523 SELVA LAKES CIR SAFETY CITY OF ATLANTIC BEACH
SS1
j 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-2036
Job Type: ELECTRIC ONLY
Description: SAFETY INSPECTION
Estimated Value:
Issue Date: 8/27/2015
Expiration Date: 2/23/2016
PROPERTY ADDRESS:
Address: 523 SELVA LAKES CIR
RE Number: 172027-5504
PROPERTY OWNER:
Name: LANIER, JOYCE E
Address: 523 SELVA LAKES CIR
GENERAL CONTRACTOR INFORMATION:
Name: FERRELL ELECTRIC ROLAND FERRELL
Address: 244 Sr 16 ST
Phone: 904-824-3475
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.
- 4. F-_ r T 4 E
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd.Atlantic Beach,FL 32233
Ph (904) 247-5826 Fax(904)247-5845 1 cJ 1�-- C -Z1�3
JoB ADDRESS: rZ.3 Ss& Vt4 PERMIT#
JEA ESTFORMATION REQUIRED ON ALL PER-',NUTS 200 AMPS,1/0 VOLTS .J ALi /*_ PHASE
VALUE UT WORK S
N,MW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
❑Residential(Maid)Service
G0-100 amps C 101-150artrps 151-200amps 0 amps #of Meters
E:Commercial(Main) Service
10-100 amps 0101-150amps LI 151-200amps 0 amps OCT Service amps
Conductor Type Size
7Multi•-Family(Main)Service
00-I 00 amps '_I 101-150amps =151-200amps amps if of Unit Maters
7 Tcmporary Pole ::I amps
SERVICE UPGRADE O amps i CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
7100 amps G 150amps 7200amps amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,SCALD-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 Outicts, Including Fixtures:
OTHER ELECTRICAL PROJECTS
-Swimming Pool ++ Sign ❑Smoke Detectors_Qty i Transfonners KVA _Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK S
REPAU S/MISCELLANE,OUS
❑Replace Burnt/Damaged Meter Can X afety Inspection I.-Panel Change OOH to UG
C Outer:
Permit bcoomcs void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that 1 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 'rhe permit docs not give authority to violate the provisions of any other state or local law regulation construction or the perforniancc of
construction.
Property Owners NameP 8 Phone NumberfOX z 3 8` '6 7.5
Electrical Company F U_ tG Office Phond*bRr4 3 f 75 F �Z - O
Co.Address: Z� Al&-1 L Cit}r At M.y`41 t-State_7-/% Zip 3L a g
License Holder(Print): G tate Certif ation/Registration#�^c 13VO�6Qe
Notarized Signature of License 1-folder
Before me thisjr. 0
DEBRAKBLAMURN Signature afNotary Publ
r MY COMMISSION M FF 131DD4
r�.
EXPIRES;June 10,2018
, _ Bonded Thru Notary Public under*Tbrs