1270 Ocean Blvd - Elec Change Overhead to Underground =' ' S \ CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
`J ATLANTIC BEACH, FL 32233
\ INSPECTION PHONE LINE 247 -5814
\J131 �r
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247 -5814
JOB INFORMATION:
Job ID: 16 -ELEC -343
Job Type: ELECTRIC ONLY
Description: ELECTRICAL - CHANGE OVERHEAD TO UNDERGROUND
SERVICE
Estimated Value: $2,500.00
Issue Date: 2/11/2016
Expiration Date: 8/9/2016
PROPERTY ADDRESS:
Address: 1270 OCEAN BLVD
RE Number: 171823 - 0000
PROPERTY OWNER:
Name: STONE,MITCHELL A & CHRISTINE L, *
Address: 1270 OCEAN BLVD
GENERAL CONTRACTOR INFORMATION:
Name: LORE ELECTRICAL CONTRACTORS
Address: 210 N ROSCOE BLVD QA MICHAEL LEE LORE
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 i (c - E LEC _ 3 4 3
JOB ADDRESS: ( 2 7 0C� . i ( ,Q.
PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS .2 C.9 AMPS 24: p VOLTS / PHASE
7ALUE OF WORK $ ZSD"D
NEW SERVICE 1 1 Overhead 1Phil Underground
❑Residential (Main) Service g Underground up Pole
00 -100 amps 0101- 150amps 0151- 200amps ❑ f
❑Commercial (Main) Service amps # ofMeters
00 -100 amps 0101- 150amps 0151- 200amps ❑ am s
Conductor Type Size p OCT Service amps
❑Multi- Family (Main) Service
00 -100 amps 0101- 150amps s ❑151 -200am
❑ Temporary Pole ❑ amps p ❑ amps # of Unit Meters
SERVICE UPGRADE ❑ amps 0 CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
❑ 100 amps ❑ 150amps 0200amps ❑ amps OCT Service amps
ADDITIONS, REMODELS, REPAIRS, BUILD -OUTS, ACCESSORY STRUCTURES, ETC.
Outlets /Switches: 0- 30amps 31 -100am s
Appliances: 0 -30am s p 101- 200amps
A/C Circuits: p 31- 100amps 101- 200amps
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
ARE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts /amps VALUE OF WORK $
LEPAIRS/MISCELLANEOUS
❑Replace Burnt /Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑OH to UG S Q ( J te- e,
❑Other: . a • A At r — e r- k + 0 / V` (�C,oad
:nnit 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
ecified 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
nstruction. Skge" •operty Owners Name
Phone Number
ectrical Company i-e/LC C / /c ., 4674o05 Offic P ne 2,3 - / /v; Fax 373- PO/zr
). Address: 0 A, / L CDC '4/0d. City 6 — v6� State t2 /Zip 3 201 Z
tense Holder (Print): /i, Gt �. Leg L� 4 , tate Certification/Registration # /30 066 9L
Dtarized Slgl' aj RM. : i jqj !'l��� /LJ�r
1' ,„ MY COMMISSION # FF 924951
� % zt EXPIRES: Octo �� ejie m `
this d, r-- \�, Q
q.•r Bonded ThN Notary Public Underwriters o
< .441
Signature of Notary Public
0