831 Main St. ELECTRIC CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
J1A1� '
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
]OB INFORMATION:
Job ID: 16-ELEC-1370
Job Type: ELECTRIC ONLY
Description: ELECTRIC - REPLACE 200 AMP PANEL
Estimated Value:
Issue Date: 6/14/2016
Expiration Date: 12/11/2016
PROPERTY ADDRESS:
Address: 831 MAIN ST
RE Number: 170944-0020
PROPERTY OWNER:
Name: SAPIA TRUSTEE ET AL, PETER C
Address: 1655 SELVA MARINA DR
GENERAL CONTRACTOR INFORMATION:
Name: ALPHA ELECTRIC OF PONTE VEDRA
Address: 299 RANCH RD QA ERIC M. ROMANCZUK
Phone• - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Electrical Repairs $35.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233 c
Ph (904) 247-5826 Fax (904) 247-5845 (0 3•7C)
JOB ADDRESS: 8 l -�,.- PE v
RMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS ,/ VOLTS
91 PHASE
Zoo oC, b
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
[]Residential (Main) Service
❑0-100 amps 0101-150amps 0151-200amps ❑ am s
❑Commercial(Main) Service p #of Meters
00-100 amps ❑101-150amps ❑151-200amps []—amps
Conductor Type Size11 CT Service amps
[]Multi-Family(Main)Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
[]Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
vEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 11200amps ❑ 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
Number of Lighting Outlets, Including Fixtures:
1THER ELECTRICAL PROJECTS
11 Swimming Pool ❑ Sign ❑Smoke Detectors_Qty 11 Transformers KVA ❑Motors hp
CRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
EPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change DOH to UG
❑Other: O
mit 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
I 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
:ified 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
struction.
a
perty Owners Name PPhone Number J 0`-t —V Q O
ctrical Company� � Zl 1&&�_V_&W-fflce Phone �p Fax ( d - �7
Address: City Y State-Zip 6� 6)
:nse Holder (Print): c. ieom,e�/e-Z v
State ertification/Registration# 6 �pZ
arize p e al
=q. MY COMMISSION NFF924951 �Q���'C�FIe
EXPIRES:October 6, mda
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HF C1F h '� Bonded Thru Notary PubGe Underwriters y Of
Signature of Notary Public
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