750 Sabalo Rd 2015 Elec CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J v 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-462
Job Type: ELECTRIC ONLY
Description: service 150 amps lighting smoke det
Estimated Value:
Issue Date: 3/4/2015
Expiration Date• 8/31/2015
PROPERTY ADDRESS:
Address: 750 SABALO DR
RE Number: 171456-0000
PROPERTY OWNER:
Name: FEDERAL NATIONAL MGT ASSOC
Address: P O BOX 650043
GENERAL CONTRACTOR INFORMATION:
Name: BILL THOMPSON ELECTRIC CO, INC
Address: 49 WEST 7TH ST QA WILLIAM R. THOMPSON, IV
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Lighting Outlets, Including Fixtures $8.40
Trade Permit Base Fee $55.00
Wired Smoke Detectors $12.00
Total Payments: $79.40
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 247-5826 F (9 4) 247-5845
JOB ADDRESS: � PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS 2`fo VOLTS PHASE
rVAF/OWORK$ ��•�
NEW SERVICE ❑ Overhead und ❑1 Underground up Pole
7Residential(Main) Service
JO-100 amps C 101-150ampsmps amps #of Meters
❑Commercial(Main) Service
L10-100 amps ❑101-150ampsmps = amps ❑CT Service amps
Conductor Type Si7Multi-Family(Main) Service
❑0-100 amps ❑101-150amps mps ❑ amps #of Unit Meters
LTemporary Pole ❑ amps
S)ERVICE UPGRADE Xl� 5?2 amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150ampsu 200amps ❑ amps ❑CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: _/Z-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 Qutlets, Including Fixtures:
OTHER ELECTRICAL PROJECT/
C'Swimming Pool _i Sign ergimoke Detectors &ty ❑Transformers KVA Ll Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
-]Replace Burnt/Damaged Meter Can ❑Safety Inspection -Panel Change J01-1 to UG
E Other:
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. 9_ ��jj��
Property Owners Name
V �u'PT�4' Phone Number
Electrical Company Bi hompson Electric Co.INC: Office Phone 2 tf�,01 Fax2-1_V�'—&9-)fO
F.U.Box 330150
Co.Address: Atlantie Roach,Fl,311733 City State Zip
License Holder(Print): fo lOYx S to Certification/Registration# d �q
Notarized Signature of License Holder
Before me this day of 20
Signature of Notary Public