183 POINSETTIA ' S, 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: 16 -ELEC -676
Job Type: ELECTRIC ONLY
Description: REMOVE LOCK TO TEST SERVICE (FLICKERING LIGHTS)
Estimated Value:
Issue Date: 3/21/2016
Expiration Date: 9/17/2016
PROPERTY ADDRESS:
Address: 183 POINSETTIA ST
RE Number: 170641 -0020
PROPERTY OWNER:
Name: KERR, PAUL G
Address: 12626 HIGH BLUFF DR SUITE 315
GENERAL CONTRACTOR INFORMATION:
Name: AMERICAN ELECTRICAL CONTRACTOR
Address: 5065 ST AUGUSTINE RD APT 13 QA EARL W. FRICK
Phone: - -
FEES:
Trade Permit Base Fee $55.00
State Elec DCA Surcharge $2.00
State Elec DBPR Surcharge $2.00
Electrical Repairs $35.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORID:
BUILDING CODES.
From:9047371099 03/21/2016 09:06 #218 P.002 /002
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
ff Ph (904) 247 -5826 Fax (904) 247 - 5845
JOB ADDRESS: 4 - -00 PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS 1 5t) AMPS oIRLAU VOLTS 1 PHASE
VALUE OF WORK $ 300
NEW SERVICE El Overhead U Underground Underground up Pole
11Residential (Main) Service
L:0 -100 amps :101- 150amps :::151- 200amps amps # of Meters
Commercial (Main) Service
-10 -100 amps l01 150amps :_ ;151- 200amps __: amps . :CT Service amps
Conductor Type Size
:-'Multi- Family (Main) Service
110 -100 amps 101- 150amps :._:151- 200amps I amps # of Unit Meters
Temporary Pole !:: amps
SERVICE UPGRADE amps CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
7 100 amps 71150amps I200amps 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
:;Swimming Pool Sign -:Smoke Detectors Qty ::::,Transformers KVA iMotors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK $
REPAIRS/MISCELLANEOUS
"Replace Burnt/Damaged Meter Can f Safety Inspection : ;Panel Change :: 0H to UG j
Other: rooO4L 1'\ 1 OC-I ._ t ' l t 3 T i r(j 14 T prd3k..i-lr\
Pennit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. 1 hereby certify that 1 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 l l i
j tCY�(AF�1 K � gtr" Phone Number q " �`to� - ' c4 a `)
Electrical Company 4411G1 I (cl V\ , I e in'l' C al 0bi4 ebnialliPROffice Phone N ` 77ZFax £7d/- 739- 659
Co. Address: .51) • - J 4 :. .. ' • 4 Ci State R Zip 3,4)6'7
License Holder (Print): En( Utj a • C rtification/Registration # EQi36 Y)3) l
, , • • • . • , . , ' : , lderG .14
it Notary Public state of Florida Y l - r i
Anna M Daly Sworn and subscribed bef re m' this jS�' da y of 20 11 o
v My Commiaion EE 850790 \ (l
.....d F xoiros 01/25/2017 c, _ - - - -- - - c, r ,� + , •. I