840 PARADISE LN NEW ELEC CITY OF ATLANTIC BEACH
r 800 SEMINOLE ROAD
J 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: 15-ELEC-217
Job Type: ELECTRIC ONLY
Description: NEW UG SERVICE 200 AMPS 240VOLTS 1 PHASE
Estimated Value:
Issue Date: 1/28/2015
Expiration Date: 7/27/2015
PROPERTY ADDRESS:
Address: 840 PARADISE LN
RE Number: 172376-0145
PROPERTY OWNER:
Name: SPRINGFIELD BUILDING LLC
Address: 1881 BEACH AVE
GENERAL CONTRACTOR INFORMATION:
Name: MARCO ELECTRICAL CONTRACTORS
Address: 720 MILL CREEK RD QA BENJAMIN EDWARD SMITH
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
New Single Family Electrical $70.00
Trade Permit Base Fee $55.00
Total Payments: $129.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904 247-5826 Fax (904) 247-5845
JOB ADDRESS: 0 PERMIT# j q_.,_sR 3 Rq
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS q H o VOLTS r PHASE
VALUE OF WORK$ 3:xjm . b
NEW SE VICE ❑ Overhead [ Underground EDUnderground up Pole
R sidential (Main)Service
0-100 amps 1110 1-I 50amps X51-200amps ❑ 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 amps # of Unit Meters
-Temporary Pole ❑ amps
SERVICE UPGRADE Ei amps ❑ CT Service amps
NEW FE DER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
] 00 amps ❑150amps ❑200amps amps OCT Service amps
ADDITIC NS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outl is/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:
OTHER LECTRICAL PROJECTS
S imming Pool Sign ❑Smoke Detectors_Qty ❑Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Q volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
'Replace Burnt/Damaged Meter Can ❑Safety Inspection []Panel Change ❑OH to UG
Ot er:
Permit becor es 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 app cation 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 t. 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 s v/s Phone Number 904,(-Q" . 0 B,H5
Electrical Company <rc(IN l-PACICCIA (���� Office Phone qy4-043-335a Fax 943-yL�awl
Co.Addre : ficr)klo CNN City 05PL 3 rev.( (-P State F
-_L Zip I r'
License Holder (Print) �-5'-y'T4ril State Ce 1 tration#
Notarized Signature of License Holder
JKEXPIRES�
ONNELL W.CRAIG Sworn and subscribed before me this Qr] day of �►\4arti 20�Y COMMISSION M FF167433 Decembc 11,zols Signature of Notary Public