900 PLAZA #77 - ELECTRIC - �=Lyr
,$)", 1, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
X131>.
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ELEC-2325
Job Type: ELECTRIC ONLY
Description: PANEL CHG 30 AMP
Estimated Value: 41- 1 Issue Date: 10/2/2015
Expiration Date: 3/30/2016
PROPERTY ADDRESS:
Address: 900 Plaza
RE Number: 171725-0500
PROPERTY OWNER:
Name: SEA OATS ACQUISITIONS, LLC
Address: 645 MAYPORT RD SUITE 5 645 MAYPORT ROAD SUITE 5
GENERAL CONTRACTOR INFORMATION:
Name: SCOTT ELECTRIC, INC.
Address: 6347 POTTSBURG PLANTATION BLVD SCOTT SELLARS
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Switch Outlets $20.60
Trade Permit Base Fee $55.00
Total Payments: $79.60
1
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION C l�U
CITY OF ATLANTIC BEACH I �r (� •
800 Seminole Rd,Atlantic Beach,FL 32233 23
P(:--A Ph (904)247-5826 Fax (904) 247-5845 /�
JOB ADDRESS: ci 00 1 ,IP i s '7 7 (Se k OATS A'%)ERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS /oO AMPS 2 t/ej VOLTS / PHASE
VALUE OF WORK$ 5CO' `'`'
NEW SERVICE ❑ Overhead Underground nJ Underground up Pole
❑Re idential(Main)Service `''
0'-100 amps ❑101-150amps 0151-200amps ❑ amps #of Meters
❑ commercial(Main)Service
00-100 amps 0101-150amps ❑151-200amps ❑ amps OCT Service amps
nductor Type Size
�:�ulti-Family(Main)Service
i i 100 amps 0101-150amps ❑151-200amps 0 amps #of Unit Meters
0 T porary Pole 0 amps
SERVICE UPGRADE ❑ amps 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCT ETC.)
0100 amps O l50amps_____-2-206amp D amps CT Service amps
AD S,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY S' RUCTURES,ETC.
Outlets/Switches: $ 0-30amps 31-100amps 101-200amps G 17
-Appliances: vt+ X 0-30amps 31-100amps 101-200amps
/C Circuits: 0-60amps 61-100amps cr�,occlT- Q
eat Circuits: # circuits @ kw Ae'Z` -
umber of Lighting Outlets, Including Fixtures:
OTH ELECTRICAL PROJECTS Awe
wimming Pool 0 Sign 0 Smoke Detectors_Qty ❑Transformers KVA OMotors hp
FIRE ALARM SYSTEM.(Requires 3 sets.ofplaI )
Qty volts/amps OF WORK$
REPAIRS/MISCELLANEOUS 160 Am
❑Replace Burnt/Damaged Meter Can ❑Safety Inspecti• Oanel Change • •H 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. �J
Property Owners Name A Air 41c+r) �4 NA-6 Eit.lE Adj. Phone Number (9d y 7� -533g
Electrical Company V COT T ELC.CT 21 C 7 1 0d- Office Phon�lga 1 333` lax
Co.Address: !0 3 Y3- , JT7S6'r i e 6, P L.r nJ T/.1-7 r $L'41%ity �h t`ics a✓' State Zip 3 221 J
License Holder(Print): C.-t)-7.T S State Certification/Registration# ER 136141313/
Notarized Signature of License Holder
�r Notary public State of FloridsBe-ire me this Z day o' a IIIW20 /
Shirley L Graham 0 irk•+mac` „ a My Commission FF 086990 Si ature of Notary ' . •
@a p Expires 02/14/2018