1741 SEMINOLE RD - ELECTRIC PANEL CHANGE (:::..i\:_,\.11:,..,.,
's, 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-1524
Job Type: ELECTRIC ONLY
Description: PANEL CHANGE 200AMP, 240VOLTS. 1PH
Estimated Value:
Issue Date: 6/25/2015
Expiration Date: 12/22/2015
PROPERTY ADDRESS:
Address: 1741 SEMINOLE RD
RE Number: 169640-0500
PROPERTY OWNER:
Name: SAPIA TRUST ET AL, PETER C
Address: 1655 SELVA MARINA DR
GENERAL CONTRACTOR INFORMATION:
Name: CRAWFORD ELECTRIC
Address: P 0 BOX 51045 QA JOHN ROBERT CRAWFORD III
Ph one: - - _
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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247-58826Q Fax (904) 247-5845
JOB ADDRESS: /7q/ c 1(�/� PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 26z? AMPS 9OVOLTS 1 PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead n Underground I v Underground up Pole
H Residential(Main) Service
I 10-100 amps 11101-150amps ❑151-200amps amps #of Meters
I .Commercial(Main) Service
-:0-100 amps 0101-150amps 0151-200amps I i amps CT Service amps
Conductor Type Size
iMulti-Family(Main)Service
=0-100 amps 101-150amps 0151-200amps E amps #of Unit Meters
Temporary Pole amps
SERVICE UPGRADE amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.)
-100 amps ! :150amps 1200amps 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 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
HSwimming Pool H Sign I Smoke Detectors Qty ❑Transformers KVA -7Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
H Replace Burnt/Damaged Meter Can i :Safety Inspection anel Change !_:OH to UG
❑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
-ead 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
pecified 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
;onstruction.
Property Owners Name ;r0.,(1 Phone Number q
Eilectrical Company CA .) L �Q(in` Office Phone 2`{I S?/ Fax 2-`f 1.-- Io 3 2
:o. Address: - ( L"vl t•(sL P-2,4 )2) City Nte• a , State PCZip 32a 6C
License Holder (Print): �U d,_ wd State Certification/Registration it (C /30c)(›Zt(41
Votarized Signature of License Holder /9 4( dari -
',MY'.y,�••. JENNIFER WALKER before me this 2� 'd f � �k- 1
4.,.. 4'''' MY COMMISSION It FF 011480 y
;w.. :a EXPIRES:April 24,2017 Signature of Notar Public
.' �°' Bonded Thru Notary Publw underwriters qr„c,,. Notary a:.y rt A ��