900 PLAZA #66 - ELECTRICAL (. 1_,J.\17:-1--7.5
\S, CITY OF ATLANTIC BEACH
J 800 SEMINOLE ROAD
� y 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-2737
Job Type: ELECTRIC ONLY
Description: ELECTRICAL - NEW DRYER CIRCUIT
Estimated Value:
Issue Date: 11/23/2015 /'
Expiration Date: 5/21/2016
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PROPERTY ADDRESS:
Address: 900 Plaza
RE Number: 171725-0500
PROPERTY OWNER:
Name: SEA OATS ACQUISITIONS. LLC
Address: 645 MAYPORT RD SUITE 5 645 MAYPORT ROAD SUITE 5
GENERAL CONTRACTOR INFORMATION:
Name: SCOTT ELECTRIC, INC.
Address: 6347 POTTSBURG PLANTATION BLVD SCOTT SELLARS
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 LS- CL-CC-2.737
JOB ADDRESS: (tOD e to Z/ ON l T v! O PERMIT##
JEA INFORMATION REQUIRED ON ALL PERMITS /7.5- AMPS 240 VOLTS r PHASE
VALUE OF WORKS 2-CO
NEW SERVICE ❑ Overhead ❑ Underground I 11 Underground up Pole
❑Residential(Main)Service
00-100 amps ❑101-150amps ❑151-200amps amps #of Meters
❑Commercial(Main)Service
00-100 amps ❑101-150amps ❑151-200amps - amps ❑CT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps ❑101-150amps U 151-200amps ❑ amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE U amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps ❑200amps ❑ amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 1 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 0 Sign ❑Smoke Detectors_Qty ❑Transformers KVA 1"1Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK S
REPAIRS/MISCELLANEOUS
El Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change DOH to UG
her: QiN 3D Amp Del CeRw t I-
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 4.4%i! ,EEA OAS , 4Mt (c Ata MgNAC►�i Phone Number 2--It(e ° (Q 11
Electrical Company S.4,077' 6-c.EC- l C I l 10 c- Office Phone qvY'333"0M-Fax
Co. Address: t0s► 7 c2.--iss,c, RAaexrcon or-.) qt-V 0 City J4C.KS•14t14.,1 State Ft Zip 32214
License Holder (Print): 5(-OTT- .5' - -MS State Certification/Registration# 3O1'lS1
Notarized Signature of License Holder r
y' T: TONI GINDLESPERGEteeto me this 15 day o ■ Ka, I 0___L, _
:= MY COMMISSION*FF 924951 P..
?'4' EXPIRES:October 6,200gi 01 ture of Notary Public MAI -
9onded Thru Notary Public UnderrrRtl-i