731 PARADISE ELEC NEW SERVICE CITY OF ATLANTIC BEACH
( j 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
9
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ELEC-2424
Job Type: ELECTRIC ONLY
Description: NEW SERVICE 200 AMPS
Estimated Value:
Issue Date: 10/13/2015
Expiration Date: 4/10/2016
PROPERTY ADDRESS:
Address: 731 PARADISE LN
RE Number: 172376-0200
PROPERTY OWNER:
Name: WHW INVESTMENT MANAGEMENT LLC
Address: 1 INDEPENDENT DR STE 1600
GENERAL CONTRACTOR INFORMATION:
Name: MARCO ELECTRICAL CONTRACTORS
Address: 720 MILL CREEK RD QA BENJAMIN EDWARD SMITH
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
New Single Family Electrical $70.00
Trade Permit Base Fee $55.00
Total Payments: $129.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845
.TOB ADDRESS: '7,3 l /�jg-� � Z,4"/ PERMIT#�S '//(-l'7lS-
JEA INFORMATION REQUIRED ON ALL PERMITS &c;, AMPS 4Q -((JVOLTS PHASE
VALUE OF WORK$ C;2,600
NEW SERVICE ❑ Overhead Underground ❑T Underground up Pole
❑Residential(Main) Service
00-100 amps ❑101-150amps 151-200amps ❑ amps #of Meters
❑Commercial(Main) Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps ❑CT Service amps
Conductor Type Size
❑Multi-Family(Main) Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
ll Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.)
❑100 amps ❑150amps ❑200amps ❑ amps 11 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
El Swimming Pool ❑ Sign ❑Smoke Detectors_Qty El 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 Ll Safety Inspection []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
-ead this application and know the satne to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether
>pecified or not. The pen-nit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of
,onstruction.
?roperty Owners Name C�`/�l� l� GC ' Phone Number
3lectrical Company G/ri1�iT�1
�� Q�/ Office Phone]`�3'33,5y Fax 7t6?—yyZ?
lo. Address: 7 /aCi`l// �oP� 167. city State FZip32-� � 2-1/
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.Acense HolderPrint
( ) State Cert' ation/Registration# 13002Z1j
notarized License Holder
Notary Public State of FI
l
Shirley L Graham
e this day f,20
am
v�OF
O My Commission FF 0888
Expires 02/14/2018 °ign re of Notary Public
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