1949 SEMINOLE RD 2015 ELEC CITY OF ATLANTIC BEACH
-+ 800 SEMINOLE ROAD
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
]OB INFORMATION:
Job ID: 15-ELEC-1664
Job Type: ELECTRIC ONLY
Description: reground elec service
Estimated Value:
Issue Date: 7/13/2015
Expiration Date: 1/9/2016 -
PROPERTY ADDRESS:
Address: 1949 SEMINOLE RD
RE Number: 169542-0516
PROPERTY OWNER:
Name: MAZUR, KAUNATH TERESA
Address: 1949 SEMINOLE RD
----- -----------------------------------------
GENERAL CONTRACTOR INFORMATION:
Name: AMERICAN ELECTRICAL CONTRACTOR
Address: 5065 ST AUGUSTINE RD APT 13 QA EARL W. FRICK
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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
From:9047371099 07/13/2015 12:18 #043 P.002/002
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
/y�"t(� Ph(904)247-5826 Fax(904) 247-5845
.TOB ADDRESS: I`� '(`1 �t r1U�F� IG.CI[ PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS orb O AMPS �VOLTS �_PHASE
VALUE OF WORK$ 1W. V C'
NEW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up Pole
Residential(Main)Service
0-100 amps .101-150amps !151-200ampsamps #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 amps101-150amps '15 l-200amps amps #of Unit Meters
''Temporary Pole '..-:_______.,amps
SERVICE UPGRADE amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps 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 61-100amps
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)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
-1Replace Burnt/Damaged Meter Can Safety Inspection !Panel 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 1 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 a Y QS"Ir Phone Number11
Electrical Company t(L1C1 tt WIf1 tt1A Office Phone91bq:!2�?V Faxj0+j�'1�
Co. Address: 5" ' ` low.
City �- J� State FL Zip
License Holder (Print): 1"[�h a ication/Registration# ���Lp"j t,V
Notarized Signature of License Holder
N�typdalcr
a Florida Sworn and subscribed bef, re me this �� day of c �` - 206
Anne M 0a100780
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