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65 19th St elec 2015 :r CITY OF ATLANTIC BEACH l 800 SEMINOLE ROAD r� ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 J;31 ELECTRICAL PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-ELEC-293 Job Type: ELECTRIC ONLY Description: circuit for hot tub Estimated Value: Issue Date: 2/10/2015 Expiration Date: 8/9/2015 PROPERTY ADDRESS: Address: 65 19TH ST RE Number: 169723-1040 PROPERTY OWNER: Name: SWEENEY,DAVID & PATRICIA, Address: 65 19TH ST GENERAL CONTRACTOR INFORMATION: Name: AMERICAN ELECTRICAL CONTRACTOR Address: 5065 ST AUGUSTINE RD APT 13 QA EARL W. FRICK Phone: - - FEES: State Elec DBPR Surcharge $2.00 State Elec DCA Surcharge $2.00 Lighting Outlets, Including Fixtures $0.60 Trade Permit Base Fee $55.00 Total Payments: $59.60 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach, FL 32233 _f )_ Ph(904) 247/-�58i2,6 Fax (904) 247-5845 JoB ADDRESS: �S Iq T► ; ?1(PP Ct K TTiC 1 , }'L— PERMIT# JEA INFORMATION REQUIRED ON ALL PERMITS (900 AMPS 'tD VOLTS PHASE VALUE OF WORK$ NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole --Residential(Main) Service ❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters ❑Commercial(Main) Service E10-100 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 ❑ amps ❑ CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) ❑100 amps ❑150amps ❑200amps ❑ amps ❑CT Service amps 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: OTHER ELECTRICAL PROJECTS El Swimming Pool ❑ Sign El Smoke Detectors_Qty [I 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 TT ❑Safety Inspection (�❑P�anel`Change [I OH to UG ❑'Other: N 15`tAt l (i (0 r�I`F lai)c� b(fa V fr 4:Z> I' cc 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 Ono' �� Phone Number `7n(�(J"-F -S3S-qSD f Electrical Company t l QW U e 1 CAI eockAt Office Phoneq { !.n-9"Y)QFax (� U-Z21099 Co.Address: - 3 tU Q tCx lSt1 J1Q �CQ C't ` i State V Zip L License Holder (Print): W • I C=K, St to e tion/Registration#��w���/CO �i NRM o 'c r older c State of Florida y Sworn and subscribed be f re 4tis � Oda f �(1 20 tlon EE 8507905/2017 Signature of Notary Publ c