25 W 6TH ST - ELECTRICAL SAFETY INSPECTION ('-
''' SS CITY OF ATLANTIC BEACH
.4. , S--) 800 SEMINOLE ROAD
--, .
K - T , ATLANTIC BEACH, FL 32233
_ 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-2452
Job Type: ELECTRIC ONLY
Description: ELECTRICAL - SAFETY INSPECTION
Estimated Value: $250.00
Issue Date: 10/15/2015
Expiration Date: 4/12/2016
PROPERTY ADDRESS:
Address: 25 W 6TH ST
RE Number: 170746-0000
PROPERTY OWNER:
Name: CERQUEIRA, ATTILIO & CATHERINE, *
Address: 36 W 6TH ST
GENERAL CONTRACTOR INFORMATION:
Name: ALL SERVICE ELEC GROUP
Address: 1556 WHITLOCK AVE JOSEPH SULLIVAN/RICHARD
SPEAKS
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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233 I ��-Z 5
Ph(904) 247-5826 Fax (904) 247-5845 `5 _ 2-
JOB ADDRESS: e sT 6 T I} 3`4`1-- 39t2 33
PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS ZOO AMPS VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead n Underground nl Underground up Pole
Residential (Main) Service
0-100 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 1151-200amps amps # of Unit Meters
Temporary Pole amps
SERVICE UPGRADE amps I CT 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 31-100amps 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) Q
Qty volts/amps VALUE OF WORK$ d Sb
REPAIRS/MISCELLANEOUS
IReplace Burnt/Damaged Meter Can Safety Inspection IPanel Change OH to UG
1 Other: SA" A SPe Gk t o,✓ 4 6 2 e- r LI c- et W e.r
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. /� f)/l �
Property Owners Name A Q' C e r C
Qu i rA Phone Number /0 y- 3 ?v -a 9 g 3
Ai �/Oy- - c Foy
Electrical Company A i I Et," i; C FL e c4r i C Grvci P Office Phone / D 3 1 Fax ,7 d -1"700
Co. Address: /5 S6 —�✓�h � +La (-k AVE- City��C �"�J�II State Cc Zip 7Z2 1
License Holder (Print): °S'99 IN ski J State Certification/Registration# E-C- 00(3 10) 6,
of License Notarized Signature o Liense Holder
z g f /
's'• ANDREW BELL worn and subscribed before me th's /S ' " day of QC�'fi%P✓ 20/5--
0/}
„�:` Notary Public-State of Florida
My Comm. Expires Jan 27.2 ig ature of Notary Public 1 ' i��
'• , Commission*EE 868005