780 BONITA RD - ELECTRIC r " CITY OF ATLANTIC BEACH
", ' 800 SEMINOLE ROAD•
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-2464
Job Type: ELECTRIC ONLY
Description: ELECTRICAL - RE WIRING HOME
Estimated Value: $8,000.00
Issue Date: 10/19/2015
Expiration Date: 4/16/2016
PROPERTY ADDRESS:
Address: 780 BONITA RD
RE Number: 171099-0000
PROPERTY OWNER:
Name: DAVIS, WILLIE E
Address: 780 BONITA RD
GENERAL CONTRACTOR INFORMATION:
Name: ELECTRICAL CONTRACTING TECH.
Address: 6695 COLRAY CT STE 303 QA WILLIAM LINDSEY LEGLER
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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach,FL 32233
Ph(904)247-5826 Fax (904)247-5845 I s _LL Le - Z 4 &I-
JOB ADDRESS: ZS� B Lt.�-k I4.. PERMIT # I5-(2-1444\7,522-
JEA INFORMATION REQUIRED ON ALL PERMITS 7-00 AMPS 2.-`ic% VOLTS I PHASE
VALUE OF WORKS `CS
NEW SERVICE ❑ Overhead Underground J Underground up Pole
❑Residential(Main)Service
00-100 amps O 101-150amps H 151-200amps amps #of Meters
❑Commercial(Main)Service
❑O-100 amps 101-150amps Li 1 5 1-200amps amps CT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps O 101-150amps i 1151-200amps i amps #of Unit Meters
f 1 Temporary Pole H amps
SERVICE UPGRADE 1 i amps 1 I CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
[1100 amps Iii 50amps Il200amps O amps 1 1CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: q to 0-30amps 31-100amps 101-200amps
Appliances: i.. 0-30amps - -31-100amps 101-200amps
A/C Circuits: I 0-60amps 61-100amps
Heat Circuits: i # circuits @ 1° kw .
Number of Lighting Outlets, Including Fixtures: 2.3
OTHER ELECTRICAL PROJECTS
1-1 Swimming Pool i . Sign Smoke Detectors Qty 11Transformers KVA [Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can Safety Inspection Ianel Change OOH to UG
11 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. 1_ 1
Property Owners Name �c 6 t Cipt t lA lot r1 0.(A Phone Number ° i- Katy—)(e35
Electrical Company E1.ck A 4 ft1c*w, itch . I UL Office Phone 'toy-2'Z-?ZZl Fax 322.4
Co. Address: p,o, Bo-x S73ert City .&_ei Seecv[i(. State PI Zip
License Holder(Print): State Certification/Registration# EC--0002.o4,s
v
�
Notarized Signature of License Holder �� i
,► Notary pudie Stale d Florida Sworn and subscribed before me this ,_' day of 4/;/-iii.M.,/ 20 i_')
Frances E Roe
" My Commission FF 126340 Signature of Notary Public i/Lf1,Y�.r%�,, f�/ AA
o,w Expires 08!20/2018