1608 MARITIME OAK DR - ELECTRIC rte, `T\ CITY OF ATLANTIC BEACH
•�) 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-1429
Job Type: ELECTRIC ONLY
Description: ELECTRIC - NEW SERVICE 200 AMPS. 240 VOLTS. SINGLE
PHASE
Estimated Value: $10,000.00
Issue Date: 6/22/2016
Expiration Date: 12/19/2016
PROPERTY ADDRESS:
Address: 1608 MARITIME OAK DR
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: DAVID GRAY ELECTRICAL SERVICES INC
Address: 6491 Powers AVE STE 1
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: $129.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
Rl'II.I)ING CODES.
Jun. 21. 2016 10: 12AM • No. 6333 P. 1
ELECTRICAL PERMIT APPLICATION I co _ ..L C_ [4z9
CITY OF ATLANTIC BEACH -O� Ib �
800 Seminole Rd,Atlantic Beach, FL 32233
Ph(904)247-5826 Fax (904)247-5845 bag• rer"'l'--\--
JOB ADDRESS: k1407 NI rise i-t'l IM-, Do�.k DV". PERMIT# t -ScI It
•
SEA INFORMATION REQUIRED ON ALL PERMITS D..-OD AMPS 2.-`-k0 VOLTS 1 PHASE
NEO SE,2.v1C€ VALUE OF WORK$ l'O, OOO
NEW SERVICE ❑ Overhead i e round ❑l Underground up Pole
❑Residential(Main)Service
00-100 amps ❑101-150amps 51-200amps 0 amps #of Meters
:Commercial(Main)Service
00-100 amps 0101-150amps 0151-200amps 0 amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
❑0-100 amps r 101-150amps O 151-200amps 0 amps #of Unit Meters
`emporary Pole : _amps
SERVICE UPGRADE 0 amps 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps • 0150amps 0200amps 0 amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: O-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
0 Swimming Pool 0 Sign :Smoke Detectors_Qty ❑Transformers KVA OMotors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/M1SCELLANEOUS
❑Replace Burnt/Damaged Meter Can OSafety Inspection ❑Panel Change OOH 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
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 A- Loi Phone Number q 014-- %-k.-- 3<:,1S9
• •
Electrical Company V)0.Vl d (.rvct.ki El e t- -v c_a1 w i c Office Phone`104-1 a'--.117-t l Fax CIS"-SO1-alt-.
Co.Address: VA-VAI. POW eAr5 AVE.. City Jo.c State EL Zip 3)- - 1
License Holder(Print): 13o (-+tt*)5 • f State Certification/Registration# EC Q
COlQ\l '
Notarized Signature of License Holder ., i6it_ t.
ASiiI.EY FAR1�113 Sworn and subscribed beforeQA)W ,
me this 0-\ day of JLvl. 201 l-P
r. ' NOTARY PUBLIC Signature of Notary Public ���' SPATE C1F FLORIDA