152 3rd street Electrical Permit �J `s CITY OF ATLANTIC BEACH
1 800 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: 15-ELEC-1006
Job Type: ELECTRIC ONLY
Description: new elec service 200 amps
Estimated Value:
Issue Date: 4/29/2015
Expiration Date: 10/26/2015
PROPERTY ADDRESS:
Address: 152 3RD ST
RE Number: 170196-0000
PROPERTY OWNER:
Name: ANDD, STEPHANIE ELIZABETH
Address: 152 3RD ST
GENERAL CONTRACTOR INFORMATION:
Name: ERICKSON ELECTRICAL CONTRACTOR
Address: 2807 ST JOHNS QA FRANK W ERICKSON
Phone: - -
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: $129.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
From:BOSCO BUILDING CONTRACTORS INC 904 241 0326 04/29/2015 12:50 #071 P. 001/002
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ELECTRICAL PERMIT APPLICATION �Y—AM—
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845
.TOB ADDRESS: � —,7 ��� PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS TQC) AMPS VOLTS ' PHASE
VAL UE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground Underground up Pole
I]Residential (Main) Service /
, 0-100 amps �11 Ol-150amps Nl 151-200amps VIMamps #of Meters
I:ICommercial(Main) Service
❑0-100 amps F1 10 1-1 50amps C1151-200amps I ] amps ICT Service s
Conductor Type Size amps
❑Multi-Family(Main)Service
❑0-100 amps ❑101-150amps ❑151-200amps la amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps 7150amps 11200amps ❑ ampsI ]
-CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-l 00amps 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:
DTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
IEPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can 1l Safety Inspection [:Panel Change OOH to UG
[''Other:
'ermit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. 1 hereby certify that I have
-ad 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. t y (� I 1
'roperty Owners Name �1.r Phone Number-NDA)
;lectrical Company
Office Phone Fax
'o. Address: nsco Q City ,State 'Y 1. Zip
icense Holder (Print): (aftState Certification/Registration #L'=Lv_0 �9-5'
'otarized Signature or License Holder �1