600 STURDIVANT AVE ELECTRIC CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
r
ELECTRICAL PERMIT
MUST CALL BY 413M FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ELEC-1235
Job Type: ELECTRIC ONLY
Description: PANEL CHANGE 1 OOAMPS 240 VOLTS 1 PH 0612
Estimated Value:
Issue Date: 5/27/2015
Expira ion Date: 11/23/2015
PROPERTY ADDRESS:
Address: 600 STURDIVANT AVE
RE Number: 170669-0050
PROPERTY OWNER:
Name: MCWHI RTER ET AL, LYNN
Address: 13791 WINGFIELD PL
GENERAL CONTRACrOR 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 Repairs $35.00
Trade Permit Base Fee $55.00
Total Payments: $94.00
PERJuIT 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
JOB ADDRESS: tol 7, PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS _tQQ__AMPS _,4V VOLTS PHASE
VALUEOFWORKI 490
r
NEW SERVICE El Overhead Underground E3 Underground up Pole
Residential(Main)Service
0-100 amps �1101-150atnps 151-200amps amps #of Meters
Commercial(Main) Service
10-100 amps 101-150amps 15 1-200amps amps CT Service_amps
Conductor Type Size
Multi-Family(Main)Service
0-100 amps '101-150amps 151-200amps —amps 4 of Unit Meters
Temporary Pole i i amps
SERVICE UPGRADE amps CT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
.100amps ' 150amps ! 200amps -arrups '.CT Service—amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 3 1-1 00amps —101-200amps
Appliances: 0-30amps 3 1-1 00amps —101-200amps
A/C Circuits: 0-60amps 6 1-1 00amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
Swimming Pool - Sign -Smoke Detectors_Qty �Transfortners KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty_volts/amps_ VALUE OF WORKS
REPAIRS/MISCELLANEOUS
Replace Burnt/Darnaged Meter Can JSafety Inspection P<anel Change OH to UG
Other:
permit becomes void if work does not comme.ce within a six month period or work is suspended or abandoned for six months, I hereby certify that I have
=it this application and know the same to he true and correct. All provisions of laws and rardinances governing this work will be complied with whether
specified or not. The permit does not give authority to violate the provisions of my other state or local law regulation construction or the performance of
crou,bu.tion.
Property Owners Name &")L4 M Phone Number
Electrical Company ay-, a- a9z Office Phone 10-Y�-6f 4x WAf 7
Co. Address: IM 5j 7(k) City -�&
4�1� State_MZip
License Holder(Print): R1 qkv-4 ACI-to- State Certification/Registration#/--Zj3003*2
Notarized Sizinature older
" *11�4 S
DON TAYLOR
My COMMISSION#EE874677 rn ana�subscribedbefture_me this _IQ
worn -,Jta�hdayof M2 ,Lf 20 t5
EXPIRES Februinv 13.2017 Signature of Notary P6h�
MY-26-20is 16:36 From:9048996e27 Paq�:2 2
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
Ph(904)247-5826 Fax (904)247-5845
JOB ADDRESS. 1017, 47-6 1&A Lft-tr PERMIT
123
JEA INFORMATION REQUIRED ON ALL PERMITS _Jpp AMPS _L:�AVOLTS PHASE
60
VALUE OF WORKS.
NEwSERYICE 0 overhead Underground C3 Underground up Pole
Residential(Main)Seff ice
'.0-100 amps 101-1503mps 7 151-200amps amps is of Meters
jcOmmencial(Main)Service
: 0-100amps -101-150amps 151-200amps —amps CT Service—amps
Conductor Type sin
-Multi-Fartally(Main)Service
. 0-100 amps �101-150amps 151-200amps —amps of Unit Meters
' Tempor2iryPole —amps
SERVICE UPGRADE -----AMPS CT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCT(IRES,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: _____P-30amps 3 1-1 00amps —101-200amps
AIC Circuits: —0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures: _
OTHER ELECTRICAL PROJECTS rs_Qty �Transfbrmers_KVA motors hp
,SwimmingPool i Sign -SmokeDetecto
FIRE ALARM SYSTEM (Requires 3 Sets Of Plans) VALUE OF WORK S_
Qty—volts/amps—
REPAIRS/mISCELLANEOUS
Replace Bumt/Damaged Meter Can -)Safety Inspection )(Mel Change OH to UG
Other:
Permit becomosvoid irwork does not commerce within a six month per*lod or work Is"pcndod or abandoned for six month$ I hereby certify that 1 have
mad this application and know the same lo be trae and correct, All provisions of laws and ordirianoes governing this v,ork will be complied with whether
specificd or nol. The permit d=not give allthodty to violate the provisions of any othcr state or local ja��rojitilaiton construction or the performance of
construction.
Property Owners Name &N Phone Number 40/12
Electrical Company 00f;at,� 67a —Office phone f—ey"PR ax
Co. Addmess: city state-Mzip
License Holder(Print): e ia.- State Certification/Registration 0 6Zd3293V1r7
or leezo
N.�IarlZxd Si nature older
I
DONNAr D 7TAYLOR _b5_
__-iS_ M(2 ,Lj 20
,,,%h5s*N0EEff74sn Swom and subscribed e this day of
olit
Dosi"A D Tik��
ilo(PiRES FabecVVY 13.2017 Signature of Notary P
in
sno
'y _0 5
'M
5 PRFS�erbeoa'y'3 207
_X
MAY-26-2015 16:36 From:904B996827 Page:112
FAX TRANSMITTAL FORM
DATE:
May26,2015
FAX #:
904-247-5845
TO:
CITY OF ATLANTIC BEACH BUILDING DEPT.
FROM[i
Ricbard Bella
Watson Electric
EC 13003477
Watson Electric
4456 Suobeam Rd. Suite 200
JACKSONVILLE,FL 32257
FAX 4; (904) 899-6827 PHONE#: (904) 899-6837
TRANSMnTAL CONSI=OF THIS COVER SHEET AND—I–PA GEM
COMMENTS:
Thank You, �Ic
NOTICE: THIS MESSAGE 15 INTENDED ONLY FOR T14E USE OF THE INDIVIDUAL ENTITY TO WHICH [T 19
ADDRESSED AND MAY CONTAIN INFOWATION THAT IS PRIVILEGED, CONFIDENTIAL, AND EXEMPT FROM
DISCLOSURE UNDER APPLICABLE LAW. IF THE READER OF T141S MESSAGE IS NOT THE IN19NDED RECIPIENT,OR
THE EMPLOYEE OR AGE14T RESPONSIBLE FOR DELIVERING THE MESSAGE TO THE INTENDED RECIPIENT,YOU
ARE HEREBY NOTIFIED THAT ANY DISSEMINATION,DISTRIBUTION OR COPYING OF THIS COMMUNICATION IS
STRICTLY PROHIBITED IF YOU HAVE EfCCIVED THIS COMMUNICATION IN ERROR. PLEA55 NaIlEX-a-Al
WAII MAINTE�IANC�§ERVICE$,INC.(904)899,6940,