1822 SEMINOLE RD - ELECTRICAL rr�,`J
\,
s S, CITY OF ATLANTIC BEACH
J 800 SEMINOLE ROAD
c) 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-2335
Job Type: ELECTRIC ONLY
Description: ELECTRICAL - ADD 240 VOLT SPA CIRCUIT
Estimated Value: $600.00
Issue Date: 10/5/2015
Expiration Date: 4/2/2016
PROPERTY ADDRESS:
Address: 1822 SEMINOLE RD
RE Number: 172020-0508
PROPERTY OWNER:
Name: STEPP, GARY L
Address: 650 N ST JOHNS DR
GENERAL CONTRACTOR INFORMATION:
Name: ELECTRIC PLUS
Address: 5358 LOSCO RD QA WILLIAM SHREWSBURY
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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
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ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845 1B -E z-c_ Z 335
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JOB ADDRESS: I d`" SeM$no (f kc t PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS ao U AMPS At{(y VOLTS / PHASE
VALUE OF WORK$ G 0 Q
NEW SERVICE ❑ Overhead n Underground 1 IJ Underground up Pole
HResidential (Main)Service
C0-100 amps G 101-150amps Li 151-200amps H amps # of Meters
i Commercial (Main) Service
t10-100 amps 101-150amps !J 151-200amps H amps CCT Service amps
Conductor Type Size
HMulti-Family(Main) Service
[0-100 amps U 101-150amps [1151-200atnps 1 amps # of Unit Meters
H Temporary Pole H amps
SERVICE UPGRADE 1 amps Ii CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
1 1100 amps ;150amps [200amps fl amps [CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 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
1)Swimming Pool Li Sign [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 [Safety Inspection [Panel Change f 'OH to UG
[Other: Wt t I-- aver VO 1+ spa C‘CCUt -j
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 /'JOJC (SCLp►n l 4 f Phone Number RN-516 "''y 77 W
Electrical Company Fled-(i C Pi ) 5, Till C. Office Phone Z73- FDPFax
Co. Address: I I / c{C( 1-akt a(v PP Polr City UGCX • State 71 . Zip `3 SJ
1 License Holder (Print): M t 1` 1 ci✓t/') F S r e W S 1 v( ate 4rtific. ion/Registration #ei /3O/�W_�
I 9
Notarized Signature of License Holder V
Before me this Iii t•S 20
Signature of Notary Public 0 `