355 SAILFISH DR - ELECTRICAL , :_:.-. Jai
ri \��
IS, CITY OF ATLANTIC BEACH
f 800 SEMINOLE ROAD
FA. ~ ' 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-112
Job Type: ELECTRIC ONLY
Description: rewire house
Estimated Value:
Issue Date: 1/15/2016
Expiration Date: 7/13/2016
PROPERTY ADDRESS:
Address: 355 SAILFISH DR
RE Number: 171385-0000
PROPERTY OWNER:
Name: QUEST, JOSEPH T
Address: 355 SAILFISH DR
GENERAL CONTRACTOR INFORMATION:
Name: CRAWFORD ELECTRIC
Address: P 0 BOX 51045 QA JOHN ROBERT CRAWFORD III
Phone: 904-241-5591
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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: 3 Sc cc lc i S L PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead n Underground I (J Underground up Pole
[]Residential(Main) Service
00-100 amps ❑101-150amps 0151-200amps O amps #of Meters
❑Commercial(Main)Service
0 0-100 amps ❑101-150amps 0151-200amps 0 amps OCT Service amps
Conductor Type Size
O Multi-Family(Main)Service
00-100 amps O 101-150amps [1151-200amps 0 amps #of Unit Meters
0 Temporary Pole 0 amps
SERVICE UPGRADE ❑ amps 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
[1100 amps O 150amps 0200amps ❑ 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-I00amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign 0Smoke Detectors_Qty ❑Transformers KVA []Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
EZEPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can
tJ�, []Safety Inspection ❑Panel Change OOH to UG
l .Other: {W il.L t t'`S.01e. °'� 1 - 8,-,,,.,_,/, e,rc,...7 1c CAA.L
'emit 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. l Q` t� u
'roperty Owners Name 39.€ G 5 1 Phone Number I! / - 76 / 7
lectrical Company e oL,. -d I{JP L Office Phone -2.4.1-51-1/ Fax Will-Z'(i 4,3 7
:o. Address: L c.7l (Kars L., 311„,4 V City t State cz, Zip 3L2.4G
icense Holder (Print): COI^, It. Vprpt . t, State --• cation/Registration# GEC f 3Gog '(
lotarized Signature of License Holder if/��
Before me this day of 20
Signature of Notary Public