1227 Violet St - Electric Only 28 Fixtures rj ; w '• ` s , CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
j _ ATLANTIC BEACH, FL 32233
\ INSPECTION PHONE LINE 247 -5814
\0131 9f-
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247 -5814
JOB INFORMATION:
Job ID: 16 -ELEC -352
Job Type: ELECTRIC ONLY
Description: 28 FIXTURES
Estimated Value:
Issue Date: 2/11/2016
Expiration Date: 8/9/2016
PROPERTY ADDRESS:
Address: 1227 VIOLET ST
RE Number: 171009 -0000
PROPERTY OWNER:
Name: HSBC BANK USA NA, hsbc
Address: 385 5TH ST
GENERAL CONTRACTOR INFORMATION:
Name: MARCO ELECTRICAL CONTRACTORS
Address: 720 MILL CREEK RD QA BENJAMIN EDWARD SMITH
Phone: - -
FEES:
Trade Permit Base Fee $55.00
State Elec DCA Surcharge $2.00
State Elec DBPR Surcharge $2.00
Lighting Outlets, Including Fixtures $16.80
Total Payments: $75.80
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: I 1 V f (`) �r\‘r, PERMIT # 1 LP • e --1(-P
JEA INFORMATION REQUIRED ON ALL PERMITS tJV AMPS ay0 VOLTS ( PHASE
VALUE OF WORK $
NEW SERVICE ❑ Overhead ❑ Underground 71 Underground up Pole
Residential (Main) Service
0 -100 amps 101- 150amps 151- 200amps amps # of Meters
Commercial (Main) Service
0 -100 amps 101- 150amps 151- 200amps amps CT Service amps
Conductor Type Size
Multi Family (Main) Service
0 -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.)
100 amps 150amps 200amps amps CT Service amps
ADDITIONS, REMODELS, REPAIRS, BUILD - OUTS, ACCESSORY STRUCTURES, ETC.
Outlets /Switches: 9,0 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 $
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can Safety Inspection Panel Change OH to UG
Other \0a k'r t\. - ?GAP ` �y ryva \ oc W0.k,
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. 1 hereby certi fy 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 i, It _ • ..„,. . _ • Office Phone 4 3 3 50Fax
Co. Address: fl rn ` \A 0-`rsZ` 'L_ / t - City �G L \'rvl 1' 4 State Zip g-z i l
License Holder (Print): r
ij Stat Certif ion/Registration # E . 1 30 `� aa 1 5
Notarized Signature of License Holder
BONN M COMMISSION # CRAIG
4 Sworn a subscribed before me this i ` day of r CO 1 20 l Le
MY CO U---1 % „- n y EXPIRES: uocaober »• 2018 Signature of Notary Public