1
License Holder(Print): ��'��Tcrr �/!'l,�lLt t'y State Certification/Registration# t:►2 no) 3 8918
Notarized Signature of License Holder 4
Before me this day of 20
Signature of Notary Public