160 OCEAN ELEC EYEBOLT ( j , #
r J' 1 CITY OF ATLANTIC BEACH
:; S J 800 SEMINOLE ROAD
� ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
J J3l )'
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247 -5814
JOB INFORMATION:
Job ID: 16 -ELEC -895
Job Type: ELECTRIC ONLY
Description: rusted service drop eyebolt
Estimated Value:
Issue Date: 4/18/2016
Expiration Date: 10/15/2016
PROPERTY ADDRESS:
Address: 160 OCEAN BLVD
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: BILL THOMPSON ELECTRIC CO, INC
Address: 49 WEST 7TH ST QA WILLIAM R. THOMPSON, IV
Phone: - -
FEES:
Lighting Outlets, Including Fixtures $0.60
Trade Permit Base Fee $55.00
State Elec DCA Surcharge $2.00
State Elec DBPR Surcharge $2.00
Total Payments: $59.60
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) 7 -5845
JOB ADDRESS: /69 6 Ag/G/ PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS 1.0 AMPS 2- VOLTS / PHASE
ib
VALUE OF WORK $ ja l
NEW SERVICE 1 1 Overhead 1 1 Underground 1 U Underground up Pole
❑Residential (Main) Service
00 -100 amps 0101- 150amps ❑ 151- 200amps ❑ amps # of Meters
'Commercial (Main) Service
00 -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 ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
❑ 100 amps ❑ 150amps 0 200amps ❑ amps OCT 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 CI Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts /amps VALUE OF WORK $
ZEPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑SSafety Inspection ❑Panel Change 0 O to UG
Other: Ax /t AGC.sie - ow 7c-- $e 1 sl%a 4 - � . -.69/
'ennit 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
: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
pecified 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
onstruction.
r
'roperty Owners Name / 1 /� i / Phone Number •C — 7 VS3
'slectrical Company BILL T�NIPSON ELECTRIC CO., INC O ffice Phone — J �` Faxy��
P. O. BOX 33015
'o. Address: ATLANTIC BEACH FL 322330150 City State Zip
icense Holder (Print): i Allt O v CI-n C to Certification/Registration # /3CO349'
Totarized Si nature of License Holder
.0.0ir_ • N Shi otary rley Pu L b ra State ham of Florida r. - fore me this i day or r % • • v 0 l� ...
� +. G ,�:
t - n` My Commission FF 086990
p, Expires 02/14/2018 : ignature of Notary Pus ` ` 1
eirm..1__