349 3rd St 2015 elec (2) CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
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-601
Job Type: ELECTRIC ONLY
Description: 10 switches
Estimated Value:
Issue Date: 3/17/2015
Expiration Date: 9/13/2015
PROPERTY ADDRESS:
Address: 349 3RD ST
RE Number: 169823-0000
PROPERTY OWNER:
Name: HOFFMAN, DAVID A
Address: 349 3RD ST
GENERAL CONTRACTOR INFORMATION:
Name: IDEAL CONDITIONS ELECTRICAL
Address: 5971 -5 PO POWERS AVE CLIFFORD D SNELL
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Lighting Outlets, Including Fixtures $6.00
Trade Permit Base Fee $55.00
Total Payments: $65.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
L&
P (904) 247-5826 Fax(904))247-5845
JOB ADDRESS' �(.., PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑J Underground up Pole
❑Residential(Main) Service
110-100 amps ❑101-150amps ❑151-200amps a amps #of Meters
[]Commercial(Main)Service
110-100 amps ❑101-150amps ❑151-200amps amps -CT Service amps
Conductor Type Size
[]Multi-Family(Main)Service
❑0-100 amps 11101-1 50amps ❑151-200amps ❑ amps # of Unit Meters
[]Temporary Pole ❑ amps
SERVICE UPGRADE []-amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 0200amps ❑ amps [I CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 6 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 1_0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures: _3
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign ❑Smoke Detectors_Qty ❑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 ❑Safety Inspection []Panel Change ❑OH to UG
❑Other: 100 amp subpanel for detached garage
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 David A Hoffman Phone Number
Electrical Company: Ideal Conditions Electrical Contractors,Inc. Office Phone 379-8762 Fax 737-3940
Co.Address: 5971-5 Powers Ave City Jacksonville State FL_Zily 32207
License Holder(Print): Clifford D. Snell State Certification/Registration# ER13014786
Notarized Signature of License Holder 44
Sworn and subscri ed be ore this _day ofy420�
Signature of Notary Publ