44 Dewees Elec 2014 CITY OF ATLANTIC BEACH
s1 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
ELECTRICAL PERMIT INSPECTION PHONE LINE 247-5814
% ALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: - LEG-50
Job Type: ELECTRIC ONLY
Description: install outlet for charging station
Estimated Value:
Issue Date: 9/22/2014
Expiration Date: 3/21/2015
PROPERTY ADDRESS:
Address: 44 DEWEES AVE
RE Number: 169550-0000
PROPERTY OWNER:
Name: MARTIN, SANDRA L
Address: 44 DEWEES AVE PO BOX 330500
GENERAL CONTRACTOR INFORMATION:
Name: ACE ELECTRICAL SERVICE OF N FL
Address:
Phone• - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Electrical Repairs $35.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
j� Ph (904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: �" J/e�••�Ce V� PERMIT
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS aYO VOLTS PHASE
VALUE OF WORK$ 7 3• ��
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
❑Residential (Main) Service
❑0-100 amps 1110 1-15 Oamps ❑151-200amps ❑ 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
❑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/DamagedM/eter /C'an ❑Safety Inspection El Panel Change El OH to UG
Other: T/V f 4 6 c 0 vk71� `t�tL C'� S l o/✓
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 f44S &a h�l� �'t T�� Phone Number
Electrical Company �f,� �Ze, ,,r��� 7L✓%Lr' �� N�`S��• Office Phone Fax
Co.Address: 31)7 W14Ln/� r J/��uw� City A-)c State,R Zip 3 ZZD
License Holder (Print): • C.V .✓ S Certifica ion/Registration
K ieeftw Ider
DAVID P. WOODY p
� MY COMMISSION#FF064042 Sworn and subscribed before in th s /0 day of -Stvf Z�K At-k 20�
'P EXPIRES December 18,2017
Signature of Notary Public Cr�
(407)398-0153 FloridallotaryService.com