1856 Tierra Verde Dr - Electrical 41 ` S, CITY OF ATLANTIC BEACH
A s 800 SEMINOLE ROAD
j. ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
A2-01319
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ELEC-1282
Job Type: ELECTRIC ONLY
Description: Bathroom Remodel
Estimated Value: $500.00
Issue Date: 6/3/2016
Expiration Date: 11/30/2016
PROPERTY ADDRESS:
Address: 1856 TIERRA VERDE DR
RE Number: 169542-5064
PROPERTY OWNER:
Name: KREIDL, OLIVER PATRICK/ANGELA, *
Address: 1856 TIERRA VERDE DR
GENERAL CONTRACTOR INFORMATION:
Name: MUNSON & BRYAN ELECTRICAL CO.
Address: 3434 ST AUGUSTINE RD QA JOHN MICHAEL SCIOLINO
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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITI1 ALL CITY OF ATLANTIC BEACH ORDINANCES AND TIlE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904)247-5826 Fax (904)247-5845
JOB ADDRESS: / 5-( / 1 e 17 67 Ver P< D" PERMIT# g -2frfi 2_/z)
JEA INFORMATION REQUIRED ON ALL PERMITS IP d AMP °VOLTS I PHASE
VALUE OF WORK S .5. ' °` o
NEW SERVICE ❑ Overhead ❑ Underground ❑J Underground up Pole
Residential(Main)Service
0-100 amps 1101-150amps [ 1151-200amps 1 I amps # of Meters
Commercial(Main)Service
,0-100 amps 1101-150amps ! 1151-200amps 1 . amps CT Service amps
Conductor Type Size
Multi-Family(Main)Service
0-100 amps 101-150amps 151-200amps amps #of Unit Meters
Temporary Pole amps
SERVICE UPGRADE amps : I CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
! 1100 amps 150amps 200amps 11 amps 1 CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: /0 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
Swimming Pool i Sign Smoke Detectors_Qty Transformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
i Replace Burnt/Damaged Meter Can i Safety Inspection Panel Change 1OH to UG
Other: ! tt 1961/ `>014Vc/ Qff id
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 kre; I I Phone Number
Electrical Company Aka Som #%144 Lie 6FM- Office Phone 71)/-3 yE (4'S(S Fax 7.01-3f6 :/l 3
Co. Address: 313`1 s t ighy 4,5 f r- 114 City 54 1 v}iu/i llt State ft Zip 3Z.o 7
License Holder (Print): -5&het SC/a ii.Ad iS .teCertification/Registration# (G Too/7cis
Notarized Signature of License Holder A, 40., x
Sworn . d subscribed before me this 3 day of--1 owe- 20 IC,
"'ri JOSEPH GUY CAUCHON
':: �• Commission#FF 244825 Signature of Notary Public 0.,r,_, i•%' C c� >�
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,,,-� •� Expires July 16,2019 ------._••4,4„,"S Bended Thu Troy Fan Insunncv 8]0385-7019