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620 Orchid St - Electrical CITY OF ATLANTIC BEACH 2 r, s� 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-1144 Job Type: ELECTRIC ONLY Description: ELECTRICAL - FOR SWIMMING POOL Estimated Value: Issue Date: 5/18/2016 Expiration Date: 11/14/2016 PROPERTY ADDRESS: Address: 620 ORCHID ST RE Number: 170911-0000 PROPERTY OWNER: Name: MONCRIEF, JOHN & ANDREA, * Address: 620 ORCHID ST GENERAL CONTRACTOR INFORMATION: Name: RIVER CITY ELEC CONTRACTORS Address: 12496 NE GATELY OAKS L QA JOHN MICHAEL SCIOLINO Phone: - -_ FEES: State Elec DBPR Surcharge $2.00 State Elec DCA Surcharge $2.00 Swimming Pools $40.00 Trade Permit Base Fee $55.00 Total Payments: $99.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORID BUILDING CODES. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach, FL 32233 i / _C�� Ph(904) 247-5826 Fax (904) 247-5845 to C- I (4 JOB ADDRESS: LO O r c-\1 �� 5 PERMIT# 16 — JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE VALUE OF WORK$ NEW SERVICE ❑ Overhead (1 Underground I IJ Underground up Pole ❑Residential(Main)Service 00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters ❑Commercial(Main)Service D0-100 amps D 101-150amps D 151-200amps 0 amps DCT Service amps Conductor Type Size OMulti-Family(Main)Service 00-100 amps D 101-150amps D 151-200amps ❑ amps #of Unit Meters ❑Temporary Pole ❑ amps SERVICE UPGRADE 0 amps DCT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) 0100 amps ❑150amps D 200amps 0 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 E TRICAL PROJECTS wimming Pool 0 Sign 0 Smoke Detectors_Qty 0 Transformers KVA ❑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 JPanel Change DOH to UG ❑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 -ead 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 >pecified 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 ;onstruction. ?roperty Owners Name _ Phone Number Electrical Company Q <x C- ` \ �� V"- . Office Phone 5 1 ( --0(;)-7� Fax -2o. Address: 0 7 �kk�H e . City ©, P - State Zip32- 73 License Holder (Print): ,)(`A-v C• CL Ste Cerertification/Registration# - 5� : • t e o License Holder 94 "P Notary Public State of Florida Bef e this t � day of 20 ( 0�^. Kitty Cook My Commission EE 148663 /L 4'o,nc. Expires 01/15/2016 Signature of Notary Public ./6