971 Paradise Circle ELECTRIC � S�- :r1
�� ' e- CITY OF ATLANTIC BEACH
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800 SEMINOLE ROAD
alp)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-856
Job Type: ELECTRIC ONLY
Description: ELECTRICAL -TEMP POLE
Estimated Value: $50.00
Issue Date: 4/12/2016
Expiration Date: 10/9/2016
PROPERTY ADDRESS:
Address: 971 PARADISE CIR
RE Number: 172376-0080
PROPERTY OWNER:
Name: BOB & CHRIS LLC., *
Address: 357 12TH ST
GENERAL CONTRACTOR INFORMATION:
Name: MARCO ELECTRICAL CONTRACTORS
Address: 720 MILL CREEK RD QA BENJAMIN EDWARD SMITH
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Temporary Electrical Service $35.00
Trade Permit Base Fee $55.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
9 '7 800 Seminole Rd, Atlantic Beach, FL 32233 1(0 -EL EC -05
` Ph (904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: PAS2AO15E CA(),C. PERMIT # 11.4-S-C-0--.- 30 i
JEA INFORMATION REQUIRED ON ALL PERMITS 50 AMPS 'NO VOLTS 1 PHASE
VALUE OF WORK S ,. 0.pO
NEW SERVICE ❑ Overhead [ Underground I J Underground up Pole
Residential (Main)Service
0-100 amps 101-150amps 151-200amps _amps # of Meters
Commercial(Main) Service
0-100 amps 101-150amps 151-200amps amps CT Service amps
Conductor Type Size
Multi-Family(Main)Service
0-100 amps 101-150amps 151-200amps amps # of Unit Meters
Temporary Pole i?0 amps
SERVICE UPGRADE amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.)
100 amps 150amps 200amps amps CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
Swimming Pool Sign Smoke Detectors Qty Transformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
:Replace Burnt/Damaged Meter Can Safety Inspection Panel Change OH to UG
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 he true and correct. All provisions of laws and ordinances governing this work will he 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. n tC k )aS Btr-e- T-H-
Property Owners Name-rss I-e Tr Ivc e.)-)-rND rci' ,- .tevudopvvren-1' .71-c' • Phone Number CEO - (1o.a_ -6`-1A-10
Electrical Company tYC` - '-e. Crt cod Cc_ Office Phone 0 33 ° Fax '1i$`'141-3
Co. Address: C-)c�—`c:) nr .`\ O^r L -A City ck x`M14, State e■ .Zip ' l I I
License Holder(Print): :gfill__ A,v,, -1-7- , / "/X State Certif ion/Registration # tC 13 )3''')' '15
Notarized Signature of License Holder -
/
Sworn a subscribed before me this la day of Pter-
. 1 2010
BONNELL W.CRAIG
44)
MY COMMISSION 8 FF167433 Signature of Notary Public w -r.
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EXPIRES:Decanbc 11,2018 kS