1973 SEMINOLE RD - ELECTRIC fr ;
s, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
•
j ATLANTIC BEACH, FL 32233
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INSPECTION PHONE LINE 247-5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ELEC-1448
Job Type: ELECTRIC ONLY
Description: INSTALL CIRCUIT FOR IRRG PUMP
Estimated Value:
Issue Date: 6/19/2015
Expiration Date: 12/16/2015
PROPERTY ADDRESS:
Address: 1973 SEMINOLE RD
RE Number: 169542-0504
PROPERTY OWNER:
Name: REEVE, JAMES & EILEEN, *
Address: 1973 SEMINOLE RD
GENERAL CONTRACTOR INFORMATION:
Name: FRANKLIN ELECTRIC SERVICE
Address: 4 TALLWOOD RD QA JARRETT ADAM FRANKLIN
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Switch Outlets $0.60
Trade Permit Base Fee $55.00
Total Payments: $59.60
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach,FL 32233
Ph (904) 247-5826 Fax(904)247-5845
JOB ADDRESS: 19 7 3 S eM t N®[,e- go s.0 PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS l AMPS /UJC VOLTS { PHASE
VALUE OF WORK S
NEW SERVICE ❑ Overhead ❑ Underground I Ii Underground up Pole
UResidential(Main)Service
0-100 amps ❑101-150amps ❑151-200amps u amps #of Meters
❑Commercial(Main)Service
0 0-1 00 amps D 101-150amps ❑151-200amps 0 amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
0 0-100 amps 0101-150amps ❑151-200amps ❑ amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps D 150amps 0200amps 0 amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign rl Smoke Detectors_Qty l iTransformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS El Change DOH to UG
0 Replace Burnt/Damaged Meter Can ❑Safety Inspection g
'F er: 1.05Thu- G few ir Fog ,�1lZI6krn0.v I uik 2
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 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 (.3.--A M e5 QETV Phone Number 711 ' 091-is
Electrical Company a.,Office Phone 6 21- Y9Z 5—Fax
Co. Address: 1- 0. k 51 Z3 7 City Sot-K_ gC14 State FL Zip 3 Z7,if
License Holder(Print): �e A.A.)lc u•J State Certification/Registration# L—AZ 13 013 6q 8
0 Notarized Signature of License Holder
'oy JENNIFERWAI.KER :efore me his I d, •f � 20 I
,., ,*. MY COMMISSION/FF Ot 1480
� EXPIRES.April 24,2017 ,1� (J�I 1
.�.�., Bondedma,r nPuwauade eis .ignatureofNotary Public A