2233 SEMINOLE RD # 24 ELEC CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ELEC-2103
Job Type: ELECTRIC ONLY
Description: ELECTRICAL - REMODEL
Estimated Value: $1,200.00
Issue Date: 9/3/2015
Expiration Date: 3/1/2016
PROPERTY ADDRESS:
Address: 2233 SEMINOLE RD UNIT 024
RE Number: 169519-0146
PROPERTY OWNER:
Name: MCNATT JR, JOHN M
Address: 2233 SEMINOLE RD APT 24
GENERAL CONTRACTOR INFORMATION:
Name: PHASE ONE ELECTRIC LLC
Address: 2076 CORONA CT OLIVER VAN DE KAMP
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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (9041I8
) 247-5826 Fax (904) 21147-5845
JOB ADDRESS: a Ss SG tncy'�l e. n4d PERMIT#
VALUE OF WORK$ 000.00
NEW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up Pole
--Residential(Main) Service
-10-100 amps ❑101-150amps F1151-200amps amps #of Meters
,J Commercial(Main) Service
❑0-100 amps 101-150amps CC 151-200amps 7 amps C7CT Service amps
Conductor Type Size
F�Multi-Family(Main) Service
❑0-100 amps ❑101-150amps E 151-200amps 7 amps # of Unit Meters
❑Temporary Pole F amps
SERVICE UPGRADE L' amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
CC 100 amps 11150amps [':200amps I amps DCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: I S 0-30amps 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
Li Swimming Pool E Sign L-1 Smoke Detectors_Qty ITransformers KVA Ij Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
,]Replace Burnt/Damaged Meter Can [I Safety Inspection CJPanel Change ❑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
Electrical Company o F e-C+" k L(, C Office Phonegaj'bf1-463-7 Fax
Co. Address: ,)O 1(6 r n( C n r..
Co.drfi' City State R,, Zip zzll::�t1
License Holder (Print): I ;n n State Certi cation/Registration# 300 53q$
Notarized Signature of License Holder
RM
tate of Florida
Before me this day of 20
ey
n EE 156116 Signature of Notary Public