701 BEACH AVE ELEC FOR ELEVATOR CITY OF ATLANTIC BEACH
J 800 SEMINOLE ROAD
r� ATLANTIC BEACH, FL 32233
O INSPECTION PHONE LINE 247-5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 _. _--
308 INFORMATION: 15-ELEC-1880
Job ID:
Job Type: ELECTRIC ONLY
Description: REWIRE ELEVATOR FOR COMPLEX
Estimated Value:
Issue Date: 8/10/2015
Expiration Date: 2/6/2016
PROPERTY ADDRESS: 701 BEACH AVE
Address:
RE Number: None
GENERAL CONTRACTOR INF A M TIO E ELECTRICAL CTR INC.
Name:
Address: P O BOX 550617 QA JAMES L. WILLIAM
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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
V ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904)247-5826 Fax (904) 247-5845
JOB ADDRESS: l� ��e-0 PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS _/,?,�)�AMPS VOLTS PHASE
a�
VALUE OF WORK$�Dl�
NEW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up Pole
❑Residential(Main) Service
❑0-100 amps ❑101-150amps El151-200amps ❑ amps #of Meters
❑Commercial (Main)Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps ❑CT Service amps
Conductor Type Size
❑Multi-Family(Main) Service amps #of Unit Meters
❑0-100 amps a 101-150amps El151-200amps ❑
❑Temporary Pole []-amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑'150amps ❑200amps amps DCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: ___L__0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: I 0-60amps 61-100amps
Heat Circuits: # circuits @ kms'
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& Fire Alarm Checklist) VALUE OF WORK
Qty volts/amps
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can El Safety Inspection []Panel Change DOH to UG
Wither:
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 �A a 0.'m
Phone Number
^ eq Q Office Phone �,L -Z Fax "
Electrical Company
77K City�aclise.. dal State Zip
Co.Address: ,
License Holder (Print): L,49-111;47; L 1e�AdlS State Certification/Registration#
No ri , ,I naturc Ws�t
ense r u L�
Notary Public ate of Florld orn and subscribed before me day of 20
Commission#FF 230355
Aly Comm.Expires Jun t,201 n
MMflfMtlollri NaMottsl ature of Notary Public