2425 Mayport Rd 200 amp subfeeder 2015 (2) ELECTRICAL PERNUT APPLICATION /4� U
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233 V C
Ph(904)247-5826 Fax (904)247-5845
JOB ADDRESS: ;yaSr �('i.� e FL PERNIIT# J
NEW SERVICE ❑Overhead ❑ Underground ❑ Underground up Pole
❑Residential(Main) Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps # of Meters
❑Commercial(Main) Service
❑0-100 amps 0101-150amps 0151-200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main) Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps f600amps ❑ amps ❑CT 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
❑Swimming Pool ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist)
Qty volts/amps VALUE OF WOR%$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑OH to UG
❑Other: I r sNa-A
Permit becomes void if wdrk 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 correm 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 h f. �1 G�ry nc Phone Number g W' Ll?L'-7 5-7`(
Electrical Company R & R Electric of North F1, Inc Office Phone (904)764-5555 Fax-LUA1768--2_4_0
Co.Address: P-^. -Rox 60665 City jacksonvill e State FT• Zip 32236
License Holder(Print): Robert A. Sallette Jr state Certification/Registration# EC1318
Notarized Signature of License Holder GAG` i>� /
r P4&, KATHY 1.MNSIEY Sworn and subscribed before me 's o��&i day of 20'5
MY COMMISSION#EE 198476
* EXPIRES:May 20,206 6 Signature of Notary Public
sl il Bow TW Bud*No"
�rFOF FVC
j CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
j X/ 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-687
Job Type: ELECTRIC ONLY
Description: NEW 200 SINGLE PHASE SUBPANEL
Estimated Value:
Issue Date: 3/23/2015
Expiration Date: 9/19/2015
PROPERTY ADDRESS:
Address: 2425 MAYPORT RD
RE Number: 169398-0000
PROPERTY OWNER:
Name: ANDREWS ENTERPRISES INC
Address: 1741 CLATTER BRIDGE RD OCALA, FL
GENERAL CONTRACTOR INFORMATION:
Name: R & R ELECTRIC COMPANY
Address: P O BOX 60665 QA ROBERT A SALLETTE, JR
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
New Commercial Electrical $70.00
Trade Permit Base Fee $55.00
Total Payments: $129.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.