365 8TH ST NEW ELEC SERVICE CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
ELECTRICAL PERMIT INSPECTION PHONE LINE 247-5814
J. ALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMA
Job -
Job Type: SINGLE FAMILY RESIDENCE
Description: NEW HOME
Estimated Value: $1,150,000.00
Issue Date: 10/15/2014
Expiration Date: 4/13/2015
PROPERTY ADDRESS:
Address: 365 8TH ST
RE Number: 169974-0000
PROPERTY OWNER:
Name: FRISCH, BENJAMIN P
Address:
GENERAL CONTRACTOR INFORMATION:
Name: MCANENY BUILDERS LLC
Address:
Phone: - -
FEES:
BUILDING PERMIT FEE $2,980.00 QV /) _• C
STATE DCA SURCHARGE $44.70
PLAN CHECK FEES $1,490.00 a ��
STATE DBPR SURCHARGE $44.70
UTIL REV RESIDENTIAL BLDG $50.00
Total Payments: $0.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH A(op
800 Seminole Rd, Atlantic Beach, FL 32233 1 ' v
Ph(904) 247-5826 Fax (904) 247-5845
.TOB ADDRESS: 310 5 �� PERMIT# Iy - N Z 7
NEW SERVICE ❑Overhead ❑ Underground �Jnderground up Pole
❑Residential(Main) Service
❑0-100 amps ❑101-150amps ❑151-200amps 06yon amps # of Meters &❑Commercial (Main) Service
Va /T z Yo ''"'9
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps [I CT Service amps
Conductor Type Size
❑Multi-Family (Main) Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps # of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE []-amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps ❑200amps ❑ amps ❑CT Service amps
ADDITIONS, REMODELS, REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign ❑Smoke Detectors_Qty []Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist)
Qty volts/amps VALUE OF WORK$
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.
Property Owners Name
e- C'(Z I S CH Phone Number
Electrical Company RA a k y Z 15GE C;rdu C Sow 1 cc Office Phone lo7`3'-6l 9 Z -5-' Fax 27-3-7Mz
Co.Address: 1�7•0 • &x- 5-)?-,37 City TA,),- BCIa State 1'L Zip_3 2 2 VO
License Holder (Print): -TAi??e1t' A 7/2 K id State Certification/Registration# l`Qia o)31496
Notarized Signature of License Holder
Sworn and subscribed before me this day of 20
Signature of Notary Public