760 Redfin Dr - Electric - New SubPanel ' CITY OF ATLANTIC BEACH
\\ f 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
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ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247 -5814
JOB INFORMATION:
Job ID: 16- ELEC -84
Job Type: ELECTRIC ONLY
Description: ELECTRIC - NEW SUB PANEL
Estimated Value:
Issue Date: 1/12/2016
Expiration Date: 7/10/2016
PROPERTY ADDRESS:
Address: 760 REDFIN DR
RE Number: 171310 -0000
PROPERTY OWNER:
Name: WOJNAROWICZ, KRZYSTOF P & EWA, *
Address: 760 REDFIN DR
GENERAL CONTRACTOR INFORMATION:
Name: ELECTRIC PLUS
Address: 11199 LAKE BLUFF RD QA WILLIAM SHREWSBURY
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.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247 -5826 Fax (904) 247 -5845 kp--" ( --
JOB ADDRESS: 1(3 R d -0 n b r 3T33 PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS 'D( AMPS 'y 0 VOLTS ( PHASE
VALUE OF WORK $
NEW SERVICE ❑ Overhead 1 1 Underground 1 U Underground up Pole
❑Residential (Main) Service
00 -100 amps ❑ 101- 150amps ❑ 151- 200amps [1 amps # of Meters
❑ Commercial (Main) Service
0 0 -100 amps ❑ 101- 150amps ❑ 151- 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.)
17100 amp;; ❑ : 5Oamps 0200amps ❑ amps ❑C T 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 0 Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts /amps VALUE OF WORK $
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged m Meter Can ❑Safety Inspection ❑Panel Change 0 O to UG
❑Other: in_ 5+ (D0 Amp Su paaPl i vx Sen S,-c(
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
Electrical Company El -e C c P1 uS iv' C . Office Phone $( 3 F Fax
Co. Address: j(( R' Lq ^ e 11 V PP Rd r City Ta c State Fk Zip S a2S 7
License Holder (Print): . ' ,, vv1 '—, t k r - _ , ( : tate Ce ification/Registration # 130 1 a 6 39
Yo,, - . . .. ' lder i I +� .. ... If /� A, , Iii
04SY °440 Notary Public State of Florida
a
Shirley L Graham d efore me this day o`er �i 1
4A ,t My Commission FF 088880
osfvd Expires 02/14/2018 _•�`r�
Signature of Notary Pu • . {