2226 N FAIRWAY VILLAS LN - ELECTRIC (----
S y\J�r✓c\ , CITY OF ATLANTIC BEACH
1- ` ' 800 SEMINOLE ROAD
j `� �N 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-483
Job Type: ELECTRIC ONLY
Description: ELECTRICAL SAFETY INSPECTION
Estimated Value:
Issue Date: 2/25/2016
Expiration Date: 8/23/2016
PROPERTY ADDRESS:
Address: 2226 N FAIRWAY VILLAS LN
RE Number: 169398-1120
PROPERTY OWNER:
Name: ALLEN, MARION KAY
Address: 17 EVANSMILL LANDE
GENERAL CONTRACTOR INFORMATION:
Name: FRANKLIN ELECTRIC SERVICE
Address: 4 TALLWOOD RD QA JARRETT ADAM FRANKLIN
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: $94.00
I
PERMIT IS APPROVED ONLY IN ACCORDANCE Will ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233 Co -Ph(904) 247-5826 Fax (904) 247-5845 I D -4
JOB ADDRESS: Z. 2.2 CO rp.ti R uU)o-{ V)LLA S 1.-P . 13 , PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS i 00 AMPS ?ti 0 VOLTS ( PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead n Underground 1 ji Underground up Pole
❑Residential(Main) Service
00-100 amps 0101-150amps ❑151-200amps 0 amps #of Meters
❑Commercial(Main)Service
00-100 amps 0101-150amps 0151-200amps 0 amps OCT Service amps
Conductor Type Size
OMulti-Family(Main)Service
00-100 amps 0101-150amps ❑151-200amps 0 amps #of Unit Meters
:Temporary Pole 0 amps
SERVICE UPGRADE 0 amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100 amps 0150amps 0200amps 0 amps OCT 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
O Swimming Pool 0 Sign ❑Smoke Detectors Qty 0Transformers KVA ❑Motors hp
?IRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
tEPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Canfety Inspection OPanel Change OOH to UG
OOther:
:milt 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 1G A.`{ A� Phone Number 3 o 713 1-1"1 9 b
ectrical Company Y2n1/4A?ICU 0 cf,t aft)C 5PmvlCi Office Phone (P Z? `i(it 5- Fax
). Address: 1 3 0 /0 TN S T • 5 . City ;YAK. 13 c4-4 State `L Zip 37 2 SO
tense Holder (Print): -:-St,11/4.►J t if A . C/1 A 1 KU A) State Certification/Registration# L R )3 O 13 8 9 8
)tarized Signal. -.QfLi,.. • =.'i:;,.:�, %;1= '
';:,N.. EXPIRES: i thi
'r� an,�,r+ounP — clay olj •4tll i 20
Signature of Notary Public • �_Willik I i
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