982 Ocean Blvd - Electric :-.1' `1, CITY OF ATLANTIC BEACH
r A s) 800 SEMINOLE ROAD
t ATLANTIC BEACH, FL 32233
\; INSPECTION PHONE LINE 247-5814
�N
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ELEC-1160
Job Type: ELECTRIC ONLY
Description: ELECTRICAL
Estimated Value: $1,500.00
Issue Date: 5/23/2016
Expiration Date: 11/19/2016
PROPERTY ADDRESS:
Address: 982 OCEAN BLVD
RE Number: 170342-0000
PROPERTY OWNER:
Name: ROULEAU, DAVID W
Address: 982 OCEAN BLVD
GENERAL CONTRACTOR INFORMATION:
Name: SOUTHERN ATLANTIC ELECTRIC CO
Address: 11618 E COLUMBIA PARK DR DANNY MCINTOSH
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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WIT11 ALI. CITY OF ATLANTIC BEACH ORDINANCES AND THF. FLORIDA
BUILDING CODES.
From:Southern Atlantic Electric 904 268 3899 05/20/2016 14:27 #417 P.002/002
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233 qy
Ph(904)247-5826 Fax (904) 247-5845
JOB ADDRESS: 102 OCEMV 13L V D PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 200 AMPS Z'to VOLTS k PHASE
VALUE OF WORK$ fl COO
NEW SERVICE ❑ Overhead ❑ Underground Eli Underground up Pole
:,Residential (Main) Service
00-100 amps C 101-150amps L 1 151-200amps _ amps # of Meters
0 Commercial (Main) Service
l0-100 amps D 101-150amps iL 151-200amps Li amps OCT Service amps
Conductor Type Size
is Multi-Family(Main)Service
00-100 amps 0101-150amps Li 151-200amps = amps #of Unit Meters
;_'Temporary Pole :i amps
SERVICE UPGRADE amps 0) CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100 amps D 150amps __i200amps :_' amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 2 t- 0-30amps 31-100amps 101-200amps
Appliances: 2 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures: 2c>
OTHER ELECTRICAL PROJECTS
r Swimming Pool '1 Sign i Smoke Detectors . Qty =Transformers- KVA H Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
TIReplace Burnt/Damaged Meter Can ::.ISafety Inspection H Panel Change DOH to UG
JOther:
N,, 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
1 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 8 r I a n J. Vif G 5 S rt e.r Phone Number 90`1 5-71 - 3S0&
Electrical Company Sc u-the/r. A i(a,,4/G E(ce f,t r Cane. 717% ,� Office Phone ctoLi 24k- 3voq Fax 9o't 24/5-381
Co. Address: i t( I 0 S~ -1 u,„,40 7a Par lc 0"ivr✓ E , City ;Jackson, v i1 e State F( Zip 322.5£3
License Holder (Print): �, NonJ /r ! . rn (li7v511.. State Certification/Registration# EG 4:,-09p i 19
Notarized Signature of License Holder fj '---:I---,.:_`.'L::.._:=_.
4:•':' SHERYLA.tANIER Beforerfne this e day of N a 20
* * ►�r COMMISSION.�lsseal ��"����f r. .
M: EXPIRES:February 7,2019 Signature of Notary Public tt (40-44-A-t-A--