19 N SARATOGA CIR - ELECTRIC A 41
sA CITY OF ATLANTIC BEACH
- ... . A V 800 SEMINOLE ROAD
=5;? ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
.1.4/
—0111Y
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ELEC-1593
Job Type: ELECTRIC ONLY
Description: 12 outlets elec
Estimated Value:
Issue Date: 7/6/2015
Expiration Date: 1/2/2016
PROPERTY ADDRESS:
Address: 19 N SARATOGA CIR
RE Number: 171792-0000
PROPERTY OWNER:
Name: BRANDT NOBUKO B ESTATE, *
Address: POST OFFICE BOX 7239
GENERAL CONTRACTOR INFORMATION:
Name: HAPPY CAT ELECTRIC INC.
Address: 3787 CATANIA PL JACKSONVILLE, FL
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Lighting Outlets, Including Fixtures $7.20
Trade Permit Base Fee $55.00
Total Payments: $66.20
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH All. CITY OF ATLANTIC BEACH ORDINANCES AND Tim FLORIDA
BUILDING CODES.
'/02/15 04 : 52AM PDT Happy Cat Electric -> City Of Atlantic Beach 19042475845 Pg
•
ELECTRICAL PERMIT APPLICATION /5' 6ff
CITY OF ATLANTIC BEACH 9
800 Seminole Rd, Atlantic Beach, FL 32233 /�
Ph (904) 247-5826 Fax (904) 247-5845 3
OR ADDRESS: 4 S ir.:\-e C.;f c\G hl 0 f te, PERMIT#
EA INFORMATION REQUIRED ON ALL PERMITS 1 S b AMPS 2-40 VOLTS 1 PHASE
VALUE OF WORK$J 6 00, 6 t)
IEW SERVICE ❑ Overhead ❑ Underground EIT Underground up Pole
C Residential (Main) Service
E0-100 amps J 101-150amps L 151-200amps amps #of Meters
0 Commercial(Main) Service
00-100 amps i 101.150amps [7151-200amps C amps =CT Service amps
Conductor Type_ Size
:Multi-Family(Main)Service
JO-100 amps J 101-150amps L 151-200amps amps #of Unit Meters
CTemporary Pole 0 amps
SERVICE UPGRADE amps =.: CT Service amps
■IEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
C 100 amps 0150amps r•200amps amps L:CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: q 0-3 Oamps 31.100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits (a, kw
Number of Lighting Outlets, Including Fixtures: e
OTHER ELECTRICAL PROJECTS
USwimming Pool ❑ Sign C Smoke Detectors_Qty ❑Transformers KVA .Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORE$
REPAIRS/MISCELLANEOUS
:Replace Burnt/Damaged Meter Can 'Safety Inspection ❑Panel Change UGH to UG
DOther:
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 Names L�..,► Phone Number t •
Electrical Company Il: ►c Office Phone li L -Mist( Fax tr+-$o
Co.Address: . 3 7_ 1 Ce s.#.. P(*.cc City 3Ack.semd lie State let Zip 3 t c c K
License Holder(Print): (.•L 4+.A seArk..0 State Certification/Registration#.c oeoli*r
Notarized Signature of License Holder
ANGELICA SAN MIGUEL Sworn and subscribed before m- is Z^ : day • 20)C
NOTARY PUBLIC-STATE OF FLORIDA
�y � ?7190 Signature of Notary Public
° 01_x,