705 SAILFISH DR - ELECTRICAL A'
y , �t s� CITY OF ATLANTIC BEACH
0 800 SEMINOLE ROAD
t r 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-1052
Job Type: ELECTRIC ONLY
Description: ELECTRIC - 7 SWITCHES
Estimated Value: $800.00
Issue Date: 5/5/2016
Expiration Date: 11/1/2016
PROPERTY ADDRESS:
Address: 705 SAILFISH DR
RE Number: 171229-0000
PROPERTY OWNER:
Name: FEDERAL NATIONAL MORT. ASSOC, *
Address: 705 SAILFISH DR
GENERAL CONTRACTOR INFORMATION:
Name: BILL THOMPSON ELECTRIC CO, INC
Address: 49 WEST 7TH ST QA WILLIAM R. THOMPSON, IV
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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE NITII ALI, CITY OF ATLANTIC BEACH ORDINANCES AND TIIE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845 i _ 1 C-10 5
JOB ADDRESS: (r / , /-*N.' PERMIT#`!J -/exio-1-5-
JEA INFORMATION REQUIRED ON ALL PERMITS
2-05) AMPS 2-4 VOLTS i PHASE
VALUE OF WORK$ giaq-CO
NEW SERVICE n Overhead n Underground I U Underground up Pole
OResidential(Main)Service
00-100 amps 0 101-150amps Cl 151-200amps ❑ amps #of Meters
0Commercial(Main) Service
00-100 amps 0101-150amps 0151-200amps ❑ am s
Conductor Type Size p OCT Service amps
❑Multi-Family(Main)Service
00-100 amps ❑101-150amps ❑151-200amps 0 amps #of Unit Meters
OTemporary Pole 0 amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100 amps ❑150amps 0200amps ❑ amps O CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
7 Outlets/Switches: 0-30amps 31-100am s
Appliances: 0-30am s p 101-200amps
p
A/C Circuits: 0-60am 61-100amps 101-200amps
P s 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures: S.
OTHER ELECTRICAL PROJECTS
Cl Swimming Pool 0 Sign 0 Smoke Detectors Qty 0 Transformers
KVA ❑Motors hp
EIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection OPanel Change LJOH to UG
0Other:
'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
ead 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. /
'roperty Owners Name Vail J 6I ne S's /2 e --- Phone Number
lectrical Company MPSON ELECTRIC CO., Ilk Office Phone 2--ifF ZCY Fax 27G' ,��
P.0.BOX 330150
:o.Address: ATLANTIC BEACH. FL 32233.01610 City State Zip
icense Holder (Print): ■ d!P, ; rIk. ate Certification/Registration#/.3e2C ,
totari �,
Z �� TONI GINOLESPERGER
,; MY COMMISSION r FF 924951 B ore me this
•3, ' EXPIRES:October 6,2019 day o • !,,•%°o:q; Banded Thru Notary Pubic Underwriters ., A /r
nature of Notary Public _rte e A