702 KESTNER RD - ELECTRIC J _ a
S, CITY OF ATLANTIC BEACH
4 ) 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-2216
Job Type: ELECTRIC ONLY
Description: ELECTRICAL - 3 OUTLETS
Estimated Value:
Issue Date: 9/18/2015
Expiration Date: 3/16/2016
PROPERTY ADDRESS:
Address: 702 KESTNER RD
RE Number: 172382-0000
PROPERTY OWNER:
Name: 702 KESTNER LLC
Address: 14418 PAVION CT
GENERAL CONTRACTOR INFORMATION:
Name: VOLT EDGE ELECTRIC INC.
Address: 3328 Sylvia ST
Phone: 904-386-9782
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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITII ALI. CITY OF ATLANTIC BEACII ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233 16--E_EC
Ph(904)247-5826 Fax (904)247-5845 �Z 1`"
JOB ADDRESS: 70 2 Kcs-&v&- c 4 /14 vI T/C' � c/i -r ZZ Wirr#
1
JEA INFORMATION REQUIRED ON ALL PERMITS /X AMPSei-_ VOLTS ' / PHASE
VALUE OF WORK$ 3 ST _
NEW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up I'oIe
❑Residential(Main)Service
00-100 amps ❑101-150amps 0151-200amps 0 amps #of Meters
❑Commercial(Main)Service
00-100 amps 0101-150amps 0151-200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps 0101-150amps 0151-200amps 0 amps #of Unit Meters
0Temporary Pole 0 amps
SERVICE UPGRADE ❑ amps 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100 amps O 150amps 0200amps 0 amps OCT Service amps
ADDITIONS,REMODELS REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: _ 1 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
O Swimming Pool 0 Sign 0 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 0 Safety Inspection ❑Panel Change OOH to UG
n ler: ri/Oti 1/4# i-I /i. tut- I' 2ca kE fE ADD /2/ t / -k
i9
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 Veit Phone Number
Electrical Company V�lt (O/ Oed-re(6 1 /NC . Office Phone Fax
Co.Address: /O ,s,, G y/-9/ City jAy State t -Zip S ZZ'(f
License Holder(Print): 17 , , 1 . , State Certifitation/R stration# /30/1/171
Notarized Signature of License Holder e i t,,.....„,"
;o}oil °, "YNA H.wILUMtS r
. %�;; before me this 1y, da, of �.�Qr�•r►�8�°�- f5�
�� :._ MY COMMISSION Y FF 217841 U
N' -- :a EXPIRES:August 7,2019 t , _1 J_
"t:',;;qt, BondedThru Notary Public lhdawrats •Signature of Notary Public W.fPGw,•-
ii