920 SAILFISH DR - ELECTRIC From:9047371099 05/06/2016 10:27 #266 P.002/002
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845 1 G`ELEC. I 0 SE)
JOB ADDRESS: grd,D SQ i i-V15 k b`. PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS /CC AMPS a'/O VOLTS I PHASE
VALUE OF WORK$ rIooc'. ot)
NEW SERVICE I I Overhead ❑ Underground (l1 Underground up Pole
:Residential(Main) Service
:.:0-100 amps : 101-150amps :151-200amps amps # of Meters
`Commercial(Main)Service
TO-100 amps H 101-150amps 151-200amps amps CT Service amps
Conductor Type Size
-::'Multi-Family(Main)Service
10-1 00 amps "i 101-150amps ""i 151-200amps amps #of Unit Meters
•
Temporary Pole amps
SERVICE UPGRADE amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
7100 amps C:'150amps T200amps 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
H Swimming Pool 7 Sign HSmokeDetectors Qty :.:;Transformers KVA i '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 XPanel Change SOH to UG
t 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 be true and correct. All provisions 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 of any other state or local law regulation construction or the performance of
construction. �Property Owners Name Thr U a Phone Number Ci()(-t `a A
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Electrical Com pany A-CYeiit CCy\ 1--leCA-te lcaC
QbvikiGAI►'l Office PhoneW43`)-1`110 Fax golf- 137'f
Co. Address: SO(a"
J3 Si N-usLi cti ire V ity _ . .y 1 i lit State Ft. Zip 3 C'7!
�` - .- if ation/Registration# EC_13cc 131 I
Licens• Holder Print : ��.'i C �— � g
Nota z " tl+ t t v M c of •r l4- `e"%0
. . Anna M Daly //
di My commiulon E6®6071)0 orn and subscribed before e t► s (. day o 1)]y 20J(G'
of Expires 01/2b�2017 �
4
,, , s CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
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-1058
Job Type: ELECTRIC ONLY
Description: ELECTRICAL - PANEL CHANGE
Estimated Value: $1,000.00
Issue Date: 5/6/2016
Expiration Date: 11/2/2016
PROPERTY ADDRESS:
Address: 920 SAILFISH DR
RE Number: 171164-0000
PROPERTY OWNER:
Name: PAGE, RAYMOND
Address: 920 SAILFISH DR
GENERAL CONTRACTOR INFORMATION:
Name: AMERICAN ELECTRICAL CONTRACTOR
Address: 5065 ST AUGUSTINE RD APT 13 QA EARL W. FRICK
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 WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.