2337 SEMINOLE RD UNIT A - ELECTRICAL r„ „
Jr� .`' CITY OF ATLANTIC BEACH
.-:-'*- ” s-) 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-2689
Job Type: ELECTRIC ONLY
Description: ELECTRICAL - 5 OUTLETS
Estimated Value:
Issue Date: 11/17/2015
Expiration Date: 5/15/2016
PROPERTY ADDRESS:
Address: 2337 SEMINOLE RD UNIT #A
RE Number: 168846-5002
PROPERTY OWNER:
Name: BOHR, SARAH H
Address: 2337 SEMINOLE RD UNIT A
GENERAL CONTRACTOR INFORMATION:
Name: MCKINNEY ELECTRIC COMPANY
Address: 7198 CAMFIELD ST QA WILLIAM POWELL MCKINNEY III
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00 /1) 4 1,
Electrical Repairs $35.00 col 7 3 0 0
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 IS— EL Z6,c.. q
471
/ ` 'ZSS7 Ph(904)247-5826 Fax (904)247-5845
JOB ADDRESS: 2 33 2_. S-e KY/ t Ode_( °(_ kd L 41 A1 PERMIT# 1.5 K A QC) 23Y4
A-e‘ $earn
JEA INFORMATION REQUIRED ON ALL PERMITS /J---0 AMPS 2'O VOLTS 7 PHASE
VALUE OF WORK S
NEW SERVICE El Overhead ❑ Underground LJ Underground up Pole
O Residential(Main)Service
00-100 amps ❑101-150amps ❑151-200amps 0 amps #of Meters
❑Commercial(Main)Service
❑O-100 amps ❑101-150amps ❑151-200amps 0 amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps 0101-150amps Ci 151-200amps ❑ amps #of Unit Meters
0Temporary Pole 0 amps
SERVICE UPGRADE 0 amps 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100 amps 0150amps 0200amps 0 amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: j`' 0-3 Oamps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw f
Number of Lighting Outlets, Including Fixtures: 0 (all t c / /� //-7
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign Smoke Detectors Qty [:Transformers KVA i Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK S /017
REPAIRS/MISCELLANEOUS
0Replace Burnt/Damaged Meter Can O Safety Inspection O Panel Change 0OH 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. �j 69'/i�
Property Owners Name l/ �i�"���%�2 Phone Number
Electrical Company / cs //C Office Po ,g a G W 7 7Fax
Co.Address: a 22 22
7l� ,�/) �� � City C/� State�� Zip.3
License Holder(Print): /3 1/7 !�/�C k /f/7 State Certification/Registration# ec o2,as/
Notarized Signature of License Holder ,�,, 1j
TONI GINDLESPERGER Re')re me this, 1 day of '..i r 20 h
?$" ' MY COMMISSION u FF 92495T" y
a; EXPIRES:October 6,tots 1 ature of Notary Public le gy Mil
..'1 gold MN Notary PubFC Unde ��
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