720 W 14th St - Electrical - New Underground Service 200 amps ' \ CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
7 _5 if 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: 16- ELEC -63
Job Type: ELECTRIC ONLY
Description: ELECTRICAL - NEW UNDERGROUND SERVICE 200 AMPS
Estimated Value: $2,000.00
Issue Date: 1/8/2016
Expiration Date: 7/6/2016
PROPERTY ADDRESS:
Address: 720 W 14TH ST
RE Number: 171050 -0004
PROPERTY OWNER:
Name: CONLEY ET AL, MICHAEL
Address: 720 W 14TH ST
GENERAL CONTRACTOR INFORMATION:
Name: MARCO ELECTRICAL CONTRACTORS
Address: 720 MILL CREEK RD QA BENJAMIN EDWARD SMITH
Phone: - -
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 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 1 (, _QE. C _
Ph (904) 247 -5826 Fax (904) 247-5845
JOB ADDRESS: v i DO ) - ' V U C PERMIT # 4S6-a(0-11-1
JEA INFORMATION REQUIRED ON ALL PERMITS ca AMPS * Z4 4 0 VOLTS 1 PHASE
VALUE OF WORK $a te 00
NEW SERVICE ❑ Overhead kj Underground nT Underground up Pole
Residential (Main) Service
0 -100 amps 101- 150arnps 151- 200amps c X)D amps # of Meters 1
Commercial (Main) Service
0 -100 amps 101- 150amps 151 200amps amps CT Service amps
Conductor Type Size
Multi- Family (Main) Service
0 -100 amps '01- 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 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
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 /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 1 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 ` II , V II ' >` ;V-C)) i t CC Phone Number
Electrical Company • !ter. Ls / ra . Office PhoneC T h33 Fax n± 3. 4it -1
Co. Address: D�9 > > \ L� L 2 City �Ckr v - 0\-P State - c 1 Zip 31. ( i
License Holder (Print): _111k— & ..., . £ �'�T- State erti ication/Registration # V 0 _ 1 3 1 0 0 : 3 , 1 5
Notarized Signature of License Holder / r
BO W. CRA Sworn and subscribed before me this a day of ■n ctrc.. 201(4
MY COMMISSIO S FFI67433 Signature of Not Public " - 1 . ..-. ,� p �� l , ' (�
•• ! • ' EXPIRES: December 11, 2018 v `
� 3zzo
'V 0 -Q S / 0
� Una . o , _ c,ov.,■a.2