2137 Fairway villas safety inspection CITY OF ATLANTIC BEACH
I s 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 Type: ELECTRIC ONLY
Description: SAFETY INSPECTION
Estimated Value:
Issue Date: 10/24/2014
Expiration Date: 4/22/2015
PROPERTY ADDRESS:
Address: 2137 S FAIRWAY VILLAS LN
RE Number: 169398-1046
PROPERTY OWNER:
Name: NEW CENTURY HOME EQUITY LOAN,
Address: TRUST 1016 E ST ANDREWS PL #8150
GENERAL CONTRACTOR INFORMATION:
Name: R M SNYDER
Address: 6271 St Aug RD STE 24-166
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Temporary Electrical Service $35.00
Trade Permit Base Fee $55.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
RPh (904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: /A i F L.11 A`g �,� t �S PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS 24-/ VOLTS PHASE
VALUE OF WORK$ S d 6 .
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
❑Residential (Main) Service
00-100 amps ❑101-150amps C-200amps C #of Meters
❑Commercial(Main) Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ ❑
Conductor Type Size
❑Multi-Family(Main) Service
110-100 amps ❑101-150amps Li200amps ❑ #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE [ C
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑ ❑ ❑
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-3 Damps 31-l 00amps 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
❑ hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
Ej
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.
J S PS - Phone Number �O�� 6o 7 - 5,2 ?3
Property Owners Name P t -c
Electrical Company 9.M. 5.1jy,kcr- Office Phone '�°14- 3 7-3d'Xyax
Co.Address: 7 I S-f. .4 s�•n� `r' I6 City 7—'1 X State& Zip ??2 17
License Holder(Print): c:.r, Sn ck State Certification/Reg' tration#ZC 120 c 3 7yC!
Notarized Signature of License Holder.
Before me this day of 20
Signature of Notary Public