396 11TH ST ELECTRIC CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LIKE 247-5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXr DAY INSPECTION: 2,47-5814
JOBINFORMATION:
Job ID: 15-ELEC-1110
Job Type: ELECTRIC ONLY
De�iption: SWIMMING POOL
Estimated Value:
Issue Date: 5/13/2015
Expiration Date: 11/912015
PROPERTY ADDRESS:
Address: 396 11TH ST
RE Number: None
GENERAL CONTRACrOR INFORMATION:
Name: ERICKSON ELECTRICAL CONTRACTOR
Address: 2807STJOHNS OA FRANK W ERICKSON
Phone:
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
SvAmming Pools $40�00
Trade PernUt Base Fee $55.00
Total Payments: $99.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Frorl BUILDING CONTRACTORS INC 904 241 0326 05/12/2015 10:10 #086 P.0011001
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904)247-5845
JOB ADDRESS: '��yf &6 a
—PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS Amps VOLTS PHASE
VALUE OF wORK
NEW SERVICE 0 Overhead Underground Underground up Pole
I lResidential (Main)Service
LIO-100 amps 11101-150amps, ' I 151-200amps amps #of Meters
11COmmeTeiRl(Main)Service
DO-100 amps U101-150anips; 1151-200amp, mps _lCT Service
Conductor Type Sim amps
nmulti-Flunfly(91-in)—Service —
00-100 amps nIOI-150amps 11 151-200amp,
I 11'empurary pole tj—amps __11"ps #of Unit Meters
SERVICE UPGRADE Lj----amps iJ CT Service.amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100amPs' 0150amps 0200amps n amps "ICT Service amps
L
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 01-30amps 31-100amps 101-200amps
Appliances: _____0-30amps _31-100amps
A/C Circuits: —____0-60amps _61-100amps 101-200amps
Heat Circuits: # circuits (6---
kw
Number of Lighting Outlets, Including Fixtures:
OTHEWECTRICAL PROJECTS
VSwimmingPml r] Sign ElSmokcDct=oms_Qty FlTransformers.l(VA FiMotou.hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty—volts/amps— VALUE OF WORK
;UKPAIRS/MISCELLANEOUS
n Replace BumttDamaged Meter Can 12Safety Inspection PPariel Change 11OH to UG
UOther:
-mit beconces,.id if work does not commerce within a six—MM
sad this application and know the sarre to be hoe and c th pm is is Suspended or abandoned for six too 'he"
pm= de I h -b _7' I he-
PeCilod Or not. The pconnit d carect. All szrts and ordinances gove,ring this work nwill be=pyed with.heth.
onstructiosc. on not,give authori I ty to violate the pmisions of MY other state or local law regulation consloscrion or the perlionornoce of
roperty Owners Name Phone NumbcrVA__P-110
lectrical Company 0 If FaxyALD3W
Office Phone
o. Address: Zeq) City State K__ zip
icense Holder (Print) State Certification/Registration #EC--- tzV
'otorizedSignantre ofLicense Hold,,