1853 SEA OATS DR - ELECTRIC ��, CITY OF ATLANTIC BEACH
r. _ ., ,,, „
_ 800 SEMINOLE ROAD
t) — — v y jATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ELEC-1408
Job Type: ELECTRIC ONLY
Description: ELECTRIC - CHANGE POOL PANEL
Estimated Value: $1,100.00
Issue Date: 6/20/2016
Expiration Date: 12/17/2016
PROPERTY ADDRESS:
Address: 1853 SEA OATS DR
RE Number: 172020-0542
PROPERTY OWNER:
Name: LYON, MARIA J
Address: 108 TROON POINT LN
GENERAL CONTRACTOR INFORMATION:
Name: ALBERTIE ELECTRIC LLC
Address: 2345 N Edgewood AVE STE 54
Phone: 904-534-4339
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: $94.00
I
PERMIT IS APPROVED ONLY IN ACCORDANCE W1771 ALL CITY OF ATLANTIC BEACH ORDINANCES AND 771E FLORIDA
BUILDING CODES.
I
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845 I(o— G-LG C - 14 0 F)
JOB.ADDRESS: IPS- -504 -s PERMIT# /6 -R49/e i
JEA INFORMATION REQUIRED ON ALL PERMITS 2&9 AMPS y�) VOLTS / THAM
VALUE OF WORK$ ,//&0
NEW SERVICE 0 Overhead 0 Underground [11 Underground up Pole
:Residential(Main)Service
J0-100 amps D 101-1SOamps _151-200atnps L i amps #'of Meters
OCommercial(Main)Service
00-100 amps ":1.01-150amps 0151-200amps 0 amps :CT Service amps
Conductor Type Size
:Multi-Family(Main)Service
0-100 amps _.i 101-150arnps a 151-200amps G. amps #t of Unit Meters_.
rlTemporary Pole 0 amps
SERVICE UPGRADE 0 amps CT Service amps
1SEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
C.1100 amps C l50antps O200amps '. __ amps CT Service__ amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OU'.I'S.,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 11 0-3 Oamps 31-100amps 10l-200amps
Appliances: 0-30amps 31-l00amps 101.-200amps
A/C Circuits: 0-60amps 61-100amps \ ^r ��� i� E;
Heat Circuits: # circuits•@ kw ,J r ' C�
Number of Lighting Outlets, Including Fixtures: moo ' C
OTHER ELECTRICAL.PROJECTS
;Swimming Pool Sign :Smoke Detectors Qty. OTraitsformers KVA OMotors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
volts/amps VALUE OF WORK S
REPAIRS/MISCELLANEOUS
CReplace Burnt/Damaged Meter Can Ll Safety Inspection OPanel Change 001-Ito UG
OOther. e,v4, -z 'AOL,-..._ 1 lV 1CL ,.-...... _...- _..
?emit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months_ I hereby mortify 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 he 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 M4k 2+ /1- i_L.f}N t4 ry T Phone Number '9/a/ S2 7— 3.2g 6
S3c�— 43 y
Electrical Company �C/3e k'% � l�c`Tr� Office Phone 9,0V-6/11- tax
Co. Address: ._,231-6— Et.) -E WW^✓0 Ali n City !. eics. AO )VftL State/Zip ,S.42,1y
License Holder(Print): ,T)cl%/"/v. „I CL ,eTEA' � State Certification/Registration# Eel-Sol 37 GSI
N, i d i n' e v i et s Holder _-
ii oo a Lc, . RACHEL A.WALTERS vont and subscribed bef le this day of i, ,lam 20 U,'
E`*' A. Y' Notary Public-State of Florida � /� CIL./40
/�� ) ,nJq(p'v
'.J?.�4a-` My Comm.Exp res Mar 24.201 �re of Notary Pub • 10,L x./ ^-�'�i
,,f,8 ti. Commission#FF 000177 ,it,