425 Sailfish Dr - Electrical - Rewire r i \J`,1
` S \ CITY OF ATLANTIC BEACH
~ _ 800 SEMINOLE ROAD
.- 2
J ` "� ` - ATLANTIC BEACH, FL 32233
v.
INSPECTION PHONE LINE 247 -5814
X 331 =
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247 -5814
JOB INFORMATION:
Job ID: 16 -ELEC -363
Job Type: ELECTRIC ONLY
Description: ELECTRICAL - REWIRE, AND CAN LIGHTS
Estimated Value: $1,100.
Issue Date: 2/12/2016
Expiration Date: 8/10/2016
PROPERTY ADDRESS:
Address: 425 SAILFISH DR
RE Number: 171378 -0000
PROPERTY OWNER:
Name: OSBUN LIFE ESTATE, KENNETH H, *
Address: 425 E SAILFISH DR
GENERAL CONTRACTOR INFORMATION:
Name: JAX ELECTRICAL CONTRACTING INC
Address: 1839 LANE AVE SUITE 110 PAUL KEANE
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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247 -5826 Fax (904) 247 -5845 A l0 - ECCC - 3 C 3
JIB ADDRESS: :SAIL F1 c If P k- PERMIT #
l_LLEA �-
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUEOFWORK$ 1 /
1 0 O,
NEW SERVICE 1 1 Overhead 1 1 Underground FIT Underground up Pole
❑Residential (Main) Service
❑O -100 amps D 101- 150amps ❑ 151- 200amps ❑ amps # of Meters
CJ Commercial (Main) Service —`
00 -100 amps 0101- 150amps 0151- 200amps 0 amps OCT 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 n amps ❑ CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
0100 amps 0150amps 0200amps 0 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: 20
OTHER ELECTRICAL PROJECTS
0 Swimming Pool ❑ Sign ❑ Smoke Detectors Qty ❑ Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts /amps _ VALUE OF WORK $
AIRS/M[SCELLAN _C
❑Replacee Burnt/Damaged Meter Can 0 Safety Inspection Wanel Change 0OH to UG
Other: k'1■Jllira j3kTtiS J 110 I Lp4,M 4e-Y . Atb $ Lt G: CANS)ePAIX f C TIe,i -S .
3rmit 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.
�operty Owners Name ,3A - t�lg fit0V 4E 1 C_ • Phone Number ?C 1 i T
ectrical Company V • - maw a ..dim,gb.: g • Office Phone c9O > sz o 0 Fax 37 t 3(070
). Address: « ( n p _ City jcrk ( State E Zip 3a a f U
c ense Holder (Print): i fli E11. ._.r. pL 1 e State Certification/Registration #ff i co 3 Coq 3(4,
)tarized Signature of License Holder
9 % 1 , Malaea Robidart Before me this a day of .'o f'c�C 20 1 (v
_ t . COMMISSION OFF230743
EXPIRES: May 14, 2019 Signature of Notary Public
1.0 %y ' RIV VAMMRONNOTARYCOM
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