423 IREX RD - ELECTRIC 9�T 1-,J- `-/-.0„
V
S f CITY OF ATLANTIC BEACH
"It800 SEMINOLE ROAD
i •. 1 ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
si
142-01119
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ELEC-1643
Job Type: ELECTRIC ONLY
Description: ELECTRIC - REWIRE
Estimated Value: $3,000.00
Issue Date: 7/20/2016
Expiration Date: 1/16/2017
PROPERTY ADDRESS:
Address: 423 IREX RD
RE Number: 171414-0000
PROPERTY OWNER:
Name: DANCEL, FELIPE
Address: 416 IREX RD
GENERAL CONTRACTOR INFORMATION:
Name: FIRST CHOICE ELECTRIC INC
Address: 716 N VALLEY FORGE RD QA LAWRENCE DAVID THOMAS
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Electrical Repairs $35.00
Trade Permit Base Fee $55.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE %%Tfll ALL CI'T'Y OF ATLANTIC BEACH ORDINANCES AND 771E FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
Z3 800 Seminole Rd, Atlantic Beach, FL 32233 / ,—aE� ( ��
Ph (904) 247-5826 Fax (904) 247-5845 p r`
JOB ADDRESS: MP TE E)� PERMIT# 110`� �T� f�- 143
3 I
JEA INFORMATION REQUIRED ON ALL PERMITS e7SID AMPS iin(0 2VOLTS ` PHASE
VALUE OF WORK$ 31 00(j
NEW SERVICE n Overhead n Underground I 11 Underground up Pole
0 Residential(Main) Service
00-100 amps 0101-150amps 0151-200amps 0 amps #of Meters
❑Commercial(Main)Service
00-100 amps 0101-150amps ❑151-200amps Li amps OCT Service amps ,
Conductor Type Size
OMulti-Family(Main)Service
00-100 amps 0101-150amps 0151-200amps 0 amps #of Unit Meters
❑Temporary Pole 0 amps
SERVICE UPGRADE 0 amps ❑ CT Service amps
STEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100 amps 0 150amps 0200amps 0 amps OCT Service amps
,DDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: L\9- ` 0-30amps 7 31-100amps 101-200amps
S
Appliances: 0-30amps 1 31-100amps 101-200amps
A/C Circuits: ` 0-60amps 61-100amps
Heat Circuits: \ # circuits @ 5 kw
Number of Lighting Outlets, Including Fixtures: 1 b
'THER ELECTRICAL PROJECTS
0 Swimming Pool C] Sign Li Smoke Detectors Qty OTransformers KVA ❑Motors hp
[RE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps • VALUE OF WORK$
EPAIRS/MISCELLANEOUS
OReplace Burnt/Damaged Meter Can 0 Safety Inspection LPanel Change 00H to UG
❑Other: j n heti I2..a WI f t.
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 Fr. I r pC I_n C e I Phone Number ',CV — 7/6— /c%6
ctrical Company S r Pto ,cc t is(-F--i'c 4 / ca-d-focfees /qc Office Phone 3g,f,y37 4.357 Fax 38'6 --53a`Z/a-L
Address: 12-.$ Duct- e ei City /h/fir', 1e/ StatePC Zip 3 Z/N 7
nse Holder (Print): 64 h e i' ✓ - State rtification/Registration# iL/30t76 /P2-
arized Signature of License Holder i 2f ,� redik
t ,, KERBY R.MAND:r..etriAEe rie this day of 20 l(
o - �°c Notary Public,State of Florida
�'
Z ' Commission#FF Cf3Qatu-e of Notary Public c i
�
'' " My comm.expires Feb.lb,2020