1370 CAMELIA ST NEW ELEC PERMIT 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-1 586
Job Type. ELECTRIC ONLY AMPS, 240 VOLTS,
Description: ELECTRICAL- NEW SERVICE 200
SINGLE PHASE
Estimated Value:
issue Date: 7114/2016
Expiration Date: 1/10/2017
PROPERTY ADDRESS:
Address: 1370 CAMELIA ST
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: DREAM ELECTRIC
Addresm 11992 Chester Creek RD
Phone: k4-534-9617
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: $129.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODE&
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach,Fl,32233
Ph(904)247-5826 F 4)247-5845 co -E LF—C
<:�Ze �r PERMIT#
JOB ADDRESS: ),-Ut) Cr,0 e 4 if
_AMPS kqo VOLTS PHASE
JEA INFORMATION REQUIRED ON ALL PERMITS _2��
VALUE OF WORKS
NEW SERVICE 0 Overhead 9--rderground D Underground up Pole
EiResidential(Main)Service
110-100 amps C1101-150amps wt5l�200arnps [1--amps #of Meters
UCommercial(Main)Service
110-100 amps [1101-150aups El 151-200amps []__----amps DCT Service amps
ConductorType— Size
oMuld-Family(Main)Service
110-100 amps 0101-150amps D151-200amps E1------aMPs of Unit Meters
DTemporary Pole D_____ampS
SERVICE UPGRADE [1------&MPs Ei CT Service airps
NIEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC-)
E1100aurips 0150amps 0200anaps 0____-amps OCTServiceamps
WDITIONS,REMODEJL�,REPAERS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: jk��0-30aurps 31-100anps —101-200amps
Appliances: _±t_0-30amps 31-100amps —101-200amps
AIC Circuits: I 0-60amps 61-100amps
Heat Circuits: = #circuits @_L 0 kw
Number of Lighting Outlets, Including Fixtures:
,THER ELECTRICAL PROJECT5.-_-
[jSwimmingpool 3Sign ogmokel)etectorss�6ty DIransfortners KVA oMotorshp
ERE ALARM SYSTEM (Requires 3 sets of plans)
Qty—volts/amps VALUEOFWORK$_
EPAIRS/MISCELLANEOUS
0 Replace Burm/Damaged Meter Cur, 0 Safety Inspection OParsel Change DOH to UG
[]Other:
mit becomes void if work do. or earnmenes%ithin a six month period or work is suspended or abandmed for si...nths. I hereby certify that I bavo
I this applitation end know the sarne to be one end oornCt- All provisims;of laws;end ordinanoes governing this work will be cornplied with whether
,fied or not. The ptronit does not give sethority W viols,,the provisions of my other state or loeall law regulation construction or the perfcornano-of
stroctio..
S�� I
Owners N�� file Number
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I Company FoX—
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,t,.a 4c_ S Offioe Phonhg:��
Address:pc)'6-�( city —ye"/ StateLL zip 32
use Holder(Print): fe A State Certifica4ri/Registration
arized ' er
yooWISSIONIFF924ail
EXpjREs ns,B&LF e this 0 f 20
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Signature of Notary ic
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