2263 W Oceanforest Dr elec 2015 11 CITY OF ATLANTIC BEACH
SS f 800 SEMINOLE ROAD
r 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-795
Job Type: ELECTRIC ONLY
Description: AC CIRCUIT
Estimated Value:
Issue Date: 4/7/2015
Expiration Date: 10/4/2015
PROPERTY ADDRESS:
Address: 2263 W OCEANFOREST DR
RE Number: 169463-1004
PROPERTY OWNER:
Name: RING, JOSHUA MICHAEL
Address: 2263 W OCEANFOREST DR
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
AC Circuits $5.00
Trade Permit Base Fee $55.00
Total Payments: $64.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
From:9047371099 04/07/2015 11:53 0932 P.002/002
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
Ph(904)2475826 ,Faxx (904) 247-5845
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JOB ADDRESS: Cr;?0/ 0owrx6-es+_ 4_Dat�•.� PERMIT#>~
JEA INFORMATION REQUIRED ON ALL PERMITS dUb AMPS 0970 VOLTS J� PHASE
VALUE OF WORK$ 0• '_'O
NEW SERVICE ❑ Overhead ❑ Underground ❑J Underground up Pole
Residential(Main)Service
0-100 amps 1101-150amps 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
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 �A 50amps 200amps amps CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-l 00amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: --f-0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
'Swimming Pool Sign Smoke Detectors lQty '.-Transformers KVA I 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:
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 T6 k 1 Phone Number �`
Electrical Company "o-ri EkT► I(, 1 OnA(( Office Phone`N- /,77-172017ax - -739"19
Co. Address: - ► Cit V� 10 State�Zip,
License Holder (Print): FT1 .' ate ertification/Registration#
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i a� r �f i z Ider"°�'P"a'�Stab or F1onda Sworn and subscribed beforee this dad f ` : 20Anna M Daly
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