60 ARDELLA ELEC , , r Jam
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CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
_._____ j 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 -807
Job Type: ELECTRIC ONLY
Description: ELECTRIC - OVERHEAD TO UNDERGROUND SERVICE
Estimated Value: $2,000.00
Issue Date: 4/6/2016
Expiration Date: 10/3/2016
PROPERTY ADDRESS:
Address: 60 ARDELLA RD
RE Number: 172065 -0000
PROPERTY OWNER:
Name: HAMIL JR, ROBERT M
Address: 60 ARDELLA RD
GENERAL CONTRACTOR INFORMATION:
Name: SPURGEON ELECTRIC INC
Address: 850489 US HWY QA RONALD S PEACOCK
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.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247 -5826 Fax (904) 247 -5845 6 ) 6 _ 8
J k1 DRESS: / r is f--, M PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS ,2-00 AMPS 9// VOLTS t PHASE
VALUE OF WORK $ 2 IV D l
NEW SERVICE ❑ Overhead ❑ Underground rlJ Underground up Pole
Residential (Main) Service
❑ 0 -100 amps 101- 150amps L1 151- 200amps _ , amps # of Meters
Commercial (Main) Service
❑ 0 -100 amps IJ 101 150amps ❑ 151- 200amps 7 amps ACT Service amps
Conductor Type Size
El Multi-Family (Main) Service
H0 - 100 amps f 101- 150amps !:1151- 200amps amps # of Unit Meters
Temporary Pole ❑ amps
SERVICE UPGRADE L1 amps ❑ CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
❑ 1 00 amps 150amps - 200amps r 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
P Swimming Pool ❑ Sign L ] Smoke Detectors Qty ❑ Transformers KVA ❑ Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist)
Qty volts /amps VALUE OF WORK $
REPAIRS/MISCELLANEOUS
, 'Replace Burnt/Damaged Meter Can ❑Sa > fety Inspection C1 Panel Change ❑ OH t
❑Other: Xl.71a
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 goveming 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. pp
Property Owners Name P -'-"-1't £oeM vx Phone Number /dy' g 31-
Electrical Company S f i e 6 &eel( /0 Office Phone 90 V-22 m ax Oa 3
Co. Address: S/ U C d 1 ‘ ) � C -f/r' C SC City Y9 State Zip ??.-0 7
License Holder (Print): zz."4 ? d1 S pL L9F U "tState Certification/Registration # �C 00025
Notarized Signature of License i
� ;:y , TONI NDLESPERGER
My combS9101tli1 us cribed before me" / of 0 ( 20LC,
: EXPIRES: October 6, 2019
"? o ' BondedTh 1 - _ enm _ . tary Public
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