796 MAIN ST - ELECTRIC J �1
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-762
Job Type: ELECTRIC ONLY
Description: ELECTRIC - 2 OUTLETS
Estimated Value:
Issue Date: 3/30/2016
Expiration Date: 9/26/2016
PROPERTY ADDRESS:
Address: 796 MAIN ST
RE Number: 170942-0050
PROPERTY OWNER:
Name: SAPIA, PETER C
Address: 1655 SELVA MARINA DR
GENERAL CONTRACTOR INFORMATION:
Name: R & R ELECTRIC COMPANY
Address: P 0 BOX 60665 QA ROBERT A SALLETTE, JR
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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE wall ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
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CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233 160 c LE C
1 Ph (904) 247-5826 Fax (904) 247-5845 �o
JOB ADDRESS: 79 to 1'Y\ \k n 4'1 S 64\ PERMIT # ) )- R4 p g
5 78
,WA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE.
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground n1 Underground up Pole
• [Residential(Main)Service
.=i0-100 amps 1:1101-150amps H 151-200amps t I amps # of Meters
!Commercial(Main)Service
D 0-100 amps f l 101-150amps 0151-200amps [Ti amps n CT Service amps
Conductor Type Size
i Multi-Family(Main)Service
00-100 amps Li 101-150amps i 151-200amps U amps #of Unit Meters
!.1Temporary Pole H amps
SERVICE UPGRADE Li amps [Ti CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
i 100 amps (i 150amps 1.1200amps amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 9 0-30amps 3 I-100amps l 01-200amps
Appliances: 0-30amps 31-1 00amps 101-200amps
A/C Circuits: 0-60amps 61-I00amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
Swimming Pool 5 Sign H Smoke Detectors_Qty (Transformers KVA H Motors ___hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
I !Replace Burnt/Damaged Meter Can H Safety Inspection HPanel Change (IOH to UG
i_,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
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 300,r S ;ct.. - ,t 11
,,11 �\ Phone Number
Electrical Company it '� �r iC pg_ lV , F
r r,c_ Office Phone 76 y-Ss S'S' Fax 74 $ - fL y 6
2o. Address: p(, 6 b")( (p (\I C( 5 - City l State it Zip 322 3 4
License Holder(Print): t�ob�°ri , '� ` 'e �r
�� ��s�t to Certification/Registration#
Votarized Signature of License Holder I ' ,C�
IA0 P,, KM L Before me this 304. day of Oh 20 I,
�. •c MY COMMISSION*EE 198478
} �=' Y Signature of Notary Public pz
,,, EXPIRES:May 20,2018
S,.., Fly, Bonded ihru Budget Notary Services