1770 MARITIME OAK DR - ELECTRIC r� CITY OF ATLANTIC BEACH
\s7 800 SEMINOLE ROAD
J
:f-- ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ELEC-382
Job Type: ELECTRIC ONLY
Description: Electrical Only - New Service Underground 200 amps
Estimated Value: $7,500.00
Issue Date: 2/18/2016
Expiration Date: 8/16/2016
PROPERTY ADDRESS:
Address: 1770 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 $10.00
Total Payments: $189.00
PERM!I IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION QQ
CITY OF ATLANTIC BEACH 9 C,3v�
800 Seminole Rd, Atlantic Beach,FL 32233 \0,
Ph(904)247-5826 Fax (904) 247-5845
JOB ADDRESS: ;:170 (0,4,W,/ T7 c ,-542(__ t0 k) PERMIT# /c,- ------/2-- /O
!EA INFORMATION REQUIRED ON ALL PERMITS ) AMPS 27 O VOLTS / PHASE
VALUE OF WORK S 7i
gEW SERVICE ❑ Overhead [Z.Underground DJ Underground up Pole
1 idential(Main)Service
10-100 amps 1.1 101-150amps .I-200amps ._ amps #of Meters
Commercial(Main)Service
• 10-100 amps r 101-150amps 72151-200amps amps ECT Service amps
Conductor Type Size
Multi-Family(Main)Service
-100 s r,__01- 50a ps -151-200amps amps #of Unit Meters
-_Te po ary ' I e - AO . .1
SERVICE UPGRADE _ amps rf. CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
_:100 amps -i 150amps _200amps amps LCT Service amps
ADDITIONS,REMODE REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
II Appliances: fir/i 0-30amps 31-100amps 101-200amps
A/C Circuits: t.11 0-60amps 61-100amps
Heat Circuits: !I # circuits @ k
Number of Lighting O■tlets, Including Fixtu s.
OTHER ELECTRICAL PROJECTS
Swimming Pool 1 Sign . oke Detectors 5-Qty ?Transformers KVA I Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
:Replace Burnt/Damaged Meter Can -Safety Inspection (Panel Change `OH to UG
[.Other:
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 , <vas r"�D 'Id r1/14-( Phone Number
Electrical Company /7/1 `i)ONJe./ f(e_(-r 2/ i. Office Phone . -S1.,-FV-23 Fax 76410'1919Y
Co.Address: 32-e/ w-(- .'1'' City — State - Zip 5.2-2 St/
License Holder(Print):
(. 9V1' / /�j 6 tate Certification/Registration# /r7
NV t jri ed-S'Q er Xariv--.4
��,,,YO„( CHRISM IHCMAS
a.•� am and subscribed before me this IL+� day of Vt t V•S 2016
g �. Notary Pudlic State';Florida
3. •`� = Commission M FF 943955
n,.. ....--All My Comm.Expires Dec 15.201 -gnature of Notary Public 1'
?%ag es Bonded terouyh NetiOnal Notary Assn.