290 Main St 2014 safety CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 14-ELEC-604
Job Type: ELECTRIC ONLY
Description: SAFETY
Estimated Value:
Issue Date: 12/9/2014
Expiration Date: 6/7/2015
PROPERTY ADDRESS:
Address: 290 MAIN ST
RE Number: 170867-0000
PROPERTY OWNER:
Name: CORKRAN, JOAN R
Address: 290 MAIN ST
GENERAL CONTRACTOR INFORMATION:
Name: JAX ELECTRICAL CONTRACTING INC
Address: 1839 LANE AVE SUITE 110 PAULKEANE
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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904)247-5826 Fax (904) 247-5845
JoBADDRESS: 290 lylc,�e_' PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 16 0 AMPS 1"�-1 & VOLTS PHASE
VALUE OF WORK$
NEW SERVICE 0 Overhead Underground Underground up Pole
OResidential (Main) Service
[10-100 amps E1101-150amps E-200amps I of Meters
[]Commercial(Main) Service
110-100 amps Ll 10 1-15 Oamps El 151-200amps El
Conductor Type Size
LIMulti-Family(Main)Service
[10-100 amps El 10 1-15 Oamps E�200amps El #of Unit Meters
[I Temporary Pole []______amps
SERVICE UPGRADE E
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0 11 F1
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 3 1-100amps 101-200amps
Appliances: 0-30amps 31-100amps 10 1-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: 9 circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS 11 hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty_volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
El
av E
Permit becomes void if work does not commence within a sixV—onth per�i�r 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.'A4-praVisions 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 e r- r/1 Phone Number 333 6607
Electrical Company _Tc, x C I-e cAn Office Phone qk3 9-3 6'/ Fax
Co.Address: 2-00 LCA LA City::Tr'e_kg 0 State r_—
zip _?2
License Holder (Print): State Certification/Registration# 6 12 13 V/q Z
Notarized Signature of License Holder
Before me this day of 20
Signature of Notary Public