831 MAIN ST - ELECTRIC , PANEL REPLACE 3 �sf CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
Ts,
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-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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACII ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233 cc
Ph(904) 247-5826 Fax (904) 247-5845 I G -E( _ 370
JOB ADDRESS: 8 3 I �� r,1. PERMIT
JEA INFORMATION REQUIRED ON ALL PERMITS 2.4;s:/.10- AMPSf?(r ! VOLTS j
J Zoo Gat& PHASE
VALUE OF WORK$ b
NEW SERVICE n Overhead n Underground J Underground up Pole
❑Residential (Main) Service
00-100 amps 0101-150amps [1151-200am s [1
O Commercial(Main) Service pamps #of Meters
00-100 amps 17101-150amps 0151-200amps LI am s
Conductor Type Size p OCT Service amps
❑Multi-Family(Main)Service
00-100 amps O 101-150amps 0151-200amps 0 amps #of Unit Meters
❑Temporary Pole O amps
SERVICE UPGRADE 0 amps 0 CT Service amps
VEW 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 31-100am s
Appliances: 0-30am s p 101-200amps
p
A/C Circuits: 0-60am61-100amps 101-200amps
ps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
'THER ELECTRICAL PROJECTS
OSwimming Pool O Sign ❑Smoke Detectors Qty ❑Transformers KVA 0Motors hp
RE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps • VALUE OF WORK$
EPAIRS/MISCELLANEOUS
OReplace Burnt/Damaged Meter Can I]Safety Inspection ❑Panel Change 001-1 to UG
❑Other: R4 (14txj a oO Attp 4'�
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
:titled or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the perfonnance of
struction.
perty Owners Name l�,� C
�'e exp t Phone Number 3 0 -6 08 0
ctrical Company P T-1A;tjftt.L, 07"foin‘ V
ffice Phone .273 67,.5:7 Fax 8I 0 - a4 d
Address: a-1 C 4.0„L/,` / jft City G�I'/4'State /r-( Zip„74,21)431
!use Holder (Print): L lb ,eC 'CX ,ems/C2 U State .ertification/Registration# C 2
LieL
arizedure oagratockarirda
... ,,r . - MY COMMISSION#FF 924951
��4 EXPIRES:October 6, 13
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'•.?R 0' BondedThruNo:aryPubricund�ters
fo0e me this day Of _ �� 1 ,I bel CSOv l�
�� net
Signature of Notary Public Q._ i AP