1545 MAIN ST ELECTRIC ?1�I1 lA
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
]OB INFORMATION:
Job ID: 15-ELEC-1315
Job Type: ELECTRIC ONLY
Description: #B, SAFETY INSPECTION, 150AMP, 120/208VOLT, 3PH
Estimated Value:
Issue Date: 6/4/2015
Expiration Date: 12/1/2015
PROPERTY ADDRESS:
Address: 1545 MAIN ST
RE Number: 172325-0000
PROPERTY OWNER:
Name: PAR PRO LTD
Address: P 0 BOX 330177
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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-58451I
JOB ADDRESS: PERMIT#
l
JEA INFORMATION REQUIRED ON ALL PERMITS 1 S 0 AMPS 20 w VOLTS 1 PHASE
VALUEOFWORK$ 'LSO
NEW SERVICE ❑ Overhead ❑ Underground D Underground up Pole
�❑Resi ential(Main)Service
00 amps ❑101-150amps ❑151-200amps []-----amps #of Meters
Commercial(Main)Se ce
❑0-100 amps 01-150amps ❑151-200amps ❑ amps ❑CT Service amps
Conductor Type C�m r Sim 7
❑Multi-Family(Main)Service
00-100 amps 0101-150amps 0151-200amps ❑ 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,REPAIRS,BUILD-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 ❑Motorshp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OFWORK$
REPAHIS/MISCELLANEOUS
❑Replace Bumt/Damaged Meter Can - afF3S ety Inspection []Panel Change ❑OH to UG
❑Other
Permit becomes void if work does out 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 true 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_ pcpi�r ,1 r��f, 1S a.r:c l Phone Number
^ 9UN • �.7�'�T��
Electrical Company 1 1Pn e./.o(c..1\ G ('cAf' Office Phone 90Y 30S(-,6 Fax
Co.Address: Co Lno'S 1e.l CT City ,iccrm,.. 'do State 1—L Zip 32-11Z-
License
2--12License Holder(Print): 61G, cov '/.' State ertification/Registration# CR13olYBl4
Notarized Signature of License Holder T
.vn!Y^., MINIFENWnRtia Before m> is day of V V V 20
WCONNISSIONOF0114BD
EXFIflE&qN 2017 Signature of Notary Public A
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