1941 SEMINOLE RD - ELECTRIC -S >>�r
�� CITY OF ATLANTIC BEACH
rSY
_ 800 SEMINOLE ROAD
J
f �' ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
'r�
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ELEC-572
Job Type: ELECTRIC ONLY
Description: ELECTRICAL - 3 SWITCHES
Estimated Value: $400.00
Issue Date: 3/8/2016
Expiration Date: 9/4/2016
PROPERTY ADDRESS:
Address: 1941 SEMINOLE RD
RE Number: 169542-0520
PROPERTY OWNER:
Name: LUCAS, DAVID 0
Address: 1941 SEMINOLE RD
GENERAL CONTRACTOR INFORMATION:
Name: COVENANT ELECTRIC INC
Address: 1236 MCDUFF AVE STE 208 QA LEROY LUTHER BASS
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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
1
I
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
(� Ph(904) 247-5826 Fax (904) 247-5845 t S . ��� — 57 Z
JOB ADDRESS: 6 LI I 5 RAIN 0.1.•_ RD PERMIT# 118 - R M'12-2n
JEA INFORMATION REQUIRED ON ALL PERMITS )50 AMPS 1,20/24Q VOLTS J4i PHASE
VALUE OF WORK$ L/06
NEW SERVICE ❑ Overhead ❑ Underground I 11 Underground up Pole
❑Residential(Main)Service
00-100 amps 0101-150amps 0151-200amps 0 amps #of Meters
❑Commercial(Main)Service
00-100 amps 0101-150amps 0151-200amps 0 amps OCT Service amps
Conductor Type Size
UMulti-Family(Main)Service
00-100 amps ❑101-150amps ❑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 ❑ amps OCT Service amps
tDDITIONS,REMODE . ,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
USwimming Pool ❑ Sign 0 Smoke Detectors_Qty ❑Transformers KVA 0Motors hp
IRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
EPAIRS/MISCELLANEOUS
OReplace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑OH to UG
0Other:
unit 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
d 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 permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of
tstruction.
Dperty Owners Name 101410 l 10 _j C.N3 Phone Number
.ctrical Company W(=1\.iI 1 0 t. IL`1".m r..._ Office Phone 9Q - 3W-Sr(S ax
. Address: I WO \AfE5 i M{ '(k0 City J-k,UU<5c \JlU State 4- Zip . 22,1cti
ense Holder (Print): _ 12C7 w: _ State Certification/Registration# E - )30 C2b-7
tarized Sig ,;,1 scrasi r l AUFM R :i ; 10, ■
_0..,.,.',; MY COMMISSION it FF 92 •• i � ,���a 1
�% eel EXPIRES:Oct 9
-1: i 4.4 Bonded EXPIRES: �' •his day of t0, 1 4.
�r
Signature of Notary Public • �- `�r&
tv