750 Redfin Dr Electric Safety 2016 ,MM6 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-1267
Job Type: ELECTRIC ONLY
Description: ELECTRIC - SAFETY INSPECTION
Estimated Value:
Issue Date: 6/2/2016
Expiration Date: 11/29/2016
PROPERTY ADDRESS:
Address: 750 REDFIN DR
RE Number: 171311-0000
PROPERTY OWNER:
Name: WILLIAMS, ANNIE W
Address: 750 REDFIN DR
GENERAL CONTRACTOR INFORMATION:
Name: E-4 ELECTRIC, INC.
Address: 2816 10th AVE QA JAMES BECHNCKE
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.
CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,FL 32233
06/02/2016 10:25:08 CITY OF ATLANTIC BEACH
CREDIT CARD 800 SEMINOLE ROAD
VISA SALE PHONETIC(904) 9-47-5855 32233
Card WXXXXXXXXX6354 Cashier Id: atlbcld\atlbbia
SEQ#:: Receipt Date: 6/2/2016 10:24:41 AM
Batch#: 1 Receipt Number: OS-70007
INVOICE 141
I Job TU: 15-ELEC-1267 - ELECTRIC - SAFETY IN
APProvalCode: 490333 SPECTION EDBPR - State Elec DBPR Surcharge
EntrY Method: Maul $2.00
Mode: Joh ID: 16-ELEC-1267 - ELECTRIC - SAFETY IN
Tax Amount: MixJob
EDCA - State Elec DCA Surcharge
Card Code: $0,00 $2.00
M
Job ID: 16-ELEC-1267 - ELECTRIC - SAFETY IN
SALE AMOUNTn SPECTION ELIB - Electrical Repairs $35.00
$T '00 .Job ID: 16-ELEC-1267 - ELECTRIC - SAFETY IN
SPECTION TP - Trade Permit Base Fee $55.0
0
CUSTOMER COPY Amount Due: $94.00
Tender Information: Cash $94.00
Tender Type: CC
Tender amount: $94.00
Change Due: $0.00
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
_ Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS:
1
JEA INFORMATION REQUIRED ON ALL PERMITS �'�f -' �� ' ���
Q �, AMPS � VOLTS ( PHASE
VALUE OF WORK 3
NEW SERVICE ❑ Overhead ❑ Underground ❑ 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
SERVICE UPGRADE amps CT Service amps
EW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps 150amps 200amps ___amps CT Service amps
DITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps --3 1-1 00amps 101-200amps
Appliances: 0-30amps 31-I00amps _ _ 101-200amps
A/C Circuits: ___0-60amps 61-100amps
Heat Circuits: _ #circuits rrr) kw
Number of Lighting Outlets. Including Fixtures: _ f
THER ELECTRICAL PROJECTS
Swimming Pool Sign Smoke Detectors "__"Qty Transformers KVA -,<-
IRE ALARM SYSTEM (Requires 3 sets of plans)
Qty _voltsiantps PAL UE OF WORK S
PAIRS/MISCELLANEOUS �
Replace BurnUDamaged Meter Can Y� fety Inspection Panel Change OH to UG
it becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby ecrtify that I havi
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
hied or not "lhe permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of'' -
'struction.
'roperty Owners Name f Phone Number qGy-
trical Company �(' _ Ci t';�- �n r Office Phone
' / Fax
��Y — - 3�
233 �q`Address Ci ty Id State �C Zip-
use Holder(Print): Jc,rrte_S �Q ��� State Certification/Registration#��13P133
tarized Signature of License Holder,/ 1
S M and subscribed before tis day o r)l 20 C
Signature of Notary Public WCoMM ON#FF729M