1700 E PARK TER - ELECTRICAL �''
j
s& CITY OF ATLANTIC BEACH
t„
c-) 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-2756
Job Type: ELECTRIC ONLY
Description: ELECTRICAL - MISC OUTLETS
Estimated Value:
Issue Date: 11/25/2015
Expiration Date: 5/23/2016
PROPERTY ADDRESS:
Address: 1700 E PARK TER
RE Number: 172020-0318
PROPERTY OWNER:
Name: POPPELL, RONEL J
Address: 1700 PARK TER
GENERAL CONTRACTOR INFORMATION:
Name: BLUE EDGE ELECTRICAL CONTRACTORS
Address: 10560 Abilene RD
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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
p Ph(904)247-5826 Fax (904)247-5845 IS E(,EC -Z-75 5 (
JOB ADDRESS: / 70 ) /94th iertiencg Lags?- PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS t9,O J AMPS ? 0 VOLTS I PHASE
VALUE OF WORKS 2000-''`)
i
NEW SERVICE ❑ Overhead ❑ Underground 1 U Underground up Pole
❑Residential(Main)Service
00-100 amps 0101-150amps ❑151-200amps 0 amps #of Meters
❑Commercial(Main)Service
00-100 amps ❑101-150amps ❑151-200amps L . amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps ❑101-150amps Cl 151-200amps 0 amps #of Unit Meters
❑Temporary Pole O amps
SERVICE UPGRADE ❑ amps 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100 amps 0150amps 0200amps ❑ amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: AS 0-30amps 31-100amps 101-200amps
Appliances: 3 0-30amps / 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures: /V
OTHER ELECTRICAL PROJECTS
❑Swimming Pool I Sign ❑Smoke Detectors Qty Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑OH to UG
/Other: /no V'/, 5wd-d,c,/Qtc ri-s/Lis/K r A,...w1G/
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 A¢n&y 44.)/e..;_i Phone Number 95-4/ 9/14 32,93
Electrical Company I /u e, ED(,G i/e /_i .l-/ (. 4(14,K,3-p as Office Phone V1696 6 2-c85 Fax
Co. Address: 5950 (2,,,,,i 4✓€ City 3/1t,g,s,)^✓://e, State FL Zip 322_4
License Holder (Print): R/f/V-3 4-t.KSJ✓1__'' State Certification/Registration# C/2/30/y9L2—
Notarized Signature o Lice • . -4'
", '..%y TONI G SDIrli RGER . /iS Z 5 9 ` A 0 5
,� ;;_ MY COMMISSION IIIlE9kF�hh2 tl I day of
1 EXPIRES:October 6,2019
?.......... B°ndedTh""°t"YPt" J∎_I,iy---- of Notary Public , `_ OA /