355 6TH ST ELEC SUB PANEL � CITY OF ATLANTIC BEACH
s f 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ELEC-1848
Job Type: ELECTRIC ONLY
Description: sub panel 20 amps
Estimated Value:
Issue Date: 8/5/2015
Expiration Date: 2/1/2016
PROPERTY ADDRESS:
Address: 355 6TH ST
RE Number: 169898-0000
PROPERTY OWNER:
Name: HUNTER, MAUREEN E
Address: 2747 FALCON VIEW CT
GENERAL CONTRACTOR INFORMATION:
Name: ERICKSON ELECTRICAL CONTRACTOR
Address: 2807 ST JOHNS QA FRANK W ERICKSON
_
Phone: 904-735-9271
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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
From:BOSCO BUILDING CONTRACTORS INC 804 241 0326 07/31/2015 07: 16 #166 P.001/001
ELECTRICAL PERMIT APPLICATION LL
CITY OF ATLANTIC BEACH , VL
0 Seminole Rd Atlantic Beach
Y
80 , FL 32233
_ Ph(904) 247-5826 Fax (904) 24 -5845 I I
JOB ADDRESS: PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITSAMPS VOLTS I PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
❑Residential(Main)Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main) Service
710-100 amps ❑101-150amps O 151-200amps ❑ amps �'CT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps O 101-150amps ❑151-200amps LI-amps #of Unit Meters
-Temporary Pole ❑ amps
SERVICE UPGRADE []_____amps �J CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 0200amps ❑ 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 O Smoke Detectors_Qty ❑Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
ORP lace Burnt/Dama ed Meter Can OSafety Inspection ❑Panel hange OOH 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 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 Name Phone kuTb
r�
Electrical CompanyOffice Phon Faxt
Co. Address: City . State Zip
State Certification/Registration#R
License Holder (Print):
Notarized Signature of License Holder