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New Service 320 Beach 152 3rd 398 11th �j SS CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD 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-1007 Job Type: ELECTRIC ONLY Description: new elec service 200 amps Estimated Value: Issue Date: 4/29/2015 Expiration Date: 10/26/2015 PROPERTY ADDRESS: Address: 320 BEACH AVE RE Number: None GENERAL CONTRACTOR INFORMATION: Name: ERICKSON ELECTRICAL CONTRACTOR Address: 2807STJOHNS QA FRANK W ERICKSON Phone: FEES: State Elec DBPR Surcharge $2.00 State Elec DCA Surcharge $2.00 New Single Family Electrical $70.00 Trade Permit Base Fee $55.00 Total Payments: $129.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. From:BOSCO BUILDING CONTRACTORS INC 904 241 0326 04/29/2015 12:51 #071 P. 002/002 ELECTRICAL PERMIT APPLIC ATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach, FL 32233 Ph (904) 247-5826 Fax (9Z04 ,247-5845 JOB ADDRESS: —�;�o �1 C�� , W , I PE �aA RMIT# JEA INFORMATION REQUMD ON ALL PERMITS 1-00 AMPS tIC VOLTS PHASE VALUE OF WORK S NEW SERVICE F-1 Overhead Underground Edunderground up Pole F)Residential(Main) Service i]0-100 amps F1101-150amps V(l 51-200amps amps #of Meters I-ICOmmercial(Main) Service UO-100 amps F101-150amps [I 151-200amps _amps LJCT Service amps Conductor Type Size ElMulti-Family(Main)—Service 00-100 amps n 10 1-1 50amps 0 151-200amps —amps #of Unit Meters []Temporary Pole L—amps SERVICE UPGRADE 1-1------amps D CT Service amps NEW FEEDER(ADDITIONS, ACCESSORY STRUCTURES,ETC.) D100amp; 7150amps 11200amps 0 amps FICT Service amps ADDITIONS, REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: 0-30amps 3 1-1 00amps 101-200amps Appliances: —0-30amps 31-1 00amps 101-200amps A/C Circuits: —0-60amps 61-1 00amps Heat Circuits: 4 circuits @_kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS 12SwimmingPool FISign 0 Smoke Detectors_Qty �--'Transformers KVA F1 Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty volts/amps VALUE OF WORK$ REPAIRS/MISCELLANEOUS 0 Replace Burnt/Damaged Meter Can E,Safety Inspection LJ Panel Change DOH to UG FOther: Permit becomes void if work does not commence within a six month period or wor 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 goveming this work will be complied with whether specified or not. 'Me permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of �onstruction. Property Owners Name Phone Number 25�V410 i'n y �A tr Z Electrical Company Office Phone-,D, 7 Fax— 7-fD A Vj On[). o. A d d r e s s: L.,-- \V.,, City Ri State V-L Ziv r ,icense Holder (Print): �tate Certification/Registration Votarized Sirnature of I KI