1800 SEVILLA BLVD ELECTRIC S�LJlji�
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-1101
Job Type: ELECTRIC ONLY
Description: aluiconn connects and repairs rec room
Estimated Value:
Issue Date: 5/12/2015
Expiration Date: 11/8/2015
PROPERTY ADDRESS:
Address: 1800 SEVILLA BLVD
RE Number: 169399-0400
PROPERTY OWNER:
Name: SEVILLA CONDOMINIUM
Address: 1800 SEVILLA BLVD
GENERAL CONTRACTOR INFORMATION:
Name: VILANO ELECTRIC INC
Address: QA LAWRENCE APT CLARK QA LAWRENCE D CLARK
Phone: -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Electrical Repairs $35.00
Trade Permit Base Fee $55.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY HI 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: I SL?D SC--V 1 I I G (U`'j CI. -;0' PERMIT M
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 ❑101-150amps ❑151-200amps ❑ amps OCT Service amps
Conductor Type Size
❑Mufti-Family(Main)Service
00-100amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 0200amps ❑ amps ❑CT Service amps
ADDITIONS,REMODELS,REPAIIM BUH.D-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits (a) kw
Number of 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 volts/amps PALVEOFWOR%S �ec�
REPAIRS/MISCELLANEOUS
❑Replace Bumt/Damaged Meter Can ❑Safety inspection ❑Panel Change ❑OH to UG
❑Other: �.1\tv��\r'r� flf�� eboo w-" tz>rs 0A\v„e-. �"M U'• rQ,—
Permit becomes void if work does not commenec within a six month period or work is suspended or abandoned for six months. I hereby certifythat I have
read this application and know the same to be true and emrect Aa provisions oflaws and ordinances governing this work will be complied with whether
spenifiedornot. The permit does not give authorityin violate the provisions ofany other state or local law regulation construction/7orthe performance of
construction, nn �� p.c6ElL
Property Owners Na`me,.�C�l��c�.+ Corte kc' s Phone Number 3$3 - 0l3
Electrical Company V i IrMA C 1 e r-l&i c. ..Or-it Office Phone 1x41-CE3reA Fax L,41 9 2A£3
Co.Address:L 42f3/.>-19 ReArv, ( N"i 4s9L4 City State W— Zip3
Licaase Holder(Print): State Certification/Registration#E-00002cir lR
NgtarkedSignature ofLicense Holder
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?l"} m! CommissbnMFF083288 igoatureofNotary Public
Expires Febmary 27,2018
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