10 SEMINOLE LANDING RD - ELECTRIC "` ASS, CITY OF ATLANTIC BEACH
J 800 SEMINOLE ROAD
::-1 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-855
Job Type: ELECTRIC ONLY
Description: ELEC SWITCHES 56
Estimated Value:
Issue Date: 4/12/2016
Expiration Date: 10/9/2016
PROPERTY ADDRESS:
Address: 10 SEMINOLE LANDING RD
RE Number: 168908-1032
PROPERTY OWNER:
Name: CRAIG, CAROL & DARRELL, *
Address: 10 SEMINOLE LANDING RD
GENERAL CONTRACTOR INFORMATION:
Name: MARCO ELECTRICAL CONTRACTORS
Address: 720 MILL CREEK RD QA BENJAMIN EDWARD SMITH
Phone: - -
FEES:
Trade Permit Base Fee $55.00
State Elec DCA Surcharge $2.00
State Elec DBPR Surcharge $2.00
Lighting Outlets, Including Fixtures $33.60
Total Payments: $92.60
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd. Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: I 0 5Lm t ►M-- l-e, l.-_CQ�(1L1 lr1 r G' • PERMIT # IL,- RAA e.- H
JEA INFORMATION REQUIRED ON ALL PERMITS OO AMPS asy- -) VOLTS I PHASE
VALUE OF WORK S 0° , r3O
NEW SERVICE ❑ Overhead n Underground nl Underground up Pole
Residential(Main) Service p's # of Meters
0-100 amps 101-150amps 151-200amps am
Commercial(Main)Service CT Service amps
0-100 amps 101-150amps 151-200amps amps
Conductor Type Size —
Multi-Family(Main)Service s #of Unit Meters
0-100 amps 101-150amps 151-200amps amps
.Temporary Pole amps
SERVICE UPGRADE amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps 150amps 200amps amps CT Service amps
ADDITIONS,REMODELS REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES ,ETC .
Outlets/Switches: l5 0-30amps 31-100amps
31-l OOain p s 101-200amps
Appliances: 1 0-30amps —
A/C Circuits: K\A 0-60amps 61-100amps
Heat Circuits: {\ to # circuits @ kw
O
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS Transformers KVA Motors hp
Swimming Pool Sign Smoke Detectors Qty —
FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK$
Qty volts/amps
REPAIRS/MISCELLANEOUS
.Replace Burnt/Damaged Meter Can Safety Inspection Panel Change OH to UG
Other:
Permit void work es not
commence within m period suspended abandoned six o hereby certify have
read th is application and know the same e uendcorrectill p o isins 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 ol'any other state or local law regulation construction or the performance of
construction.
Phone Number Property Owners Name çK�1rlt2v� `�c�4Y5
r CO NN c-�Ci cal C9�� • Office Phone Q04_`� - --)'ax -`) '`1
Electrical Company Ot C -'C� 309 1 I
t 1 '-Q L , City � ,,,Jlp State t Zip Co. Address: � �-J X °G'
r , "X State Certif tion/Registration# l `�J.�a 15
License Holder(Print): ,%� � '�` � f
Notarized Signature of License Holder - 1" 20_11.L.
Sworn a 1 subscribed before e this ) D�f-�- day of ` fir.
BONNELL W.CRAIG
;� MY COMMISSION#FF167433 Signature of Notary Public 1.)...) ci_
`)„F,or►oe° EXPIRES:December 11,2018