25 Sailfish Dr - Electric Only Lighting Repairs i Ss ��v CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J1 ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
pEIW`'
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247 -5814
JOB INFORMATION:
Job ID: 16- ELEC -27
Job Type: ELECTRIC ONLY
Description: lighting repairs
Estimated Value:
Issue Date: 1/6/2016
Expiration Date: 7/4/2016
PROPERTY ADDRESS:
Address: 25 SAILFISH DR
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: MCCLURE ELECTRICAL CONTRACTORS
Address: 537 N 5TH AVE QA ROBERT MCCLURE, JR
Phone: 904 - 237 -4701
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
Z kt(1\.‘ 800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247 -5826 Fax (904) 247 -5845
JOB ADDRESS: Spy C c S ))/\_t .e r: PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK $
NEW SERVICE n Overhead ❑ Underground I JJ Underground up Pole
Residential (Main) Service
❑0 -100 amps ❑ 101- 150amps ❑ 151- 200amps -' amps # of Meters
-! Commercial (Main) Service
❑ 0 -100 amps ❑ 101- 150amps ❑ 151 200amps ❑ amps ❑ CT Service amps
Conductor Type Size
❑Multi- Family (Main) Service
❑0 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps # of Unit Meters
fi Temporary Pole ❑ amps
SERVICE UPGRADE r r amps ❑ CT Service amps
NEW FEEDER ADDITIONS ACCESSORY STRUCTURES, TURFS, ETC.)
❑ 100 amps ❑ 150amps ❑ 200amps ❑ 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
n Swimming Pool ❑ Sign ❑ Smoke Detectors Qty ❑ Transformers KVA =i Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts /amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
Li Replace Burnt/Damaged Meter Can ❑ Saf f ety ❑
Inspection Panel Change ❑OH to UG
Oth n /4
er: 1� -%sc o $C �t - lr OJCle - k S pc-,-Ao co v1 Ls i- k( r- .
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
-ead 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
;pecified 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
; onstruction.
?roperty Owners Name Phone Number
Electrical Company YA ` CA.'.. � c EX, c k N 1 c A. ` (a ,.-\ . Office Phone 2S Fax
Eo. Address: 1 S a 1 T - - e s S V o R-o City ft --""- o f NA ikl . State f.. Zip S7-`73 4—
_icense Holder (Print): e. ` c.L., R c State Ce • tion/Registration # (1—c,°0 8 '81 g
Votarized Signature of License Holder N
Before me is day of 20
Signature of Notary Public