2250 N FAIRWAY VILLAS LN - ELECTRIC -_)" : si‘ CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
9 7
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-1439
Job Type: ELECTRIC ONLY
Description: ELECTRICAL SAFETY 100AMPS 240VOLTS, 1PH
Estimated Value:
Issue Date: 6/18/2015
Expiration Date: 12/15/2015
PROPERTY ADDRESS:
Address: 2250 N FAIRWAY VILLAS LN
RE Number: 169398-1112
PROPERTY OWNER:
Name: RESIDENTIAL CREDIT OPPORT TRST, *
Address: 2999 WESTMINSTER AVE STE 265
GENERAL CONTRACTOR INFORMATION:
Name: ALL SERVICE ELEC GROUP
Address: 1556 WHITLOCK AVE JOSEPH SULLIVAN/RICHARD
SPEAKE
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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: c 'PO 7/0/4/}/..9y ti//415- LA) PERMIT#
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JEA INFORMATION REQUIRED ON ALL PERMITS P 0 AMPS .2 ((° VOLTS / PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead n Underground nJ Underground up Pole
Residential (Main) Service
0-100 amps !_!101-150amps 151-200amps amps # of Meters
Commercial(Main) Service
0-100 amps 101-150amps '151-200amps amps CT Service amps
Conductor Type Size
Multi-Family(Main)Service
0-100 amps 101-150amps 151-200amps amps # of Unit Meters
Temporary Pole amps
SERVICE UPGRADE amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps _i 150amps 200amps amps CT 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-I00amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
Swimming Pool Sign -Smoke Detectors_Qty 'Transformers KVA 'Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans) � c�
Qty volts/amps VALUE OF WORK$ p U/
I REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can XSafety Inspection Panel Change OH to UG
L_ Other:
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. ,/� l /` //`
Property Owners Name J p/i /z-6-/ Ty Phone Number W.?4" 5-0 5
Electrical Company f/(.--c e /t C 6/G /6 634,04 Office Phone V - ...30/ Fax 7 Vc V"
Co. Address:/rr ro it.) /le-De '91/G City UQ11UI//6 State Zipf2all1
License Holder(Print): 3G,ctfi/r . A GL State Certification/Registration#e000 /b 76
Notarized Signature afLicenneII der /
c`"'� r M.SPEAKER U n� 20 _)
_'°,_:.;�,;. :;tale of Florida S"rnAnd subscribed be ,L . is MICHELE M aREACI~R
/ 4rNit, 1 Notary Public-State i I r l,+ iif� .'., ices Nov 8,2016''%;�F ;,. #EE 843836 S1gnQtUre of Notary Publ .o_ .: My Comm.Expires f: % t; ?',t o
cF` Commission#EE 043836 S92 r