555 Beach Avenue - Replace Meter Can 1,; L`I j
;'`M ' s, CITY OF ATLANTIC BEACH
'` %' 800 SEMINOLE ROAD
�r 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 -100
Job Type: ELECTRIC ONLY
Description: ELECTRICAL - REPLACE METER CAN
Estimated Value: $500.00
Issue Date: 1/13/2016
Expiration Date: 7/11/2016
PROPERTY ADDRESS:
Address: 555 BEACH AVE
RE Number: 170156 -0000
PROPERTY OWNER:
Name: WARNOCK, HARRY C & ELIZABETH, *
Address: 555 BEACH AVE
GENERAL CONTRACTOR INFORMATION:
Name: BILL THOMPSON ELECTRIC CO, INC
Address: 49 WEST 7TH ST QA WILLIAM R. THOMPSON, IV
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 BEACII ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233 C �- I ,\
Ph (904) 247 -5826 Fax (904) 247 -5845 15 `CL -� V
—) Q
JOB ADDRESS: SI_D — , r."-- i < , -, PERMIT #
---77''''''' —� � /
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS , VOLTS PHASE
VALUE OF WORK $ �-SW'"
NEW SERVICE 1 1 Overhead 1 1 Underground 1 U Underground up Pole
❑Residential (Main) Service
0 0 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps # of Meters
❑Commercial (Main) Service
00 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps 0 C 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.)
El 100 amps 11150amps 11200amps ❑ 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 $ "d• 0'
EtEPAIR lu _ .0
►."• - , - - : urnt /Damaged Meter Can ❑ Safety Inspection ❑ Panel Change ❑ OH to UG
❑Other:
'ennit 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
,,ad 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 4YP7' 11`lO - " Phone Number 2 'rlh 3
lectrical Company 4 740 /a`. , �°� Office Phone � -f� ( Fax Z7� -r.7:5
:o. Address• 6 X 7701 City State Zi ZZ
y i�7 �� l � 3
icense Holder (Print): k,(7 P1 i f4' State Certification/Registration id 29 7 30/!
i
iotarized - —: — —: ; . --1 / Ir�✓
. , Y O 41 GI W 1 '
•::,.: •::,.: "' TPIRES: October # r r e this _ day 20 1
h ri
- EXPIRES: October
f p yQ ` Bonded TM' Notary Pubic Underwriters ,�
. i re of Notary Public
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