1375 OCEAN BLVD ELECTRIC CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
~j +� 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-1246
Job Type: ELECTRIC ONLY
Description: BATH REMODEL 5 FIXTURES
Estimated Value:
Issue Date: 5/27/2015
Expiration Date: 11/232015
PROPERTY ADDRESS:
Address: 1375 OCEAN BLVD
RE Number: 171645-0000
PROPERTY OWNER:
Name: MESIANO, MICHAEL AND SANDRA,
Address: 1375 OCEAN BLVD
GENERAL CONTRACTOR INFORMATION:
Name: FIRST CHOICE ELECTRIC INC
Address: 716 N VALLEY FORGE RD QA LAWRENCE DAVID THOMAS
Phone: -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Lighting Outlets, Including Fixtures $3.00
Trade Permit Base Fee $55.00
Total Payments: $62.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS: 13 7 5 O c.cc>rrJ PERMIT#
0
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORKS
NEW SERVICE ❑ Overhead ❑ Underground ❑I Underground up Pole
❑Residential(Main)Service
00-100 amps 0101-150amps ❑151-200amps ❑ amps of Meters
❑Commercial(Main)Service
00-100 amps 0101-150amps ❑151-200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
❑Temporary Pole amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100amps 0150amps 0200amps ❑ amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: __�r 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits(a3 kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign ❑Smoke Detectors Qty ❑Transformers KVA ❑Motorshp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Buurat'/1Damaged Meter Canl ❑Safety Inspection ❑Panel Change DOB to UG
ep❑Other: xe/
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 two 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 Phone Number
Electrical Company /F 12ST Cl ,I r�. )r "4� r , c Office Phone 241-133 I Fax
Co.Addmss:7 I /InJl�C ry Fo ra r. 2A t, City t- Pr pj .a Lj State fL_Zip 32266 License Holder(Print): 1 t�.fr...i ac.
.. 1�n ;.A]� State Certification/Registration /=
tion# C- 5 1 5
Not • lder �>
My couutissautPwlww Before me this_2�_day of
E%PIKES:Ppn124,201] �(—��2I AA0
Signature of Notary Public
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