1711 MARITIME OAK DR - ELECTRICAL .� %' Jam' .
i .\'- CITY OF ATLANTIC BEACH
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-384
Job Type: ELECTRIC ONLY
Description: Electrical Only - New Service 200 amps
Estimated Value: $100.00
Issue Date: 2/18/2016
Expiration Date: 8/16/2016
PROPERTY ADDRESS:
Address: 1711 MARITIME OAK DR
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: RIVERSIDE HOMES OF N FL
Address: 414 OLD HARD RD STE 502 MATTHEW ROBERTS
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
New Single Family Electrical $120.00
Trade Permit Base Fee $55.00
Wired Smoke Detectors $12.00
Total Payments: $191.00
PERMrr IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH —���'
800 Seminole Rd, Atlantic Beach,FL 32233
Ph(904)247-5826 Fax (904) 247-5845
TOB ADDRESS: _ ;` /' , / / ; ' 1 CI - ` Iv PERMIT# 110-Srg-//0
LEA INFORMATION REQUIRED ON ALL PERMITS 240 AMPS 2q0 VOLTS I PHASE
VALUE OF WORK$ /012. W
STEW SERVICE ❑ Overhead ❑underground ❑I Underground up Pole
:Residential(Main)Service
:0-100 amps 1.1 101-150amps :?1-51-200amps amps #of Meters
ri Commercial(Main)Service
10-I00 amps 7101-150amps 72.151-200amps =i amps i-CT Service amps
Conductor Type Size
Multi-Family(Main)Service
_20-100 s 101-1 Oamps 2 151-200amps amps #of Unit Meters
Temp, ary o > ° m•s
V
SERVICE UPGRADE amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps =:150amps 200amps amps LCT Service amps
ADDITIONS,REMODE ,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: i-30amps 31-100amps 101-200amps
III Appliances: a, - •amps 3 l-1 00amps 101-200amps
A/C Circuits: 7 V 0-60amps 61-100amps
Heat Circuits: 2-. # circuit w
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
_!Swimming Pool E Sign moke Detectors (0 Qty 1,Transformers KVA EiMotors 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 riOH to UG
::Other:
Permit 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
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 Re vas /" o (iii' Phone Number
Electrical Company Al `/)dNJc Zr, c-r2/ Office Phone g5'Z '��3 Fax 7Ra^7 9Y
Co.Address: 32--c/ w- �i c.4-'A---' City , 1,44.-. State %' - Zip 32 21
License Holder(Print): ,s,,../ State Certification/Registration# /r-2 Y
NotRrrec Sigl ature of License glider 4
4 ,..,,'!;'p",.,,Ts, CHRIS M THOMAS �� 20 I
�`'" Notary Public -State of Florida worn and subscribed before me this I(e— day of .b t� _I►, Commission M FF 943955_;;;±� - � My Comm.Expires Dec 15.2019 Signature of Notary Public C�- ii- -`�
''1,, Y¢, Bonded through National Notary Assn.
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