961 atlantic Blvd 2015 Elec CITY OF ATLANTIC BEACH-
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-395
Job Type: ELECTRIC ONLY
Description: 20amps 208volts 1 ph INSTALL 1 CIRCUIT FOR A/C
Estimated Value:
Issue Date: 2/24/2015
Expiration Date: 8/23/2015
PROPERTY ADDRESS:
Address: 961 ATLANTIC BLVD
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: Parker Electric, Llc
Address: 1606 Northglen CIR
Phone: 904-237-5461
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Trade Permit Base Fee $55.00
AC Circuits $5.00
Total Payments: $64.00
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 15- G- 39
p►
JOB ADDRESS: ! y 1 j /Cl f?fi/ �t/ y PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS �I.O_AMPS VOLTS l PHASE
VALUE OF WORK S >0 L
NEW SERVICE ❑ Overhead ❑ Underground ❑' Underground up Pole
Residential(Main)Service
0-100 amps 101-150amps 151-200amps ` _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 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 (Tz kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
Swimming Pool Sign Smoke Detectors_Qty Transformers KVA Motors hi,
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qth volts/amps VALUE OF WORK S
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can Safety Inspection Panel Change OH to UG
Other://1.SC J &V409 Ale (JI?t
Permit becomes Void if work does not commence within a six month period or%%ork is suspended or abandoned for six months. l herehv 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 X%ith whether
specified or not l he pcnnit does not give authority to violate the provisions of an\ other state or local la%% regulation construction or the performance of
construction.
Property Owners Name AVV 1191Tk Phone Number �/
Electrical Company r�� GPC 1 L� Office Phone *V�of#Max 90y- WO-191K
Co. Address: 160 ,r^�► City State zip Za
License Holder(Print): 90-4 R Par e- 'tateCe ' tcation/Registration # eli y9'ZS
Not�a-rized Signature of License Holder
fZ l,Q aQ 0^%C) Sworn and subscribed before me this `�.~ da _ l,(Q 20
Signature of Notary Public
BRITTANI R.WRIGHT
Commission#FF 020556
Expires August 22,2017