513 Aquatic Dr 2015 safety elec JS r ✓J,�
CITY OF ATLANTIC BEACH
Ss1
f 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-1408
Job Type: ELECTRIC ONLY
Description: safety inspection
Estimated Value:
Issue Date: 6/16/2015
Expiration Date: 12/13/2015
PROPERTY ADDRESS:
Address: 513 AQUATIC DR
RE Number: 171818-5316
PROPERTY OWNER:
Name: ATNIP, DOLORES M
Address: 513 AQUATIC DR
GENERAL CONTRACTOR INFORMATION:
Name: OCEAN ELECTRICAL CO., INC.
Address: P O BOX 50737 QA RICHARD OW
EN PEVERILL
_ 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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach,FL 32233
Ph(904) 247-5826 Fax(904)247-5845
JOB ADDRESS:Si 3 CDU - ��V� PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 7Z�oAMI'S F VOLTS
PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
❑Residential(Main)Service ams #of Meters
00-100 amps ❑101-150amps ❑151-200amps ❑ P
❑Commercial(Main)Service ams OCT Service amps
00-100 amps ❑101-150amps ❑151-200amps ElP
Conductor Type Size
❑Multi-Family(Main)Service #of Unit Meters
00-100 amps 11101-150amps ❑151-200amps LI-amps
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 0200amps ❑ amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-l 00amps ps
101-101
Appliances: 0-30amps 31-100amps p
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS ❑Transformers KVA ❑Motors hp
❑Swimming Pool ❑ Sign ❑Smoke Detectors_Qty
FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK$
Qty volts/amps
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Canafety Inspection El Panel Change ❑OH to UG
[]Other: for
x months. I hereby
is suspended or abandoned
Permit becomes void if work does he same to be true andsn a six month coffeod or work
e All p ovisions of laws and ordinances governing this lwork will be complied with whether that I e
read this application and know
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 o
construction.
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Property Owners Name Far '31��j
Office Phond
Electrical Company333
Co.Address:c;?
S�� City ,7 Stat Zip
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: R, -e`i� State Certification/Registration# �30VdZ
License Holder(Print):
Notarized Signature o LicensJH
rAMES L.GRIZZA _day of ffA-+N� 20ore me this Notary Public-State of:My Comm.Expires Sep nature of Notary Public
Commission #EE 10FOf;` Bonded Through National No
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