333 5TH ST - GAS POOL HEATER ,� 2�s, CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
r ~.
X ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
'2.0;31 9?
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ELEC-866
Job Type: ELECTRIC ONLY
Description: GAS TO POOL HEATER
Estimated Value:
Issue Date: 4/13/2016
Expiration Date: 10/10/2016
PROPERTY ADDRESS:
Address: 333 5TH ST
RE Number: 169862-0000
PROPERTY OWNER:
Name: ALLAN, BRYANT G
Address: 332 BRADLEY POINT RD
GENERAL CONTRACTOR INFORMATION:
Name: BILL THOMPSON ELECTRIC CO, INC
Address: 49 WEST 7TH ST QA WILLIAM R. THOMPSON, IV
Phone: - -
FEES:
Trade Permit Base Fee $55.00
State Elec DCA Surcharge $2.00
State Elec DBPR Surcharge $2.00
Lighting Outlets, Including Fixtures $1.20
Total Payments: $60.20
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(9n 247-5826 Fax (904) 247-5845
JOB ADDRESS: P`A- )1-r PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 2-007 AMPS a VOLTS / PHASE
VALUE OF WORK$ '1:5-0,. 670
NEW SERVICE I I Overhead I I Underground nT Underground up Pole
❑Residential(Main) Service
00-100 amps 0101-150amps 0151-200amps ❑ amps #of Meters
❑Commercial(Main) Service
00-100 amps ❑101-150amps ❑151-200amps ❑ 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
ADDITIONS,REMODELI 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
0 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 /� ❑PanellChangee 0 O to UG
V)ther: A l4 T® nett/ 61 C I c'/ A'aie!— /
:nnit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certi fy that I
have
ad 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
ecified 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
nstruction.
'operty Owners Name /V i/ r IC *f.'`'t�f C
1 Phone Number
BILL ectrical Company 71 N ELECTRIC CO., Ilih Office Phone ?9��Y Fax 2-70 r��rf,P.O. BOX 330150
). Address: 4TT ANT,- �o
3_7_7_ 3� City State Zip
-ense Holder (Print): IVA 7Ag 14.11Af��r% State Certification/Registration# / 72`9
)tar.4 . . • .. ' ,. . • , • -r /G�/ �.�
gis Plit Notary Public State of Florida '
4A Shirley L Graham B.+ore me this l`3 day .lip i�jJp, 20 _
`- � My Commission FF 086990 _
'44;1'4? Expires 02/14/2018 ature of Notary Pub ' '� `-`