352 8th ST - NEW ELECTRIC SERVICE ri j, CITY OF ATLANTIC BEACH
� 800 SEMINOLE ROAD
5 ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
J111�
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ELEC-2948
Job Type: ELECTRIC ONLY
Description: NEW SERVICE ELEC 200 AMPS
Estimated Value:
Issue Date: 1/4/2016
Expiration Date: 7/2/2016
PROPERTY ADDRESS:
Address: 352 8th ST
RE Number: None
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
New Single Family Electrical $70.00
Trade Permit Base Fee $55.00
Total Payments: $129.00
PERMIT IS APPROVED ONI.Y IN ACCORDANCE WWI ALL CI Y OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904)247-5826 Fax (904) 247-5845
JOB ADDRESS: 7l . PERMIT# 2 S
JEA INFORMATION REQUIRED ON ALL PERMITS 76z) AMPS 'ZL/O VOLTS r PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead n Underground Underground up Pole
Residential(Main) Service
0-100 amps 101-150amps 151-200amps amps #of Meters
Commercial(Main) Service
10-100 amps !101-150amps .151-200amps i : amps 'CT Service amps
Conductor Type Size
]Multi-Family(Main)Service
0-100 amps _1101-150amps 1 151-200amps i__ amps #of Unit Meters
]Temporary Pole : amps
SERVICE UPGRADE : I amps [] CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
-100 amps H 150amps 200amps i 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 H Sign H 1 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:
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 Phone Number
glAr Electrical Company acciel - (LC-- Office Phone 2..V7.-CA-P/ Fax -9Y 7
Co. Address: /f /f City f/1-1- State F7 Zip 7??
License Holder(Print): IA-4(A r State Certification/Registration# e/3or Zf23
Notarized Signature of License Holder
worn and subscribed before me this 9-9 day of W� 20/S
SHERRI L.STEPP
�, ' Notary Public-State of Florida
'•; ;4 My Comm.Expires May 31,tots ignature of Notary Public 61/1112-At, grria
�� ` Commission#EE 203994
,!rF or r.°o-..
Bondr.d Through National Notary Assn.