850 14th Street West ELECTRIC 2014 'r�i yL`�r✓J�
S CITY OF ATLANTIC BEACH
r, 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 INFORM
Job Type: ELECTRIC ONLY
Description: 7 OUTLETS
Estimated Value:
Issue Date: 11/7/2014
Expiration Date: 5/6/2015
PROPERTY ADDRESS:
Address: 850 W 14TH ST
RE Number: 171044-0000
PROPERTY OWNER:
Name: LYON, JONATHAN R
Address: 1837 SEA OATS DR
GENERAL CONTRACTOR INFORMATION:
Name: AFTER HOURS ELECTRIC, INC
Address: 8966 PAXTON RD QA DAVID C. TAYLOR, JR
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Switch Outlets $4.20
Trade Permit Base Fee $55.00
Total Payments: $63.20
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
�( Ph (904) 247-5826 Fax (904)247-5845
JOB ADDRESS: yy �l 5�,��fJ� PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS ZOc AMPS ZYD VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
❑Residential (Main) Service
110-100 amps ❑101-150amps 1-200amps C # of Meters
❑Commercial(Main) Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ ❑
Conductor Type Size
❑Multi-Family(Main) Service
❑0-100 amps ❑101-150amps 14200amps ❑ # 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: _�_0-30amps 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: 2
OTHER ELECTRICAL PROJECTS
11 hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$ yZS,
REPAIRS/MISCELLANEOUS
El
(ze M0de) 8CAroor-1
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. II
Property Owners Name Phone Number
Electrical Company / ��ed" /i l��►''S Z-1e G ,L e Office Phone Fax
Co.Address: r�. 0. L�oX 6 Olt City a State(76 Zip 3 ZZ,3
License Holder(Print): I U fa State Certification/Registration# EC lad 0�2Y I
Notarized Signature of License Holder AllCa !3U l;6 83
Before me this day of 20
Signature of Notary Public