162 OCEAN BLVD -UPPER - ELECTRICAL \ CITY OF ATLANTIC BEACH
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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-2607
Job Type: ELECTRIC ONLY
Description: ELECTRICAL - REPLACE PANEL
Estimated Value: $950.00
Issue Date: 11/4/2015
Expiration Date: 5/2/2016
PROPERTY ADDRESS:
Address: 162 OCEAN BLVD - UPPER
RE Number: 170203-0000
PROPERTY OWNER:
Name: ALTERI, ALLAN R
Address: 1639 OCEAN BLVD
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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
V?P r CITY OF ATLANTIC BEACH
ll; Zi 800 Seminole Rd,Atlantic Beach, FL 32233 `
Ph(904)247-5826 Fax (904) 7-5845 S— CLEC - 2 Co 07
JOB ADDRESS: le& s ttvii g/V PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS Z372 AMPS Z 'VOLTS / PHASE
VALUE OF WORK$ ' O d
?S
NEW SERVICE ❑ Overhead ❑ Underground n) Underground up Pole
❑Residential (Main) Service
❑0-100 amps L 101-150amps 0151-200amps u amps #of Meters
0Commercial(Main)Service
00-100 amps ❑101-150amps ❑151-200amps 0 amps El CT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
0 0-100 amps 0101-150amps 0 151-200amps 0 amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE 0 amps 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100 amps 0150amps 0200amps ❑ amps OCT 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
0Swimming Pool E Sign 0 Smoke Detectors_Qty ;Transformers KVA 7Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can Safety Inspection 74'.nel Chang- ❑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.
A ` Y6—O2 Fb
Property Owners Name / /�'e�l Phone Number
Electrical Company Bill Thompson Electric Co.INC Office Phone 2f- Zo f Fax Z/'b-02/0
P.O.Box 330150
Co.Address: AAtlantir BeAch,EJ 32233 City State Zip
ALicense Holder(Print): t a / #1'1 •Ite Certification/Registration#
Notarized Signature of License Holder /� i
— - 1: '1- day o _►_r,• �.A S
20
ToN1 GINDLES•
�" wc91 t1 1' )tart' Public ItelIPM:
"r EXPIRES pct
p(:, d d ThrJ Notary Public Underoters
."�d,�,r Bonded