1201 Gladiola Street ELECTRIC NEW SERVICE :
iCITY OF ATLANTIC BEACH
•f 800 SEMINOLE ROAD
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t- ATLANTIC 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-1300
Job Type: ELECTRIC ONLY
Description: ELECTRIC - NEW SERVICE
Estimated Value:
Issue Date: 6/7/2016
Expiration Date: 12/4/2016
PROPERTY ADDRESS:
Address: 1201 GLADIOLA ST
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: MCCLURE ELECTRICAL CONTRACTORS
Address: 537 N 5TH AVE QA ROBERT MCCLURE, JR
Phone: 904-237-4701
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: $129.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACII ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS: l .® \ 6-k,,,,, .1. A JC . PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 2- 0 AMPS 2[-0 VOLTS
PHASE
VALUE OF WORK$
NEW SERVICE n Overhead ❑ Underground nT Underground up Pole
❑Residential(Main)Service
00-100 amps 0101-150amps ❑151-200amps 0 amps #of Meters
❑Commercial(Main)Service
00-100 amps 0101-150amps 0151-200amps 0 amps OCT Service amps
Conductor Type Size
OMulti-Family(Main)Service
00-100 amps 0101-150amps ❑151-200amps 0 amps #of Unit Meters
0 Temporary Pole 0 amps
SERVICE UPGRADE 0 amps 0 CT Service amps
STEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100 amps 0150amps 0200amps 0 amps OCT 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 @ kw
Number of Lighting Outlets, Including Fixtures:
'THER ELECTRICAL PROJECTS
O Swimming Pool 0 Sign 0 Smoke Detectors Qty4 O Transformers KVA ❑Motors hp
[RE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps • VALUE OF WORK$
EPAIRS/MISCELLANEOUS •
❑Replace Burnt/Damaged Meter Can 0 Safety Inspection OPanel Change ❑OH to UG
❑Other:
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.
.perty Owners Name F\ ( R e cLp
t Q- k Phone Number
ctrical Company iM `L Lv R.e k..tiz c L‘c A‘ Office Phone Z3 1 —11°1 Fax
Address: I SL t I.v veA.,v.e3'S '(Z0 . City '(-tivi„-,a`�l~ Staten- Zip 1Z 4-
ese Holder(Print): g.. 'IM`CU,A o .
State Ce 'on/Registration# E f-600 `2i$ t $
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s xPIREs:a Po� e ,r this l day ii1� : 20
��^ dS�` Sanded ThN Noary
yR`'"" Signature of Notary Publi lira
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