355 6TH ST - ELECTRIC :j"- �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: 15-ELEC-2581
Job Type: ELECTRIC ONLY
Description: REPLACE METER CAN
Estimated Value:
Issue Date: 11/2/2015
Expiration Date: 4/30/2016
PROPERTY ADDRESS:
Address: 355 6TH ST
RE Number: 169898-0000
PROPERTY OWNER:
Name: HUNTER, MAUREEN E
Address: 2747 FALCON VIEW CT
GENERAL CONTRACTOR INFORMATION:
Name: ERICKSON ELECTRICAL CONTRACTOR
Address: 2807 ST JOHNS QA FRANK W ERICKSON
Phone: 904-735-9271
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: $94.00
I
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
•
From:BOSCO BUILDING CONTRACTORS INC 904 241 0326 11/02/2015 08:33 #234 P. 001/001
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: T 431• PERMIT#
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JEA INFORMATION REQUIRED ON ALL PERMITSZCC7 AMPS 1. v VOLTS k PHASE
O6'
VALUE OF WORK$ZL"----
NEW SERVICE El Overhead ❑ Underground ❑1 Underground up Pole
:Residential(Main)Service
UO-100 amps C 101-150amps :151-200amps U amps #of Meters
❑Commercial(Main)Service
00-100 amps :101-150amps ❑151-200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
❑0-100 amps C 101-150amps ❑151-200amps ❑ amps #of Unit Meters
::Temporary Pole C amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 0 200amps Cl 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
El Swimming Pool C Sign :Smoke Detectors Qty CiTransformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPA P :MISCELLANEOUS
'eplace Burnt/Damaged Meter Can CSafety Inspection CPanel Change ❑01-I 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
•ead 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
;pecifted 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
:onstruction.
?roperty Owners Name q,70C-XJ3 tk)k\X--kit Phone Number 7,4--
Electrical Company ��t`t- .ret- L- Office Phone \ 4'9 i FaXZ4 —032(i
7o. Address:Z) ) O t
viz). City IC tk4C .k-k• Statet
,icense Holder (Print): c% F— ./IfACXSt/ State Certification/Registration# l yZi1SW► ?3
Votarized Signature of License Holder
C.s,evr*, 4.:. a--- -