1390 BEGONIA ST NEW ELEC SERVIVE CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J 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-2426
Job Type: ELECTRIC ONLY
Description: NEW SERVICE 200 AMPS
Estimated Value:
Issue Date: 10/13/2015
Expiration Date: 4/10/2016
PROPERTY ADDRESS:
Address: 1390 BEGONIA ST
RE Number: None
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
JOB ADDRESS: 0 n i c,, PERMIT# �—
JEA INFORMATION REQUIRED ON ALL PERMITS &00 AMPS VOLTS PHASE
VALUE OF WORK S ?=!''
NEW SERVICE ❑ Overhead
i Underground ❑J Underground up Pole
Residential (Main) Service
0-100 amps 101-150amps 51-200amps amps # of Meters
Commercial(Main) Service
0-100 amps 101-150amps 151-200atrtps amps CT Service amps
Conductor Type Size
Multi-Family (Main) Service
0-100 amps 101-150amps 151-200amps amps # of Unit Meters
Temporary Pole amps
SERVICE UPGRADE amps CI' Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps 150amps 200amps amps CT Service amps
ADDITIONS,REMODELS, REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES, ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-I00amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
Swimming Pool Sign Smoke Detectors_Qty Transformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK S
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can 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
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 �p 1 C,ZY t tJM� IRV_e�npey26 Phone Number
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Electrical Company 1 0 ayy -0 - A.0 -c t c a.� �E,r,� Office Phone Qc?2.111 46-2854Fax cP9—�l �
Co. Address: r-1 ajo M I I 1 ( `'Q-e-L Q.�-, City�J mak. �� t State (7) Zip B aai)
License Holder(Print): ) State Certif tion/Registration # Z:� l3�D J�--;�'.5
Notarized Signature of License Holder
B01.IrIELL W CRAIG Sworn a subscribed before e this�—day of K be✓ 20-
( MY COMMISSION N FF167433 —
EXpIREs:n�b-it,2ols Signature of Notary Public v
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