93 kimberly Ct 2014 elec CITY OF ATLANTIC BEACH
E l 800 SEMINOLE ROAD
r ATLANTIC BEACH,FL 32233
ELECTRICAL PERMIT INSPECTION PHONE LINE 247-5814
i ALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
]OB INFORMA
Job - -
Job Type: ELECTRIC ONLY
Description: 85 switches
Estimated Value:
Issue Date: 10/13/2014
Expiration Date: 4/11/2015
PROPERTY ADDRESS:
Address: 93 KIMBERLY CT
RE Number: 169519-0785
PROPERTY OWNER:
Name: DOMIMICK II, ESMOND LESTER
Address: 1431 RIVERPLACE BLVD APT 2310
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Lighting Outlets, Including Fixtures $51.00
Trade Permit Base Fee $55.00
Total Payments: $110.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax(904)2845
JOB ADDRESS: /,,�d�'et �� C d f PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 3 Uy AMPS L-tU VOLTS (i PHASE
VALUE OF WORK$ 6 O
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
[]Residential(Main) Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main)Service
❑0-100 amps ❑101-150amps ❑151-200amps []-amps ❑CT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
❑0-100 amps ❑101-150amps ❑151-200amps LI-amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE []-amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 0200amps ❑ amps ❑CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: _6r 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 L
❑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
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change El 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 -2� Phone Number
Electrical Company,/ /`/`I~ `sf K ru �^3aYr /"C-Office Phone Fax
Co.Address: 71 Ty ��'`'�� �cJ S City S�Y State A 2-Zip
U" L L�r}n g aaa
License Holder(Print): State Certificati e istration#
Notarized Signature of License Holder
Before me this_/�; of 20
Signature of Notary Public