555 AQUATIC DR 2015 ELEC r lJ�
01
S, CITY OF ATLANTIC BEACH
J 800 SEMINOLE ROAD
1 ATLANTIC BEACH, FL 32233
J
INSPECTION PHONE LINE 247-5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ELEC-778
Job Type: ELECTRIC ONLY
Description: SECURE METER CAN AND REPLACE OUTLETS
100AMP230VOLT
Estimated Value:
Issue Date: 4/2/2015
Expiration Date: 9/29/2015
PROPERTY ADDRESS:
Address: 555 AQUATIC DR
RE Number: 171818-5330
PROPERTY OWNER:
Name: IBARRECHE, GERARD
Address: 555 AQUATIC DR
GENERAL CONTRACTOR INFORMATION:
Name: CRAWFORD ELECTRIC
Address: P O BOX 51045 QA JOHN ROBERT CRAWFORD III
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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION 3
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233 � _ ` ��� -7-B�^ Ph(904) 247-5826 Fax (904) 247-5845 l�
.TOB ADDRESS: C7 A ac, k, J PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITSAMPS�r .b VOLTS PHASE
-;--
VALUE OF WORK$ Z�� u
NEW SERVICE ❑ Overhead ❑ Underground ❑J Underground up Pole
❑Residential(Main)Service
❑0-100 amps L-1 101-150amps a 151-200amps LI amps # of Meters
Ll Commercial(Main)Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 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 0200amps ❑ amps OCT 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
❑Swimming Pool ❑ Sign [I 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 El Safety Inspectiiioon ❑Panel Change ❑OH to UG
❑Other: �Cc A M.BA
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 l 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
//7� Phone Number
Electrical Company CiJ, 'T'j ��/c�✓� Office Phone 9a 7-25(,(40 t FaxZ yl-903 7
Co.Address: 2-3 1 !"Yl�N'S��'1+71 City we &-oA State__ffZip ,-ZZ1l
License Holder(Print): Jd�*►/� �� J�'` State Certification/Registration# E�`3od 2Y�q
Notarized Signature of License Holder
Before me this day of 20
Signature of Notary Public