1833 N Sherry Dr elec �s CITY OF ATLANTIC BEACH
SJ 800 SEMINOLE ROAD
r ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
., ~WJF31�r
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 _
JOB INFORMATION:
Job ID: 15-ELEC-1462
Job Type: ELECTRIC ONLY
Description: 23 elec fixtures
Estimated Value:
Issue Date: 6/22/2015
Expiration Date_ 12/19/2015 — -------- - ----
PROPERTY ADDRESS:
Address: 1833 N SHERRY DR
RE Number: 172020-0786 -___--------
PROPERTY OWNER:
Name: GETSY, STEPHEN JEFF & DENISE,
Address: 1833 N SHERRY DR------
GENERAL
R-- --GENERAL CONTRACTOR INFORMATION:
Name: INTEGRITY FIRST ELECTRIC CO
Address: 116 SEAGRAPE DR WALTER HAYNES
Phone:
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Lighting Outlets, Including Fixtures $13.80
Trade Permit Base Fee $55.00
Total Payments: $72.80
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH '
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax(904)247-5845
.TOB ADDRESS: � � 33 � ��e��� �►^�� _PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS2 =AMPS VOLTS
PHASE
VALUE OF WORK$ Sc x»
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
❑Residential(Main) Service ams #of Meters
[10-100 amps ❑101-150amps ❑151-200amps ❑ p
❑Commercial(Main)Service ams 0 C Service amps
00-100 amps ❑101-150amps ❑151-200amps ❑ p
Conductor Type Size
[]Multi-Family(Main)Service s #of Unit Meters
❑0-100 amps ❑101-150amps 11151-200amps ❑ amP
❑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.
s
Outlets/Switches: �_0-30amps 2 31-100amps 101-200amps
Appliances: 2 0-30amps x_31-100amps p
A/C Circuits: 0-60amps 61-100amps
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) VALUE OF WORK$
Qty volts/amps
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection []Panel Change 0 O to UG
[]Other: 2eWtaa/t �cr�t�u-+ 04•
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.
Phone Number
Property Owners Name
Office Phone 2 YG-(�!r/3 Fax
Electrical Company �I-✓t��p Ij d "r} -z
t i City �X 13c(� State�Zip z�r
Co.Address: 72 a- t e S'
#LEI�OCJ�3�
License Holder(Print): � w.-)
'fication/Registration
Notarized Signature of License&lder
efore me this �- day f
oOr"Ye. Notary Public State of Florida
Shirley L Graham Signature of Notary P blic
R=
c o` My Commission FF 086990
�'FosM1oS Expires 02/14/2018