340 1ST ST - ELECTRIC �e rte; J\`S, CITY OF ATLANTIC BEACH
1J 800 SEMINOLE ROAD
j :" 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-1631
Job Type: ELECTRIC ONLY
Description: ELECTRIC - REPLACE SERVICE PANEL
Estimated Value:
Issue Date: 7/19/2016
Expiration Date: 1/15/2017
PROPERTY ADDRESS:
Address: 340 1ST ST
RE Number: 169743-0000
PROPERTY OWNER:
Name: KLEIN ET AL, ELIZABETH
Address: 3661 SW THISTLEWOOD LANDE 3661 SW THISTLEWOOD
LAN DE
GENERAL CONTRACTOR INFORMATION:
Name: A-ONE ELECTRICAL SERVICE INC
Address: 339 6TH AVE QA JOHN M. FLYNN, JR
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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
Ph(904)247-5826 Fax (904)247-5845 I C`�.l_�L-� (0 3
JOB ADDRESS: '4&'O /i ;Y PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS %OQ AMPS 6(5/0 VOLTS / PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑i Underground up Pole
❑Residential(Main) Service
00-100 amps ❑101-150amps 015 1-200amps U amps #of Meters
0 Commercial(Main)Service
00-100 amps ❑101-150amps ❑151-200atnps ❑ amps ❑CT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps 0101-150amps 0151-200amps ❑ amps #of Unit Meters
❑Temporary Pole 0 amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
U 100 amps 0 l 50amps 0200amps 0 amps OCT 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 @ aliOs kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
Swimming Pool 0 Sign ['Smoke Detectors_Qty ❑Transformers KVA (Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection El Panel Change UGH to UG
Other: j,/,4 i'i
Permit 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
read 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
specified 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
construction.
Property Owners Name ,'U --- 72 S vl7/,-,) Phone Number(03) 0 39S
Electrical Company i4-d, cZSZ-2,c4/ Sop�G 1•✓ei Office Phone 94f . ZC' da32ax
Co.Address: t.Z,.CV I c.i) 7?.,S it7l/6 City -t' State ,.-=e Zip 3 zL/)
License Holder(Print): �o 4' ) �L Y v,✓ State Certification/Registration# 6"C a cb 6 2S~
Notarized Signature of License Holder i/- (^
:: TONIGIN = _• e e this day o A - 0 I `F,
='d yRr ,, MY COMMISSION FF 92495
.,-�-0'a EXPIRES;October 6,2ois�t attire of Notary Public
.4,h�� Bonded Thni Notary Pubrrc Underwriters