765 SABALO DR - ELECTRIC �S� CITY OF ATLANTIC BEACH
,� 800 SEMINOLE ROAD
J _ _: ATLANTIC BEACH, FL 32233
�� INSPECTION PHONE LINE 247-5814
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ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ELEC-1441
Job Type: ELECTRIC ONLY
Description: WWO WIRING FOR OUTDOOR KITCHEN
Estimated Value:
Issue Date: 6/19/2015
Expiration Date: 12/16/2015
PROPERTY ADDRESS:
Address: 765 SABALO DR
RE Number: 171303-0000
PROPERTY OWNER:
Name: WYLIE, MICHAEL
Address: 765 SABALO 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
Electrical Repairs $35.00
Trade Permit Base Fee $55.00
Electrical Repairs $35.00
Trade Permit Base Fee $55.00
Total Payments: $184.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
•
W `- / O ELECTRICAL PERMIT APPLICATION
Y� CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
Ph(904)247-5826 Fax (904)247-5845
JOB ADDRESS: 76,S 5 At a1-0 PERMIT# I "I
JEA INFORMATION REQUIRED ON ALL PERMITS 15 O AMPS ?if 0 VOLTS t PHASE
VALUE OF WORK S
NEW SERVICE ❑ Overhead ❑ Underground 1I Underground up Pole
❑Residential(Main)Service
00-100 amps ❑101-150amps ❑151-200amps L amps #of Meters
❑Commercial(Main)Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps ❑CT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
[10-100 amps D 101-150amps ❑151-200amps ❑ amps # of Unit Meters
❑Temporary Pole 0 amps
SERVICE UPGRADE D amps 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
D100 amps ❑150amps 0200amps D amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-3 Damps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign 7 Smoke Detectors_Qty Transformers KVA n Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑OH to UG
Other:
050,/,t 1.0%ILIA)c4 Co a. 0 JT Dem_ i ►fca 6-4
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
�- Phone Number
Electrical Company cR►.NKU).5' &ecn ,c 5&fit CE Office Phone -Y 9Z S Fax
Co.Address: P.O. S o Ic 5'437 City 13,1 $eN State ft Zip 3 ZZ YD
License Holder(Print):n''R1Zc A p i' State Certification/Registration# AR/30/?B9$
Notarized Signature of License Holder 43;
Befor e this of CIO 1 = 20 5
JENNIFER WALKER / LA)
:.: MY COMMISSION NFF011480 Signature of Notary Public �. 1
' EXPIRES:April 24,2017
.jf 4J IP Bonded Thru Newry Public Underwriters,