568 SEASPRAY ELEC PANEL CHG y,`1
CITY OF ATLANTIC BEACH
T1�
J 800 SEMINOLE ROAD
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-190
Job Type: ELECTRIC ONLY
Description: PANEL CHANGE 150 AMPS
Estimated Value:
Issue Date: 1/27/2016
Expiration Date: 7/25/2016
PROPERTY ADDRESS:
Address: 568 SEASPRAY AVE
RE Number: 170703-0424
PROPERTY OWNER:
Name: LANIER, WANDA
Address: 31 WINDING RD
GENERAL CONTRACTOR INFORMATION:
Name: LIN'S ELECTRIC INC
Address: 3840 MAGILL RD QA VIRGIL LINDSEY RHODEN JR
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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Jan 2516 05:46p Lin's Electric, INc. (904)693-0566 p.1
ELECTRICAL.PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Serninote Rd.Atlantic Beach, FL 32233
Pb (904)247-5826 Fax(904)247-5845
JO$ADDRESS• r i ;rrl-
PERMIT#
JEA INFORMATION REQUIRED ON ALL PERIVIITS t ) AMPS ` i VOLTS PHASE
VAL UE OF IVORK S
NEW SERITICE 0 Overhead [�] Underground []J Underground up Pole
'X''Residential (Main) Service
0-t00 amps K101-150amps 151-200amps amps #of Mum
Commercial(Main) Service
0-100 amps 101-1 SOarnps 1.51-200amps amps CT Service amps
Conductor Type Size p
Alulti-Family(Main)Service
0-100 amps 101-15Oatnps 151-200atnps amps #of Unit h9eters
'Temporary Pole arrrps
SERVICE UPGRADE amps J 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- 00amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits %t: kw
g
Number of Lighting Outlets, IncludinFixtures:
OTHER ELECTRICAL PROJECTS
Swimming Pool Sign 'S.moke Detectors_Qty ;Transformers kVA ,Nlotors h
p
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OFWORK.S
REPAIRSIMISCE LLANEOUS
Replace Burrit.Datnaged Meter Can I Safeh InspectionNxpanel Change OH to UG
Other:
('omit Ix oroes acid if nor[ dris not commence,ti i,hin a six month period or+voti,is suspended or abandoned for six month, I hereby centifv 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+ihcther
specified o not. "the permit does ro:give au!r�orily to violate the provisions of anY other slate or local law rce-u kation consuuction or the.performance of
wnsiruction.
Property Owners Name �� � t'1;•1(� — i�"�ti �'� -- r _ _ .r,
Phone Number i t 1
Electrical
Company
p Office +, �:�, �; �,
u 1 t Phone -t;, y_ -l Fax
Co.Address: ,, t �) t�5 f `
t, Cih G;C t i i? 1� State Zip �.
License Holder(Print): 4 �,Z ! a i til ."D1 1 y'i �'V
�` �- State Certificatioii/Reaistration# . �
Notarized Signature of License Halder "'
' LESLIE L.SMITH Sworn and subscribed before m,9 this � .�'"q' day of ,
err cotm+as stow r rt+opyt� �,�. r '
baa IRMA 026,2017 LaiS
Fignature of Notary Public