1911 CREEKSIDE CIR - ELECTRIC CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
�+ ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NVIT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ELEC-1184
Job Type: ELECTRIC ONLY
Description: service upgrade 20 outlets
Estimated Value:
Issue Date: 5/28/2015
Expiration Date: 11/24/2015
PROPERTY ADDRESS:
Address: 1911 CREEKSIDE CIR
RE Number: 172020-1214
PROPERTY OWNER:
Name: OWENS ET AL, LAURI A
Address: 1911 CREEKSIDE CIR 1911 CREEKSIDE CIR
GENERAL CONTRACTOR INFORMATION:
Name: HAPPY CAT ELECTRIC INC.
Address: 3787 CATANIA PL JACKSONVILLE, FL
Phone: -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
New Single Family Electrical $10.00
Lighting Outlets, Including Fixtures $12.00
Trade Permit Base Fee $55.00
Total Payments: $81.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
i/18/15 03 :04PM PDT Happy Cat Electric Inc -> City Of Atlantic Beach 19042475845
{ 2/2
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845
OB ADDRESS: —19
I ( I C fee L";�G C .r 'le- PERMIT# 1S'RAPD-1
EA INFORMATION REQUIRED ON ALL PERMITS D O AMPS 7_4 O VOLTS -r- PHASE
VALUE OF WORKS 9 SP 0• o0
EW SERVICE ❑ Overhead ❑ Underground [2 Underground up Pole
LIResidential(Maio) Service
❑0.100 amps L 101.150amps L 1151-200amps fl amps # of Meters
C.Commercial(Main)Service
110.100 amps 1.1101-150amps CI151.200amps 0-amps UCT Service amps
Conductor Type Size
LIMuiti-Family (Main)Service
L10-100 amps a 101.150amps 11151.200amps L. amps # of Unit Meters
OTemporary Pok L amps
IERVICE UPGRADE X ZOO amps r! CT Service_amps
9EW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.)
100 amps LJ 150amps I. 200amps 1 amps r CT Service_amps
►DDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 2.00.30amps 31-IOOampa 101-200amps
Appliances: t__0-30amps Z 31-100affl 101.200amps
A/C Circuits: I 0-60amps 61.100amps
Heat Circuits: I # circuits (¢;_ 1e kw
Number of Lighting Outlets, Including Fixtures: 7MO
DITHER ELECTRICAL PROJECTS
LiSwimming Pool OSign LJ Smoke Detectors_Qty LTnnsfotmers KVA ❑Motors_hp
FIRE ALARM SYSTEM (Requires 3 sets of plana) VALUE OF WORICf
Qty`voltsiamps
REPAIRS/MISCELLANEOUS
LReplacei Burnt/Damaged Mader Can ❑Safety Inspection ❑Panel Change ❑OH to UG
❑Other:
Permit becomes void ilwatk dem not epmmenoe within a six month period or work is suspondod or abandoned for six months. I hamby oer ity that 1 have
reed this apokstlon and know the same to be nue and correct. All provtslons of laws and ordinances governing this work will be complied with whether
speeifred or not rhe permit dose not give authority to violate the provisions of my other state or local law Nsulation construction arthe perfomunea of
construction.
I
property Owners Name C nue it Phone Number TIO- 7SaPL
Electrical Coman N
P y._ va,. cf�;r.
. I Cwt Ele 7.... OflicePhone 'I10 . 4734 Fgxt34 • Sot
Co.Address. 3,787 Wnwlw P(atce City \ 4Jaet..rta State FI zip Snzvi
r r...,..Wnlder lPAetl: (Lsi(o llvi'ier State Certification/Registration# Kte�+^.
Notarized Signature of License Holder �q
ANGELICA SAN MIGUEL cc and subscribed before me this d of YI ail. - 20L
NOTARY PUBLIC•STATE OF FLOIB
COMMISSION N OO 9271 na reofNotary Public
MIT COMMISSION ExPIRES I ��