143 S Oceanwalk Dr - Elec Panel Change S \ 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 -376
Job Type: ELECTRIC ONLY
Description: PANEL CHANGE
Estimated Value:
Issue Date: 2/22/2016
Expiration Date: 8/20/2016
PROPERTY ADDRESS:
Address: 143 S OCEANWALK DR
RE Number: 169463 -0182
PROPERTY OWNER:
Name: GILMORE JR, JAMES H
Address: 143 S OCEANWALK DR
GENERAL CONTRACTOR INFORMATION:
Name: AMERICAN ELECTRICAL CONTRACTOR
Address: 5065 ST AUGUSTINE RD APT 13 QA EARL W. FRICK
Phone: - -
FEES:
Trade Permit Base Fee $55.00
State Elec DCA Surcharge $2.00
State Elec DBPR Surcharge $2.00
Electrical Repairs $35.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
From:9047371099 02/15/2016 11:29 #191 P.002 /002
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247 -5826 Fax (904) 247 -5845
JOB ADDRESS: 1 3 (> calf) (,()G 11( 7r j PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS c. AMPS a q0 VOLTS / PHASE
VALUE OF WORK$ / 10, CO
NEW SERVICE n Overhead 1 . Underground ET Underground up Pole
Residential (Main) Service
_10 -100 amps , 101- 150amps '151- 200amps 1 amps # of Meters
Commercial (Main) Service
- 0-100 amps ^l 101- 150amps . 151- 200amps 1 amps 1CT Service amps
Conductor Type Size
!Multi- Family (Main) Service
'0-100 amps ::1101- 150amps < 151- 200amps i 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: 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 I Safety Inspection Panel Change is OH to UG
Other:
1
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. --`� ( COI- �
Property Owners Name �J 1 f( \ G I, f (\C €.. Phone Number C 10 ( - 3C/ - 9 9 6 3
Electrical Company /3n- ice. +ICct.1 I.00ttr'Cat /1 Office Phone 73 -777O �
Fax9 / '239 - /�
Co. Address: 1 111 . - - '+. ,, _ ,- Ni ►. 11 40
, Cit, 46 Qd...50'161 k) State k.. Zip 3,%V7
License Holder (Print): En (1 W. I' de..—. , :. e C n/Registration #EW 73) )
r' • , • , . , e , ' • • older c i. . ' ? - it-
ra f t ar na M Daly tete of Ponda Sworn and subscribed be ore this /5 day of h2fti kt/b 201 L)
�i * d M Commits on EE e68°7" /
osw J £5 u$01/25!2011 ,' A.1)/ ` �� '1 /9
Signature. o N ntary PI ,� { /�1A