155 LEVY RD - ELECTRIC SIGN 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
JOB INFORMATION:
Job ID: 15-ELEC-1414
Job Type: ELECTRIC ONLY
Description: ELC FOR SIGN
Estimated Value:
Issue Date: 6/16/2015
Expiration Date: 12/13/2015
PROPERTY ADDRESS:
Address: 155 LEVY RD
RE Number: 172332-0100
PROPERTY OWNER:
Name: CERQUEIRA, ATTILIO& CATHERIN,
Address: 25 W 6TH ST
GENERAL CONTRACTOR INFORMATION:
Name: MCCLURE ELECTRICAL CONTRACTORS
Address: 537 N 5TH AVE QA ROBERT MCCLURE, JR
Phone: 904-249-9061
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Electrical Sign $35.00
Trade Permit Base Fee $55.00
Total Payments: $94.00
PERAII IIS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC REACH ORDINANCES AND THE FLORIDA
BUILDING CODES
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
Ph(904)2/47-5826 Fax(904)247-5845
JOB ADDRESS: \SS N \—. " ��
1�-o r--o PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS ZOO AMPS ?-'SO VOLTS 3 PHASE
VALUE OF WORKS
NEW SERVICE ❑ Overhead ❑ Underground ❑J Underground up Pole
LlResidential(Main)Service
0-100 amps ❑101-150amps ❑151-200amps L amps #of Meters
L1 Commercial(Main)Service
E10-100amps D101-150amps 0151-200amps I . amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
110-100maps ❑101-150amps ❑151-200amps L amps #of Unit Meters
❑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 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL�JECTS
❑Swimming Pool Sign ❑Smoke Detectors_Qty ETransformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORKS
REPAIRS/MISCELLANEOUS
❑Replace Bumt/Damaged Meter Can [I Safety Inspection ❑Panel Change ❑OH to UG
❑Other: \rio..to l- S[-/lha�r4 C %ac 4 -" S 1 GNrr6E
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 time 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 1 Phone Number
Electrical Company�c�-`-"wacrl Office Phone 23.1-41e ( Fax
Co.Address: City State_Zip
License Holder(Print): (2-- W c-L-ne State Certi I egistmtion# IF-IL-o-9191\8
Notarized Signature of License Holder
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