201 MAGNOLIA ST - ELECTRIC IS \,'r.
r}' , . '�s. CITY OF ATLANTIC BEACH
ti
j 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-1594
Job Type: ELECTRIC ONLY
Description: ELECTRIC - NEW SERVICE 200 AMPS, 120 VOLT, SINGLE
PHASE
Estimated Value: $14,000.00
Issue Date: 7/18/2016
Expiration Date:
1/14/2017 _
PROPERTY ADDRESS:
Address: 201 MAGNOLIA ST
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: PHASE ONE ELECTRIC LLC
Address: 2076 CORONA CT OLIVER VAN DE KAMP
Phone: - -
FEES: - -- -
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
INew Single Family Electrical $70.00
Trade Permit Base Fee $55.00
I
Total Payments: $129.00
I
PERMIT IS APPROVED ONLY IN ACCORDANCE wITH ALL CITY OF ATLANTIC BEACII ORDINANCES AND THE FLORIDA
BUILDING CODES.
4
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233 1 r �LGQ '[ 5n/�'�
1 ,,/� Ph (904) 247-5826 Fax (904)247-5845 v `"��'
JOB ADDRESS: JO 1 l" c c p( ;cA, S'' ''(- tcin PERMIT# 16 F U ) 5
JEA INFORMATION REQUIRED ON ALL PERMITS 1 DO AMPS Op VOLTS I PHASE
VALUE OF WORK$ 191000
NEW SERVICE ❑ Overhead n Underground Ji Underground up Pole
Residential(Main)Service
00-100 amps 0101-150amps ❑y151-200amp s )�j(�mps #of Meters '
❑Commercial(Main)Service r
00-100 amps 0101-150amps 0151-200amps 0 am s
Conductor Type Size p OCT Service amps
❑Multi-Family(Main)Service
❑0-100 amps LI 101-150amps ❑151-200amps 0 am s
❑Temporary Pole ° amps p #of Unit Meters
'SERVICE UPGRADE ° amps 0 CT Service amps
VEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100 amps ❑150amps E200amps 0 amps p OCT Service amps
WDITIONS,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
°Swimming Pool 0 Sign 0 Smoke Detectors Qty °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 LI Safety Inspection ❑Panel Change OOH 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 �" R,y cis,s. w e,e 5 Phone Number q 0`f" 3$0)- 7 6
ctrical Company 1'C1(,L Se, //fi�ne E�� i+C
V � 1(,(, L Office PhoneQd`1'6S 1-�63 7 Fax
Address: 0)676 Coro nc.,, GUvrtL Zip jz�2.�
City J a \ State
!use Holder (Print): .1\ Cl L;A c.0 I\ i State Certifiy ion/Registration# EC 1300 53$
arized St p '�re�s 9W&1de, _
..M: •
( MY COMMISSION#FF r:r. EXPIRES:October 6, 9
Bonded Ota�YPUbGclhd�r me this S day of OK�. . 20 ' 40
Signature of Notary Public S V