719 ATLANTIC BLVD - ELECTRIC •i" ' r • s f CITY OF ATLANTIC BEACH
0 800 SEMINOLE ROAD
r ATLANTIC BEACH, FL 32233
v INSPECTION PHONE LINE 247-5814
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ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ELEC-2329
Job Type: ELECTRIC ONLY
Description: ELECTRICAL REPAIR - PARKING LOT LIGHTS
Estimated Value:
Issue Date: 10/5/2015
Expiration Date: 4/2/2016
PROPERTY ADDRESS:
Address: 719 ATLANTIC BLVD
RE Number: 177653-0010
PROPERTY OWNER:
Name: ATLANTIC SAILFISH LLC
Address: 416 3RD ST SUITE 1
GENERAL CONTRACTOR INFORMATION:
Name: RIGHTWAY ELECTRICAL CONT. INC
Address: 3551 S SANCTUARY WAY QA JACOB TODD IANNELLO
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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904)247-5845 I S- ELE Z 3Z
JOB ADDRESS: 7/c A TLA/y r1r 13 z v . PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground DJ Underground up Pole
❑Residential(Main)Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main)Service
D0-100 amps ❑101-150amps 0151-200amps ❑ amps OCT Service amps
Conductor Type Size
OMulti-Family(Main)Service
00-100 amps ❑101-150amps 0151-200amps ❑ amps #of Unit Meters
0 Temporary Pole 0 amps
SERVICE UPGRADE ❑ amps 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps O150amps 0200amps 0 amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-3 Oamps 31-100amps 101-200amps
Appliances: 0-3 Oamps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures: g
OTHER ELECTRICAL PROJECTS
0 Swimming Pool 0 Sign 0 Smoke Detectors Qty OTransformers KVA OMotors 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 DOH to UG
t'Other: ftP/Jln PAnwp.14 tor LiviriNC 4,5 Nf'OF0
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 !)E h y MARTIN AUNKI N 0 ONo If Phone Number C/7 7-SI U- ''I L.
Electrical Company Ripon.,4 y Ei semi 4s! ce,1417.¢cioAs Office Phone F.r7-1lo.f Fax I c3-22 0 y
Co.Address: al/i!/di d 3sf/ SANtfuAn7 wA`r S • City f4y $CN State F L Zip 32>co
License Holder(Print): SACO p r4"Nt" c C State Certification/Registration#
Notarized Signature of License Holder
Before me this day of 20
Signature of Notary Public