25 Dudley Svr upgrade 2014 ` , CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
ELECTRICAL PERMIT INSPECTION PHONE LINE 247-5814
J ALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
]OB INFORMA
Job - 19
-
Job Type: ELECTRIC ONLY
Description: SVC UPGRADE FROM 200AMP TO 400 AMP 240VOLTS
3PHASE
Estimated Value:
Issue Date: 10/9/2014
Expiration Date: 4/7/2015
PROPERTY ADDRESS:
Address: 25 DUDLEY ST
RE Number: 172079-0000
PROPERTY OWNER:
Name: CERQUEIRA, ATILLIO
Address: 32 -36 6TH ST
GENERAL CONTRACTOR INFORMATION:
Name: MCCLURE ELECTRICAL CONTRACTORS
Address:
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Electrical Service Change $50.00
Trade Permit Base Fee $55.00
Total Payments: $109.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904)247-5845 �(
JOB ADDRESS: s �c �� PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 6CCO_AMPS VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
[]Residential(Main) Service
00-100 amps [110 1-I 50amps ❑151-200amps LI—amps #of Meters
❑Commercial(Main) Service
❑0-100 amps ❑101-150amps ❑151-200amps El—amps ❑CT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps [110 1-15 Oamps ❑151-200amps []—amps # of Unit Meters
IJ Temporary Pole ❑ amps
SERVICE UPGRADE ;� D� 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: 0-3 Damps 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)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
F]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. �t
Property Owners Name C STo N E Phone Number
Electrical Company `�� C-��c�^`'-0, Office Phone Z�� —�Z�, Fax
City ��' �' State M_ Zip li22To
Co.Address:
License Holder(Print): '2 . Y�`c_L r` State Cert egistration# &yLoo 8 IL ty
Notarized Signature of License Holder
JENNIFER WALKER
Before me Is Nay of 0 20
eRr t_ MY COMMISSION#FF 011480
. 4 EXPIRES:April 24,eon Signature of Notary Publi
Bonded Thru Notary Public Underwriters