880 SAILFISH ELEC CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Jlilt
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ELEC-1021
Job Type: ELECTRIC ONLY
Description: REWIRE 27 FIXTURES
Estimated Value:
Issue Date: 4/30/2015
Expiration Date: 10/27/2015
PROPERTY ADDRESS:
Address: 880 SAILFISH DR
RE Number: 171162-0000
PROPERTY OWNER:
Name: GARVIN JR, EVERETT E
Address: 1738 E HOLLY OAKS LAKE RD
GENERAL CONTRACTOR INFORMATION:
Name: WATSON ELECTRIC
Address: 4456 SUNBEAM RD STE 200 RICHARD S BELLA
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Electrical Heat $2.00
Wired Smoke Detectors $8.00
Switch Outlets $10.80
Lighting Outlets, Including Fixtures $1.20
Trade Permit Base Fee $55.00
Total Payments: $81.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845 l
JOB ADDRESS: PERMIT
JEA INFORMATION REQUIRED ON ALL PERMITS LO-3 AMPSZ4*VOLTS PHASE
VAL UE OF WORK$ —Z000
NEW SERVICE ❑ Overhead ❑ Underground E3Underground up Pole
Residential(Main) Service
0-100 amps 101-150amps 1151-200amps 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 Elamps -: CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps150amps ❑200amps amps CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: __L& _0-30amps 31-100amps 101-200amps
Appliances: _[_0-30amps x_31-100amps 101-200amps
A/C Circuits: _j0-60amps 61-100amps
Heat Circuits: �_ # circuits @T�___kw
Number of Lighting Outlets, Including Fixtures: Q _
OTHER ELECTRICAL PROJE�C"TS
'__:Swimming Pool Sign "X Smoke Detectors Qty �ITransformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
,_i Replace Burnt/Damaged Meter Can Safety Inspection Panel Change OH to UG
Other: 'Fouj i/LL ._
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 V& v
Phone Number
Electrical Company W�� ' / N (--�Lice Phone Ste` - Fax 940-F5
Co. Address:qqZ j� erkw+ dA S?T= Zw City )+/yfbv E State—CZ—Zip 3 Z 2
License Holder(Print): State Certification/Registration# 4:?--13003Y'7
Notarized Signature of License Holder l
WANDA Y.GUESS Sworn and subscribed before me this JO day of J jArd 20LJ
Commission#FF 209600 -�
W Expires April 16,2019 Signature of Notary Public
Banded Thr Troy Fein hl -O 8063&5.7019