900 PLAZA #68 - ELECTRIC *- .J\j'J
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-2326
Job Type: ELECTRIC ONLY
Description: 30 AMP i(,
Estimated Value: i�ll`� •0,4 )'
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
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
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ELECTRICAL PERMIT APPLICATION (�C L I�`, 1
CITY OF ATLANTIC BEACH ,
$1111
800 Seminole Rd,Atlantic Beach,FL 32233 I 11
Ph(904)247-5826 Fax (904)247-5845
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JOB ADDRESS: /�v P424- '4Q/.' 6'8 (5ci . (JAS 4,77-L) PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS lI° AMPS 2'4/0 VOLTS / PHASE
VALUE OF WORK$ 5OU. r'Q
NEW SERVICE ❑ Overhead derground DJ Underground up Pole
OResidential(Main)Service �/`�
00-100 amps ❑101-150amps ❑151-200amps 0 amps #of Meters
❑Commercial(Main)Service
00-100 amps ❑101-150amps 0151-200amps ❑ amps OCT Service amps
Conductor Type Size
Apo ulti-Family(Main)Service
j0 00 amps 0 101-150amps 0151-200amps ❑ amps #of Unit Meters
0 e porary Pole 0 amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps 0150amps 0200amps ❑ amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: A 0-30amps 31-100amps 101-200amps
Appliances: Syk-i? .{_0-30amps 31-100amps 101-200amps
A/C Circuits: r 61-100amps ��(
Heat Circuits: # circuits @ kw 4 pro, DPI Ele-et
Number of Lighting Outlets, Including Fixtures: 3 ya i "rI „Y0
OTHER ELECTRICAL PROJECTS
0Swimming Pool ❑ Sign 0 Smoke Detectors_Qty OTransformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
OReplace Burnt/Damaged Meter Can 0 Safety Inspection 0 Panel 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. A,
Property Owners Name A Mr g..4 e4-0 l Vt,l-id AGt,,4e 7 Phone Number( q )Z y $33 y
Electrical Company SCOTT LgCTie rc, 4-2e . Office
Pho ne(Q ) .3•U5 5-.?ax
Co.Address: � 3 t/7 (7 S Qu eg 1 A-7 c747,Iwo et City c -C Ko,u
OI Lt.L State Fe, Zip 3 2z/ 4
License Holder(Print): Ca 1— — Il, State Certification/Registration# C /.?6i y 3 k I
Notarized Signature o License Hob r �`
otv pu, Notary public State of Fbrid93e t.re me this Z` . . . , , 20 /c
-a' �' Shirley L Graham y
c My Commission FF 088890 �
b�o;6:44,1 Expires 0:!14,2018 Si.g ature of Notary Pubh , A
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