1805 SEVILLA BLVD - ELECTRIC 11 FIXTURES N \SA CITY OF ATLANTIC BEACH
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4 800 SEMINOLE ROAD
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—.01119 ATLANTIC BEACH, FL 32233
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INSPECTION PHONE LINE 247-5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ELEC-1779
Job Type: ELECTRIC ONLY
Description: ELECTRICAL- 11 FIXTURES
Estimated Value:
Issue Date: 7/24/2015
Expiration Date: 1/20/2016
PROPERTY ADDRESS:
Address: 1805 SEVILLA BLVD
RE Number: LOC ID-0000
GENERAL CONTRACTOR INFORMATION:
Name: ELECTRIC PLUS
Address: 5358 LOSCO RD QA WILLIAM SHREWSBURY
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: $94.00
PERMIT APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
'BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233 p �Q I-73
Ph (904) 247-5826 Fax (904) 247-5845 t 5— GL-
JOB ADDRESS: ` O S 5 e V H q 0 Vo PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS ", LCCc AMPS LtS) VOLTS I PHASE
VALUE OF WORK$ ((CO
NEW SERVICE ❑ Overhead 0 Underground I b Underground up Pole
Residential(Main) Service
• '0-100 amps 101-150amps 151-200amps 1 . amps #of Meters
I:Commercial(Main)Service
00-100 amps 101-150amps 1151-200amps amps ICT Service amps
Conductor Type Size
'Multi-Family(Main)Service
0-100 amps 101-150amps 'l 151-200amps 1 amps #of Unit Meters
Temporary Pole amps
SERVICE UPGRADE L amps ' 1 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.)
_-100 amps l 50amps 1200amps 1.1 amps i '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 IT Sign H Smoke Detectors Qty L:Transformers KVA I Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans) ac-'
Qty volts/amps VALUE OF WORK s 7oc)
REPAIRS/MISCELLANEOUS
;Replace Burnt/Damaged Meter Can i ;Safety Inspection iPanel Change 10H to UG
_]Other: c—V i t i v - ci>L9i3- c.et16n9 Cul5 1 —OU 'StC,t- Li-S A - tn5tae1..4 If
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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.
?roperty Owners Name , , (V►il Sri _t d Pff(� Phone Number 703- 6 1C--= 3 F3q
31ectrical Company_ l C C+t 1 C P L U S .1-1A , Office Phone F13-P J Fax
:o. Address: 11 / C( La 1<.-=, el v PP Rot , City dux_ State q Zip-3 -,57
.icense Holder (Print): . I r Imo,, `� tate Certification/Registration# E. (-so / 3c7
Vot, i •, ',f , , • , ',• • • • : der J.kI I I • VA /
Notary Public State of Florida
, . Shirley L Graham :efore me this day . /r �� 20 _
-.oLo` My Commission FF 086990 AK
.: E.,t���es o2n4l2018 •ignature of Notary P : ' �J _ Ilk