2068 VELA NORTE CIR - ELECTRIC ,
:_-)- ' Is, CITY OF ATLANTIC BEACH
f 800 SEMINOLE ROAD
'J - •n1 :aeA r
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
30B INFORMATION:
Job ID: 15-ELEC-1676
Job Type: ELECTRIC ONLY
Description: RELOCATE ELECTRICAL FOR NEW SOFFITS. NEW CIRCUIT
Estimated Value:
Issue Date: 7/14/2015
Expiration Date: V10/2016
PROPERTY ADDRESS:
Address: 2068 VELA NORTE CIR
RE Number: 169506-1040
PROPERTY OWNER:
Name: MICKLE, MICHAEL S
Address: 2068 VELA NORTE CIR
GENERAL CONTRACTOR INFORMATION:
Name: SCOTT ELECTRIC, INC.
Address: 6347 POTTSBURG PLANTATION BLVD SCOTT SELLARS
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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904)247-5845
JOB ADDRESS: 2 o, V EL I t E PERMIT#
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JEA INFORMATION REQUIRED ON ALL PERMITS 20 0 AMPS 2-`k° VOLTS / PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead n Underground I IJ Underground up Pole
Residential(Main)Service
0-100 amps 101-150amps 0151-200amps amps #of Meters
:Commercial(Main)Service
0-100 amps 101-150amps 0151-200amps amps OCT Service amps
Conductor Type Size
:Multi-Family(Main)Service
00-100 amps :1101-150amps 0151-200amps 7 amps #of Unit Meters
C Temporary Pole = amps
SERVICE UPGRADE II] amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0 100 amps 1 150amps C 200amps = amps CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-3 Damps 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 0,Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$ COO
REPAIRS/MISCELLANEOUS
0 Replace Burnt/Damaged Meter Can ❑Safety Inspection =Panel Change :OH to UG
*Other: ge o(.M ek-c(- c-M., FOIL S or-F l TS 11) mVD ItuN) NeW CooV401) (,lam lr-
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. nnnn M n
Property Owners Name
1 i 11 k.E 1 Y l 1 c ..(E Phone Number
Electrical Company Et F,CT e1G � 1 tiJC < Office Phone*`, 2&�d ax
Co. Address: (03 L(f- PVi- •SPL#RW '?L4%i k7,al.3 LIJ.) . City L-ALYsbe.)d t Lti State /L Zip <3.W Aga.
License Holder(Print): .. v T r �Elm State Certification/Registration# 6 711 3O/ c9(
Notarized Signature of License Holder II
KELLY LULU S III and subscribed before me this __ day of I 20{�
`m Notary Public,State of Florida lMU
$ � `s Commission#FF 1005X" • • �:; I V
';•!o My comm.expires May 17,2018 ,
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