201 SAILFISH DR # 275 SAFETY ELEC j V,
CITY OF ATLANTIC BEACH
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-1977
Job Type: ELECTRIC ONLY
Description: safety 100 amps
Estimated Value:
Issue Date: 8/21/2015
Expiration Date: 2/17/2016 ---- - --- - —
PROPERTY ADDRESS:
Address: 201 SAILFISH DR 201 - 275
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: CRAWFORD ELECTRIC
Address: P O BOX 51045 QA JOHN ROBERT CRAWFORD III
Phone: 904-241-5591 - -
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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
i
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax(904) 2477-5845
JOB ADDRESS: 2-o! S/a i ZF►.S 4 d.,,%% a PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS _10 p AMPS /z w VOLTS PHASE
VALUE OF WORKS
NEW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up Pole
❑Residential(Main) Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main)Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps [ICT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps ❑200amps ❑ amps [I CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-3 Damps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA []Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
[]Replace Burnt/Damaged Meter Can 7�afety Inspection El Panel Change I]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 , Phone Number
I
Electrical Company_ aia vjFo r 'i '<<- Office Phone °�0�— Zy! ax 2 i 90 S
Co.Address: 3 O r City A� State /�"� Zip 32211
License Holder(Print): .b R 'o � State Certification/Registration# /300I
3vo 2GY
Notarized Signature o License Holder
Eagfl
State of Florida efore me thi : �-ahamon FF 086990 ignature of Notary Publicr2018