1464 SEMINOLE RD - ELECTRIC UPGRADE se..?
ss‘ CITY OF ATLANTIC BEACH
;-• A -
800 SEMINOLE ROAD
75;1 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-1890
Job Type: ELECTRIC ONLY
Description: ELECTRICAL - UPGRADE SERVICE
Estimated Value:
Issue Date: 8/7/2015
Expiration Date: 2/3/2016
PROPERTY ADDRESS:
Address: 1464 SEMINOLE RD
RE Number: 171954-0000
PROPERTY OWNER:
Name: SCHAFER JR, MAX EDWIN
Address: 1464 SEMINOLE RD
GENERAL CONTRACTOR INFORMATION:
Name: FRANKLIN ELECTRIC SERVICE
Address: 4 TALLWOOD RD QA JARRETT ADAM FRANKLIN
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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233 ( 5 —��EC -I g�
Ph (904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: ( y(L-1 • Eytn I ti C t-C= P-OAD PERMIT# I S-( AA JZ -)1,,
JEA INFORMATION REQUIRED ON ALL PERMITS I 0 0 AMPS -1„y n VOLTS I PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ,11! Underground ❑J Underground up Pole
Residential(Main) Service
0-100 amps 101-150amps 151-200amps amps #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 amps 101-150amps 151-200amps amps #of Unit Meters
Temporary Pole amps
SERVICE UPGRADE V., 200 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: 30 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 1 0-60amps 61-100amps
Heat Circuits: 1 # circuits @ 5 kw
Number of Lighting Outlets, Including Fixtures: J D
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 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 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 SG-IAc &)t. Phone Number
Electrical Company FQA;urA.) ge t:.i C s~t CF Office Phone (e'L I-t19Z S" Fax
Co. Address: P -3E x 5) 2 3 -] City 3A x. &l State I L Zip 322 •V CJ
License Holder (Print): LTA rz1zri CAAA")LUk) State Certification/Registration# C 12 i SDI 3p9g
Notarized Signature of License Holder �...y�--
:�Y:`..°... JENNIFER WALKER Before me this ` da of �V 20
IMP V,a■ :;_ MY COMMISSION tl FF 011480 7
Is,;,',":-....g: EXPIRES:April 24,2017. •L�s AJA
A. , .
.: Notary Signature of Notary Publi
pd'ft, Bonded Thru Note Public Underwrters