1661 PARK TERR E - ELECTRIC \Ij\
' \T, CITY OF ATLANTIC BEACH
J:,'te, `,'d"".'39)
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-1297
Job Type: ELECTRIC ONLY
Description: ELECTRIC - NEW SERVICE 300 AMPS, 240 VOLTS, SINGLE
PHASE
Estimated Value: $12,000.00
Issue Date: 6/7/2016
Expiration Date: 12/4/2016
PROPERTY ADDRESS:
Address: 1661 E PARK TER
RE Number: 172020-0216
PROPERTY OWNER:
Name: KETTERINGHAM ET AL, BARNEY B
Address: PO BOX 20229 PO BOX 20229
1 GENERAL CONTRACTOR INFORMATION:
Name: GREENSLADE ELECTRIC, LLC
Address: 311 S BAY ST
Phone: 386-263-2960
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
New Single Family Electrical $90.00
Trade Permit Base Fee $55.00
Total Payments: $149.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH IiI ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
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,
/�• r ATLANTIC BEACH
;J PERMIT RECEIPT
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PERMIT DESCRIPTION: ELECTRIC- NEW SERVICE 300 AMPS, 240 VOLTS, SINGLE PHASE
PERMIT NUMBER: 16-ELEC-1297
ADDRESS: 1661 E PARK TER Pp,ID
OWNER: 1\11A 0l 416
�F P��AOC gEACH
DATE ISSUED:
c\i‘i 0 1'�-
FEES DUE:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
4
New Single Family Electrical $90.00
CITY OF ATLANTIC BEACH
800 SEMINOLE RD
Trade Permit Base Fee $55.00 ATLANTIC BEAC,FL 32233
06/07/2016 16:52:07
CREDIT CARD
Totals: MC SALE
$149.00 CARD;
XXXXXXXXXXXX4524
INVOICE 0007
SEQ#: 0006
Batch R: 000332
Approval Code: 850413
Entry Method: Manual
Mode: Online
Tax Amount: $0,00
Card Code: h1
SALE AMOUNT $149,00
CUSTOMER COPY
l �
• . ELECTRICAL PERMIT APPLICATION SPR
CITY OF ATLANTIC BEACH .
800 Seminole Rd, Atlantic Beach, FL 32233 I lO_SLE C _I z
Ph(904)247-5826 Fax (904)247-5845
JOB ADDRESS: t (4)(Q I* Ii ' i 1 i'Ice r PERMIT# •
JEA INFORMATION REQUIRED ON ALL PERMITS c.'2';00 AMPS '240 VOLTS I PHASE
VALUE OF WORK$ 41�--)000.00
NEW SERVICE ❑ Overhead J U derground TT Underground up Pole
.Residential(Main) Service
:0-100 amps . 101-150arnps 1.•151-200amps !.; amps #of Meters
,Commercial(Main)Service
0-100 amps ; ;101-150amps 1.115 1-200amps i 1 amps 1.ICT Service amps
Conductor Type Size
Multi-Family(Main)Service
0-100 amps ""' 'crimps 1.11 5 1-200amps f.1 amps #of Unit Meters
'cmporary Pole .flips
SERVICE UPGRADE !:.; amps I I CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps '150amps I !200amps I : amps 11CT Service • amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-3Oamps • 31-100amps 101-200axnps
Appliances: 0-30amps 31-100amps101-200amps
A/C Circuits: 0-60amps 61-100amps -
Heat Circuits: # circuits @ kw •
Number of Lighting Outlets, Including Fixtures:
OTIIER ELECTRICAL PROJECTS
'Swiimming Pool i.1 Sign 1 ;Smoke Detectors_Qty ljTransformers KVA :.:!Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$ •
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can LiSafety Inspection i 1Panel Change -,IOH to UG
if ,
—. - -.
•
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. J 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 _ ii 0 ••i it/ Phone Number
Electrical Company 'r1.J♦ . a.lig' _b'��arit) I '-L e-Office I one' -`i`4 1 (p3'2 f O
Co. Address: GoF vV L ( CityP)1k,flne.1kState R. _Zip 3z n 0
License Holder (Print): 4 ill A V r.,%.A la# '.___ State Certification/Registration# _
N014rt = ,,,'-natu�r� old M MVP
Gam' ` (OS?
• I4 ,ti Notary Public-State of nor* 4driri
fasion
M• =4 = r
' o , My Comm.Expires May J,2044°
4 �avteCommNFF 123371 d s d before r = thi
day of`l 20
ature of Notary Public / I,1g'��/f ,&IV •