359 19TH ST 2014 ELEC 3' CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
ELECTRICAL PERMIT INSPECTION PHONE LINE 247-5814
ALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMA
Job - -
Job Type: ELECTRIC ONLY
Description: MISC REMODEL
Estimated Value:
Issue Date: 10/8/2014
Expiration Date: 4/6/2015
PROPERTY ADDRESS:
Address: 359 19TH ST
RE Number: 172020-1324
PROPERTY OWNER:
Name: RICHARDS, STEPHEN D
Address: 359 19TH ST
GENERAL CONTRACTOR INFORMATION:
Name: FERRANTI'S ELECTRIC
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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: ��� , c'K S ,—e�( PERMIT#
')_c,v a-Liv
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VAL UE OF WORK$ 1 �—CO, t,0
NEW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up Pole
❑Residential(Main)Service
❑0-100 amps 11101-1 50amps ❑151-200amps El—amps #of Meters
❑Commercial(Main)Service
00-100 amps ❑}t01-150amps ❑151-200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 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 11200amps ❑ amps 0 C 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 ELECTRICALORSigjnEgmoke
O
❑Swimming Pool Detectors l Qty ❑Transformers KVA [I Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑OH to UG
❑Other: g -'•d A c L
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 .S F P�f�r� L S Phone Number
Electrical Company FEr a N". 6—L C-11 'L U_ r Office Phone�S'(!S•9 6.Z.Qi FFax
Co.Address: L-t F City Cs�-S P State^E� Zip .3" Y
License Holder(Print): 6--WI A. E c State Certification/Registration#LGa--1b i1 o-b
Notarized Signature of License Holdjo
r
q41—
,.
;p'o"'• JENNIFER WALKER
;,. _. B e me this day of 20
MYCOMMISSION 0 FF 011480EXPIRES:April 24,2017144Bonded Thru Notary Public Undenwnteg' nature of Notary Public