604 TIMBER BRIDGE LN - ELECTRIC NEW SERVICE loop)
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* SA CITY OF ATLANTIC BEACH
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sl 800 SEMINOLE ROAD
73 til - - --44 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-1958
Job Type: ELECTRIC ONLY
Description: ELECTRICAL - NEW SERVICE 200 AMP, 240 VOLT
Estimated Value: $5,000.00
Issue Date: 8/18/2015
Expiration Date: 2/14/2016
PROPERTY ADDRESS:
Address: 604 TIMBER BRIDGE LN
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: GREENSLADE ELECTRIC, LLC
Address: 6 Reid PL
Phone: 386-263-2960
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
New Single Family Electrical $70.00
Trade Permit Base Fee $55.00
Total Payments: $129.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC REACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
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ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
6 0 800 Seminole Rd,Atlantic Beach,FL 32233 r I C
Ph(904)147-5826 r: x(904)247-5845 15 — GC_EC — `° 58
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.JEA INFORMATION REQUIRED ON ALL PERMITS A AMPS t./6 VOLTS / PHASE
VALUE OF WORK 3, 500b
NEW SERVICE,, ❑Overhead Indergrourid Underground up Pole
Renidenlud(Main)Service
0-i00amps •101-15Uanips •^151-•200umps " .__--__amps uof Meters
Glmmert(al(Main)Service
0-Il)0amps 101-i50ampc --151=200umps - amps - CT Service _amps
:i1i 1 :ur Tvpc S1ZC �,.. ..
Multi-rntnily(Moils)5ervice
11-MI),unps "" tOAamps -•(S1-200amps __amps St ofUnIt Meters__.__
*Temporary Polo.• _ 7175
SERVICE(IPGRADF. • amps •CT Service amps
NEW F EEDE,R(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
ion amps 1 SUamps 20onmps • imps CT Service__amps
ADDITIONS.REMODELS.REPAIRS.BUILD-OUTS,ACCESSORY STRUCTURES,ETC. •
Iludcls/Switches: 0-30amps 3t-10(lamps +_ 101-200emps
Aopli,rnccs: 0-30amps _ 3J.-L00anrps •-__101-2U0amps
Art:Circuits: u-tibnmps 61-IOOnmps
Iles(Circuits; __ fl circuits(y__kw
Numbri nI Light l ug r1u1101s,Including Fixtures:
OTHER ELECTRICAL PROJECTS
5winuuing pool • Sign --Smoke Ueteciors_Qty -Transformers KVA --Motors, hp
FIRE ALARM sYS?EM (Requires 3 seta of plans)
()iv.....- volts/amp ___-- VALUE OF WO.RIC
•
RE PAIRS•MISCELLANliOUS
Kcpince I3urIp/1)unaged Meter Can --Safety Inspection •••PUii I Change( 'OH to UG
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. .00 a.4 10 of1e ie'� (�
I+crroh Ix�nn„w+oi,i a wig k Jots ntR r unm1gtre within a tax month period ur wnri■ix suspmrled or abandoned for in months,I hereby certify dm I{,t1vr 0 G.� •r 1.4p
re,u)rhi�•ggtGr:nioo.wul kn•.nv svm,•w In:Inm and tonttt.All prnvislunc of laws and ordinances governing this work will be cumpl od will,whether ^d /
spori11rA o INN.1'Iu pmnu dog ix•Bier nurlatsiy to vieles (IT pmvisiom of nny other nr:nc ne local low rtgulnnpn rnvaructIon or d1e perfonnaua of L.J l
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Llrxl..e Holder(Print):.___t_!0, .e S �°� --tea a eutlfiCdtion/Registration#_,
Notarized SignUture 01 License Holder A _•_ w
ELECTRICAL I RICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole RJ,Atlantic Beach,FL 32233
phi(904)247-5826 Fax(904)247-5845
Jtou ADDRESS: • PERMIT#
Before one this__- day of _20�r —_
Signature of Notary Public_ ,,_.,__ •
I of I 8/13/201 5 I ' '