1743 E Park Ter 2015 elec CITY OF ATLANTIC BEACH
sy 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
o i 19'
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ELEC-763
Job Type: ELECTRIC ONLY
Description: REGROUND ELEC SERVICE
Estimated Value:
Issue Date: 4/2/2015
Expiration Date: 9/29/2015
PROPERTY ADDRESS:
Address: 1743 E PARK TER
RE Number: 172020-0408
PROPERTY OWNER:
Name: FULLER, ELZER T JR
Address: 1743 PARK TER
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
Electrical Repairs $35.00
Trade Permit Base Fee $55.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
04/01/2015 14:07 #927 P.002/002
From:9047371099
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904)247-5845
JOB ADDRESS: I ^t ( C PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS iSO AMPS 2�QOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑ Underground up Pole
Residential(Main)Service ams #of Meters
i- 0-100 amps 101-150amps 151-200amps P
Commercial(Main) Service -CT Service amps
0-100 amps 101-150amps 151-200amps amps
Conductor Type Size
Multi-Family(Main)Service ams #of Unit Meters
_.0-100 amps -;101-150amps 151-200amps P
Temporary Pole amps
SERVICE UPGRADE amps CT Service amps
NEW FEEDER(ADDITIONS, ACCESSORY STRUCTURES,ETC.) CT Service amps
:100 amps 150amps 200amps amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
s
Outlets/Switches: 0-30amps 31-100amps
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 PROJECTSTransformers KVA Motors hp
Swimming Pool Sign Smoke Detectors_Qty
FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK$
Qty volts/amps
REPAIRS/MISCELLANEOUS Panel Chane OH to UG
-.Replace Burnt/Damaged Meter Can :;Safety Inspection g
%,Uther: El Vt'U ,(' t hereby certify
x months. I
Permit becomes void if work does not commence within a six
month period of laws and ordinances govor erning g thisoned for lwork will be complied with whether hat I e
read this application and know the same to be true and convect provisions
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 o
construction.
Phone Number qbq
Property Owners Name - qpj
Office Phone Qt)q-73 -`7g1b Fax
Electrical Company �1�1 C'`��'� �
`J C ty : 1 State Zip s =7
Co. Address: ZS'- �.:y
License Holder(Print): �C
St a ation/Registration#� �'
Not i e u e o License Holder
rya Notary Public sty of�a worn and subscribed fore r�e this !