761 CAVALLA ELEC `s 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
]OB INFORMATION:
Job ID: 14-ELEC-577
Job Type: ELECTRIC ONLY
Description: 60 amp spa
Estimated Value:
Issue Date: 5/12/2015
Expiration Date: 11/8/2015
PROPERTY ADDRESS:
Address: 761 CAVALLA RD
RE Number: 171347-0000
PROPERTY OWNER:
Name: EDWARDS, THERES ELAINE
Address: 761 CAVALLA
GENERAL CONTRACTOR INFORMATION:
Name: OCEAN ELECTRICAL CO., INC.
Address: P O BOX 50737 QA RICHARD OWEN PEVERILL
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Switch Outlets $0.60
Trade Permit Base Fee $55.00
Total Payments: $59.60
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMTr APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233 l
Ph(904)247-5826 Fax(904) 247-584.5 �1
n /
JOB ADDRESS" C/3y'4!!q �� PERT#
NEW SERVICE ❑Overhead ❑ Underground ❑Underground up Pole
❑Residential(Main) Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main) Service
00-100 amps 0101-150amps 0151-200amps 0 amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main) Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE 0 amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps ❑200amps ❑ amps ❑CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
AIC Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number (.f Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign ❑Smoke Detectors Qty ❑Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans &Fire Alarm Checklist)
Qty T volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change OOH to UG
❑Other:
Permit becomes void if work does not commence w0in 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 corrct. 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 �rQ�$<3 .�iz�S Phone Number
Electrical Company 0�'��4/7 �2 E2�QG�3 l ��� /ISG Office-2"Phone ���� Fa�(/5?- 1�
Co.Address: a AS-:---7 114al- 'PT City '-�X State
License Holder(Print): State Certification/Registration# CC/,3Q6�Ul57L
Notarized Signature of License Holder
.• ""$,,, JAMES 1.6RIZZARO worn'and subscribed before 's _._day of c twice 20
o
Notary Public-State of Florida
• My Comm.Expires Sep-1
2415 ignature of Notary Public
SPS, Commission#EE 100515
��'•° >`• Bonded Through National Notary Assn. /