671 Amberjack Ln Elec service upgrade 2015 °S, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
u r ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ELEC-882
Job Type: ELECTRIC ONLY
Description: service upgrade 200 amp under ground and remodel
Estimated Value:
Issue Date: 4/15/2015
Expiration Date: 10/12/2015
PROPERTY ADDRESS:
Address: 671 AMBERJACK LN
RE Number: 171190-0000
PROPERTY OWNER:
Name: KING, ADAM J
Address: 671 AMBERJACK LN
GENERAL CONTRACTOR INFORMATION:
Name: FIRST CHOICE ELECTRIC, LLC
Address:
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Electrical Service Change $50.00
Trade Permit Base Fee $55.00
Total Payments: $109.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904)247-5845
JOB ADDRESS: (,c-71 qt=r 1 -� �`� PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS /V AMPS VOLTS PHASE
VALUE OF WORK$
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 ❑CT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE )4�ZOO amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps ❑200amps ❑ amps ❑CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: __,�-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: I—
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: 3r_ V c..�, v p o, ro d rJ / _koj- cq_r), 29n6 1A t ►,
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 Phone Number Z`k l
Electrical Company Q l o i c.b 1 c-Tv �� _Office Phone Fax
Co.Address: io City .� State fU Zip 3ZZ(�'
License Holder Print • c,, .� 1^.�wt +�S State Certification/Registration 2CD i
Notarized Signature of License Holder 1)
Before me this day of 20
Signature of Notary Public