92 W 5th St 2014 elec - ► :Ly7.
�J CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
J1i1�r-
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 14-ELEC-476
Job Type: ELECTRIC ONLY
Description: safety
Estimated Value:
Issue Date: 11/21/2014
Expiration Date: 5/20/2015
PROPERTY ADDRESS:
Address: 92 W 5TH ST
RE Number: 170822-9895
PROPERTY OWNER:
Name: MANSEN, BRIAN D
Address: 92 W 5TH ST
GENERAL CONTRACTOR INFORMATION:
Name: HAPPY CAT ELECTRIC INC.
Address: 3787 CATANIA PL JACKSONVILLE, FL
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.
./19/14 04 : 16PM PST Happy Cat Electric —> City Of Atlantic Beach 19042475845 Pg
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: w c S�- s S-Irrc e A PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 2- Ot7 AMPS Zo ZgOVOLTS j PHASIC;
VALUE OFWORK S 2 5"y0
NEW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up Pole
Residential(Main) Service
0-100 amps 101-150amps 151-200amps amps # of Meters
Commercial(Main) Service
0-100 amps 101-150amps 15 I-200amps amps CT Service amps
Conductor Type: Size:
Multi-Family(Main)Service
0-100 amps 101-150amps 151-200amps amps #of Unit it Meters
Temporary Pole _,_,,.amps
SERVICE UPGRADE amps C1' Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.)
100 amps I SOamps 20021"ps amps CT Service amps
ADDITIONS,REMODELS,REPAIRS, BUILD-OUTS, ACCESSORY STRUCTURES, ETC.
Outlets/Switches: 0-30amps 31-l 00amps 101.200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: _.0-60amps _ _ 61-100amps
Heat Circuits: # circuits n kw
Numbvr 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 S
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can Xsafcty Inspection Panel Change: 011 to UG
Other: RpwGC" Off-
Purmil becomes void it'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 he true mid correct. All provisions of law,and ordinances governing this work will he complied with whether
�pecif icd or not. The permit doe,not give authority to violate the provisions ol'any tither state or local law regulation constnmio n or thu performuneu of
construction.
Property Owners Name' C� tn V wC o� \<e.- Phone Number o 3- ( �'y
Electrical Company lAk ep. ca� Office PhoneOl04 '�1` 'J 73 L( Fax90+z39-3 0r*
Co. Address: -78-7 C:� �•: x c t< City J oeG�So„�:tt e State �t "Lip 3 2 z 2 4
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License Holder(Print): Zo6 State Certi I ication/Registration # 1GG Oeeiles'
No f' A U l r }
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