1157 VIOLET ST - ELECTRIC PERMITCITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
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-1265
Job Type:
ELECTRIC ONLY
Description:
ELECTRIC - NEW SERVICE 200 AMPS, 240 VOLTS, SINGLE
PHASE
Estimated Value:
$4,500.00
Issue Date:
6/2/2016
Expiration Date:
11/29/2016
PROPERTY ADDRESS:
Address:
1157 VIOLET ST
RE Number:
None
GENERAL CONTRACTOR INFORMATION:
Name: DREAM ELECTRIC
Address: 11992 Chester Creek RD
Phone: 904-534-9617
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
New Single Family Electrical $70.00
Trade Permit Base Fee $55.00
Total Payments: $129.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ATLANTIC BEACH
PERMIT RECEIPT
PERMIT DESCRIPTION: ELECTRIC - NEW SERVICE 200 AMPS, 240 VOLTS, SINGLE PHASE
PERMIT NUMBER: 16-ELEC-1265
ADDRESS: 1157 VIOLET ST
OWNER:
DATE ISSUED:
FEES DUE:
State Elec DBPR Surcharge
State Elec DCA Surcharge
New Single Family Electrical
Trade Permit Base Fee
Totals:
P/So u
JUN Q2 216
CITY OF PJLNOC EN
CH
$2.00
$2.00
$70.00
$55.00
$129.00
CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC, FL 32233
06/02/2016
CREDIT CARD
VISA SALE
CARD
XXXXXXX0)C(XX5346
INVOICE
0006
SEQ #:
0006
Batch #:
000330
Approval Code.
457288
Entry Method:
Manual
Mode:
Online
Tax Amount:
$0,00
Card Code:
M
SALE AMOUNT $129,
CUSTOMER COPY
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845 (�p -� L � ( Z (S
JOB ADDRESS://:5-7 /,�7 �� �')1 51` e- 7—" PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
o�
VAL UE OF WORK $ y
NEW SERVICE Ea' -Overhead
❑Residential (Main) Service
00-100 amps ❑ 101-150amps
❑Commercial (Main) Service
110-100 amps ❑ 101-150amps
Conductor Type
❑ Multi -Family (Main) Service
00-100 amps 1110 1- 1 50amps
El Temporary Pole ❑ amps
SERVICE UPGRADE
❑ Underground ❑1 Underground up Pole
RT:�I---200amps ❑ amps # of Meters
❑ 151-200amps ❑ amps OCT Service amps
Size
❑ 151-200amps ❑ amps # of Unit Meters
❑ amps ❑ CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
❑ 100 amps ❑ 150atnps C''60amps ❑ amps OCT Service
amps
ADDITIONS, REMODELS REPAIRS, BUILD -OUTS, ACCESSORY STRUCTURES, ETC.
Outlets/Switches: !P D 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: / 0-60amps 61-100amps
Heat Circuits: # circuits @_Z6 _kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJEC
❑ Swimming Pool ❑ Sign moke Detectors,_q__Qty []Transformers
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps
KVA El Motors
VAL UE OF WORK $
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can 11 Safety Inspection ❑Panel Change 11 OH to UG
❑ Other:
M
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. K�tYY1e�Ct-t n�� �►<<°�►l r�c"ld`S ll�
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Property Owners Name Phone Number
feim Clc2#41CElectrical Company D 1 fiedy'
5 -3t/ -f,4 / %Fax
Co. Address:?- y a ox `085 City S.?SK State / Zips'2�2'3
License Hold4
Notarized S
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