2015 VELA NORTE CIR ELEC PERMIT CITY OF ATLANTIC BEACH
r - 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-1423
Job Type: ELECTRIC ONLY
Description: ELECTRIC- 6 OUTLETS &4 FIXTURES
Estimated Value: $900.00
Issue Date: 6/21/2016
Expiration Date: 12/18/2016
PROPERTY ADDRESS:
Address: 2015 VELA NORTE CIR
RE Number: 169506-1106
PROPERTY OWNER:
Name: CARLIN, MICHAEL J
Address: 2015 VELA NORTE CIR
GENERAL CONTRACTOR INFORMATION:
Name: MOORE ELECTRICAL CONT., INC.
Address: 10526 CRAIG INDUSTRIAL DR QA JONNY DALE MOORE
Phone: -
FEES:
Stale Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Electrical Repairs $35.00
Trade Permit Base Fee $55.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
Ph(9014)247-5826 Fax(904)247-5845
JOB ADDRESS: C2 /J/� l/B/a A,4r& 67; Y PERMIT
JEA INFORMATION REQUIRED ON ALL PERMITS _AOO AMPS VOLTS PHASE
VALUE OF WOR%$�OD.
NEW SERVICE ❑ Overhead ❑ Underground 0 Underground up Pole
❑Residential(Main) Service
00-100 amps 0101-150amps 0151-200amps ❑ amps #of Meters
❑Commercial(Main) Service
❑0-100 amps 0101-150amps 0151-200amps ❑ amps CCTServiceamps
Conductor Type Size
OMolti-Family(Main)Service
00-100 amps [3101-150amps 0151-200amps F1-----amps 9o Unit Meters_
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service mpg
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 11200amps ❑ amps CCT 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:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign []Smoke Detectors_Qty ❑Transformers KVA ❑Motom_hp
FIRE ALARM SYSTEM (Requires 3 sets of plans&Fire Alarm Checklist)
Qty volts/amps VALUE OF WORKS
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑OH 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 bereby certify that I have
read this application and know the same to be one 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 my other state or local law regulation construction or the performance of
construction. �I
Property Owners Name
,/ J O t-A.V C��9♦K/S1e r/ Phone Number
Electrical Company %/moV,r ��4e�r:ci/ Lo.vr L.rr_ Office PJhone90Y-df�4�-GA1J Fax /-��1�-,76PS7
Co.Address: P o 13,n / 50579 City .J'J x State f/ Zimfgg S
License He rt : .T wl. State Certification/Registration# Enode/'!YO
Notarize oFYNUat
7puGk-SW aFIaW
'EM comm BaWnAuSa,O�E s scribed efore is oday of 20 ////
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Garai"I FF 74870E
of Notary Public