330 19th st elec 2016 - '1r j I:r
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�J 'S, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
?� 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-552
Job Type: ELECTRIC ONLY
Description: move switch
Estimated Value:
Issue Date: 3/7/2016
Expiration Date: 9/3/2016
PROPERTY ADDRESS:
Address: 330 19TH ST
RE Number: 172020-1208
PROPERTY OWNER:
Name: MARKEE JOHN A & CHRISTINE L,
Address: 330 19TH ST
GENERAL CONTRACTOR INFORMATION:
Name: JAX ELECTRICAL CONTRACTING INC
Address: 1839 LANE AVE SUITE 110 PAUL KEANE
Phone: - -
FEES:
Trade Permit Base Fee $55.00
State Elec DCA Surcharge $2.00
State Elec DBPR Surcharge $2.00
Lighting Outlets, Including Fixtures $0.60
Total Payments: $59.60
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845
JOB ADDRESS:?3 O 15 �A �f PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 2 0 v AMPS 2''t 7 VOLTS l PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
❑Residential(Main) Service
00-100 amps L1101-150amps 0151-200amps ❑ amps #of Meters
❑Commercial(Main)Service
110-100 amps 0101-150amps 11151-200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main) Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 0200amps ❑ amps OCT Service amps
A,DDITIONS,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:
)THER ELECTRICAL PROJECTS
11 Swimming Pool ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA ❑Motors hp
IRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
EPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑OH to UG
®(Other: M 0 v C 5;,,, j 4C
nnit 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
A 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
;cified or not. The pen-nit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of
istruction.
:)perty Owners Name Phone Number
;ctrical Company�7a x C l e Ar,'r-J Cu ,4 j,!n.0 Office Phone ZO 3 S ys 60 Fax
.Address: 20 1 7 L.C'—e Ave- City,�� x StateD. Zip 3 2-210
ease Holder (Print): State Certification/Registration#F C 13,0 0 6 5 3 6
tarized Signature of License Holder
Before me this da C 0 /6
Signature of Notary Pu