871 SHERRY DR - ELECTRICAL \s CITY OF ATLANTIC BEACH
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-2874
Job Type: ELECTRIC ONLY
Description: ELECTRIC - PUMP CIRCUIT
Estimated Value:
Issue Date: 12/10/2015
Expiration Date: 6/7/2016
PROPERTY ADDRESS:
Address: 871 SHERRY DR
RE Number: 169982-0000
PROPERTY OWNER:
Name: PALMER ET AL, CHRISTY L
Address: 871 SHERRY DR
GENERAL CONTRACTOR INFORMATION:
Name: LIN'S ELECTRIC INC
Address: 3840 MAGILL RD QA VIRGIL LINDSEY RHODEN JR
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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
I
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233 ` C� - EL-EC-Z8-7 4
q� Ph 904)247-5826 Fax(904) 247-5845
JOB ADDRESS.
• U� ,31� ((152./' rt
PERMIT#
r
JEA INFORMATION REQUIRED ON ALL PERMITS 7J)) AMPS 7t4. VOLTS / PHASE
VALUE OF WORK$ l 1
NEW SERVICE ❑ Overhead ❑ Underground ❑J Underground up Pole
❑Residential(Main) Service
D 0-100 amps J 101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main)Service
DO-100 amps ❑101-150amps ❑151-200amps ❑ amps [l CT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
[10-100 amps ❑101-150amps Li 151-200amps ❑ amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 0200amps ❑ amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-3 Damps 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)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/DamagednnMe__ter Can ❑Safety Inspection ❑Panel Change U OH to UG
❑Other: R,, Q r e i%A—
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. (� 1
Property Owners Name i`L�� se- I 11°cc Phone N 1 ber -3?2- /73°
Electrical Company L, rcin_15 / /,,Pc_'e v-A_ r _ L-,, Office Phone 10ii 5w-) Y Fax (t '0)6%1
Co. Address:c 'P ff7 yaks(I f O.cyt City /-c ,,../,ti.a State R Zip 3 2220
License Holder (Print): :c.) ,!1 L;r.. l 11 oc e SR, e Certification/Registration# fz j /3d 1.,z5(0/
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Notarized Si �?! y � ��, try .0.�++ E , , L -
S.: ae .r MY COMMISSION C FF 924951
V t,1 it: EXPIRES:Octobel GWC 1 C this 6 da Of Ca, 20 "`20 1 //
'?rk.Q•' Bonded Thu Notary Pubic Underwritere
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