398 SHERRY DR ELECTRIC CITY OF ATLANTIC BEACH
z 800 SEMINOLE ROAD
-" ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
$ U;319
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ELEC-511
Job Type: ELECTRIC ONLY
Description: PANEL CHANGE
Estimated Value:
Issue Date: 3/9/2015
Expiration Date: 9/5/2015
PROPERTY ADDRESS:
Address: 398 SHERRY DR
RE Number: 170483-0000
PROPERTY OWNER:
Name: EVANS,JOHN R LIVING TRUST,
Address: 14701 MARSHVIEW DR
GENERAL CONTRACTOR INFORMATION:
Name: BARKOSKIE ELECTRICAL SERVICE,
Address: 48 S PENMAN RD OA JAMES T. HUGHES
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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CFrY OF ATLANTIC BEACH ORDINANCES AND TRE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
g00 Seminole Rd,Atlantic Beach,FL 32233
22�J ��Ph(9004)247-5P16 (,04)247-5945
JOB ADDRESS*_8"'26 S/��F"y �2 ,�ERMfP#
JEA INFORMATION REQUIRED ON ALL PERMITS CAMPS !w VOLTS PHASE
VALUEOFWORK$
NEW SERVICE ❑ Overhead ❑ UndergroBd D Underground up Pok
Residential(Main)Service
0-100 amps 1101-150amps 1151-200amps i amps #of Meters_
Commercial(Main)Service
0-100 amps Ii101-I50amps 11151-200wnps amps ! -CT Service amps
Conductor Type Sia
Magi-Family(Main)Service
0-100 amps 11101-150amps : 1151-200amps amps #of Unit Meters
Temporary Pok 1 amps
SERVICE UPGRADE I amps i CTServiceamps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps ! 1150amps 200amps amps '.. CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS.ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps I0I-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60smps 61-100amps
Heat Circuits: #circuits(g kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
Swimming Pool l i Sign I iSmoke Deoectors_Qty I 'Tmnsfomlers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of phos)
Qty_vowamps VALUE OF WORK f
REPAIRS✓MISCELLANEOUS
Replace Bumt/Damaged Meter Can Safety Inspection -,Panel Change ON to UG
pinna becomes void if work does not rxrmrrrarm within a six month period or work is suspnded or abmdund for six months. I hereby cerafy tht 1 hve
rad this application and know the same to be true and cmrcct. All provisions of laws and ordinances governing this work will be complied with whether
specified or rmt. The pemrit does rwt give euthanty to violate the provisions of any other sole w local law regulation cer�im or the pmfomramha of
ephsWction.
Property OwnersNamef� E✓ 5 Phone Number - --
Electrical Company T�Y�i C f l O O�TIf Office Phone o •��..i�� Fax a yg
Co.Address: -P� / JU[J CuXJa ; Sed �'2) State EL Zip 322 C
I.ieeese Hodder(Print)- Jaw.. . State CerrificatiodRegistration# I-So o q-t512
0-4=�P
EBeff lannlrPaula-aura a How foremethis� of � -� 20NYC NN.xon Exaae Fra 10.2017caanw.im a EE s7zoss Signature ofNotary Public rwiNd TW"*Malone Wary Am.