1633 SELVA MARINA DR - ELEC. OUTDOOR KITCHEN sr
,� ; ''‹- \S, CITY OF ATLANTIC BEACH
1, J 800 SEMINOLE ROAD
j ..,n, _ }: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-467
Job Type: ELECTRIC ONLY
Description: ELECTRICAL - OUTDOOR KITCHEN
Estimated Value: $800.00
Issue Date: 2/24/2016
Expiration Date: 8/22/2016
PROPERTY ADDRESS:
Address: 1633 SELVA MARINA DR
RE Number: 171993-0000
PROPERTY OWNER:
Name: FERGUSON, MICHAEL ALAN
Address: 1633 SELVA MARINA DR
GENERAL CONTRACTOR INFORMATION:
Name: DECO ELECTRICAL CONSTRUCTION
Address: 13046 DUNN CREEK RD RICHARD P DEESE
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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION s-R oo-.Z8�R
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233 , �D ` � �
Ph(904) 247-5826 Fax (904)247-5845 7
JOB ADDRESS: 11033 SeIva, Mat-ina DI-Iv& PERMTT'#
JEA INFORMATION REQUIRED ON ALL PERMITS , 1U AMPS z c/c, VOLTS ( PHASE
VALUE OF WORK$ g00, -
NEW SERVICE , Overhead ❑ Underground ❑1 Underground up Pole
Residential(Main) Service
__i0-100 amps _101-150amps L_:151-200amps amps #of Meters
1 Commercial(Main)Service
i_:0-100 amps 101-150amps ,151-200amps , amps ' I CT Service amps
Conductor Type Size
Multi-Family(Main)Service
0-100 amps 101-150amps F 1151-200amps 1 amps #of Unit Meters
(Temporary Pole 1 amps
SERVICE UPGRADE amps f l 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: 6 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 ' i Sign I 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 1 Safety Inspection Panel Change 10H 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 Michael Alan Ferguson Phone Number
Electrical Company Deco Electrical Construction LLC Office Phone (904) 509-2965 Fax N/A
Co.Address: 13046 Dunn Creek Road City Jacksonville State FL Zip 32218
License Holder(Print): Richard Pe u,Dee;• Ji state Certification/Registration# ER13014871
Notarized Signature of License II f .• = --:�= �.i t're:'��: . _ Ai
;l' r. � me ip' I�4Yof 20 / 6
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