604 TIMBER BRIDGE LN - ELECTRIC 0 0 LAkei„
tsY , 47.0‘, CITY OF ATLANTIC BEACH
A
s) 800 SEMINOLE ROAD
"0 -e
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-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: $129.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC 13EACII ORDINANCES AND THE FLORIDA
BUILDING CODES.
(9415 unread)-elc.greensIadc- Yahoo Mail https://us-mg6.mail.yahoo.com/neo/launch?.rand=52ngv52q0 :::ii. . '
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• ELECTRICAL PERMIT APPLICATION
• CITY OF ATLArrIT1C BEACH
/1 800 Seminole Rd,Atlantic Beach,PL 32233
• V Ph(904)247-5826 FOX(904)247-5845 1 5 ` EL_EIC — t —l 58
Jon ADClua:ss: 4' 9 / r M b'r Aio t`i`e.e - PERMIT#
.f EA INFORMATION REQUIRED°NALL PERMITS eSe:43 AMPS eVO VOLTS / PHASE ,
VALUE OF WORK S_ °06
•
NRW SERVICE ❑Overhead [ '<ndergroulid 0 Underground up Pole
Residential(Moist)Service
0-IOU amps • •IGI-ISUnmps •-•151-Z00amps ...___amps eofMcters.,,,-_
(;lrinhIk T inl(Main)Service
0-100 amps •t0l-L Damps •-1.51-200um(ts •-___amps -•CT Service____amps
t:tmt4Iellr Type,_..:______. Sizc ,..,,,,,.
Multi-retttily(Mein)Service
n..too:nnps 4... <-stamps ••1.51-2UUamps amps N of Unit Meters .....-
'fcnttrvrary PO,.• - eta
•
SERVICE UPGRADE. amps • •CTServitc ~_amps
NEW I+F,.EJ.)F,R(ADDITTIONS,ACCESSORY STRUCTURES,ETC.)
i Ott autps •I Soantps ••-20Oampi amps •_.t T Service _amps
ADDITIONS.REMODELS.REPAIRS.BUILD-OUTS.ACCESSORY STRUCTURES,ETC.
IIUIIcu./SwItches: ,,,,__,-0.30ampa µ •„•,,,,31-I(Vamps 101-200amps
.appliances; _ 1I-30amps _ 31-1.00amps •---101-200amps
Art:C111:0115: „�U-fibamps ," _. 1-IOMngps
lira)Circuit:: _ 4 tirr:uil[@,
N umbel of I.lghung r)u1101 ,Including FI)(W on:
OTHER ELECTRICAL PROJECTS
Swimming Puul •• Sign --Smoke Detectors__Qty •-Transformers .,,,•„KVA ••-Motors hp
FIRE.ALARM SYSTEM (Requires 3 sets of plans)
()Iv........vnitsramps__ YACUE OkWORt($
REPAIRS,M(SCEL.LANEC)US
ltcpl.ce Moil/Damaged Meta•Can —Safety Inspection ,-Parse/Change ° oN to UG
( iiwr•. r <_. 1•Q e/___, 4f'---. 114:7641b-i141— 6).i-c, 40 0.44p !l?g/1f�e)r/, / �A/1
t'rrmn ikv i.m,.,it it.vrw I:tl(,cs net,,,iumtrrr¢whhin a sits month puim(or work Ix suspen ded or abandoned for six months,I hereby ecr(i(y atm I I.nvo C�V r/ �}--�
re•utobis.elms•:.din....nl I -.w N.wron iv In u ui and cuna(.All proviglurts of lawn and tmllsnlos govemin)t this work will br cumpfnrl with whrrher ��d /
vh•riued m uw.'flu•pr�mo,tla(s no,give ariihonls to violr(r the provisions of nos oihpr sawn u'local law mgulnrlon monnKrlon or der porfonmanw or I
rnna,err..o. /� 1
Pn,pt:rly(Iw,,„,Hems � ..d-en st-esU C 1' tom/__—Phone Number . •
rivoric.rt(:unipnnr. rg ).S facie al Ld r.c U .Office Phi. a *e _Fax 4 49 C)
cu.AdnIw-si: 0......_�_.��-�' •`t_.` Ci(y v1�n� Stater Zip NL)
License ROW(Print): --(,�A„t,.a .s�+JL,. -yea e eftltication/Registration ,, .
Nuturi7cd Siynunfire of Licence Holder__ ,-, ~-~ „_
EL c'1'R1CAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,Ft.32233
Pli(904)247-5826 Fax(904)247-5845
Jot ADDRESS: • PERMIT#.
•
. Before me Phis», day of _20. ,......_
Signature of Nntary Public____ -
1 of I • 8/13/201 5 1