346 SARGO RD - ELECTRIC �i � CITY OF ATLANTIC BEACH
5 Ak i) 800 SEMINOLE ROAD
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
JOB INFORMATION:
Job ID: 15-ELEC-1684
Job Type: ELECTRIC ONLY
Description: ELECTRICAL - PUMP CIRCUIT
Estimated Value: $200.00
Issue Date: 7/15/2015
Expiration Date: 1/11/2016
PROPERTY ADDRESS:
Address: 346 SARGO RD
RE Number: 171686-0000
PROPERTY OWNER:
Name: ROOS, EUGENE A
Address: 346 SARGO RD
GENERAL CONTRACTOR INFORMATION:
Name: LIN'S ELECTRIC INC
Address: 3840 MAGILL RD QA VIRGIL LINDSEY RHODEN JR
P hone: - -
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: $94.00
PERMIT IS APPROVED ONI.V IN ACCORDANCE WITII AU. CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BtIILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904)247-5826 Fax(904)247-5845 15-E-Le -16 64-
JOB ADDRESS: 3eR, S ,t�,r c7 (KS. PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS Zno AMPS ?4() VOLTS / PHASE
VALUE OF WORK$ Z°J
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
❑Residential(Main)Service
00-100 amps 0101-150amps 0151-200amps 0 amps #of Meters
0 Commercial(Main)Service
00-100 amps 0101-150amps 0151-200amps O amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps 0101-150amps 0151-200amps O amps #of Unit Meters
0 Temporary Pole 0 amps
SERVICE UPGRADE 0 amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100 amps 0150amps 0 200amps 0 amps OCT 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
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change OOH to UG
Other: �w,�. -1�, (:✓` :.,-'t—'
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
onstruction. �y� c,��
?roperty Owners Name Qu o S Phone Number -GT/— 7 7
electrical Company n',5 �Lc I<- t�
LI u Office Phone S%'5 J3 '& Fax 90 q 693 �.114
7o.Address: 3)110 °o, ll 1t . City-14 State f Zip 32-
License Holder (Print): :��: ( <-:".hef V..44�. i tate C 'fication/Registration# Fit loo 13f 6• or
•Votar , ' zattit 4iit GfJbt i �o '' / .,J
on•a
Shirley L Graham
t. My Commission FF 086980 Bo- •re me this •ay • 20
or wg Expires 02/14/2018
a ature of Notary Public 1
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