1652 MAIN ST ELEC 2015 METER JAWS j
CITY OF ATLANTIC BEACH
y 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
v INSPECTION PHONE LINE 247-5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ELEC-806
Job Type: ELECTRIC ONLY
Description: METER JAWS
Estimated Value:
Issue Date: 4/8/2015
Expiration Date: 10/5/2015
PROPERTY ADDRESS:
Address: 1652 MAIN ST
RE Number: 172385-0090
PROPERTY OWNER:
Name: REINHARDT TRUST ET AL, FRITZ R
Address: 1328 N 7TH ST
GENERAL CONTRACTOR INFORMATION:
Name: MCCLURE ELECTRICAL CONTRACTORS
Address: 537 N 5TH AVE QA ROBERT MCCLURE, JR
Phone: 904-249-9061
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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
// Ph(904) 247-5826 Fax (904)247-5845
JOB ADDRESS: l� � Z T'\ r-'A NJ S -V PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS k vo AMPS Z A-r-' VOLTS ` PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
❑Residential(Main) Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main) Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
[10-100 amps ❑101-150amps ❑151-200amps Li-amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps ❑200amps 11 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 ❑Smoke Detectors_Qty ❑Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK$
Qty volts/amps
REPAH ISCELLANEOUS
eplace Burnt/Damaged Meter Can [I 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. nn
Property Owners Name cL 2 1` `VA_ Phone Number
Electrical Company ���- �"` ° ' Office Phone Fax
Co.Address: City State Zip
License Holder(Print):
`c-. -4L ' State Certific e istration# F ftoo0 8 t
Nota 'z i nature o License Holder
�,a�•�,G Notary Public State of Florida fore is day of 20
^ Shirley L Graham
g My Commission FF 086990
.or�o� Expires 02114/2018 ignature of No