800 MAYPORT RD - ELECTRICAL ,, r J J,
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\ \ CITY OF ATLANTIC BEACH
Jr x ""`` J 800 SEMINOLE ROAD
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J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ELEC-1599
Job Type: ELECTRIC ONLY
Description: install 2 ceiling fans, move 2 outlets
Estimated Value:
Issue Date: 7/15/2016
Expiration Date: 1/11/2017
PROPERTY ADDRESS:
Address: 800 MAYPORT RD UNIT 7
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: CRAWFORD ELECTRIC
Address: P 0 BOX 51045 QA JOHN ROBERT CRAWFORD III
Phone: 904-241-5591
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Switch Outlets $2.40
Work W/O Permit Electrical $110.00
Trade Permit Base Fee $110.00
Total Payments: $226.40
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
•
ELECTRICAL PERMIT APPLICATION ,
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233 l b_�LL �
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Ph(904)247-5826 Fax (904)247-5845
B ADDRESS: 00 ' p Q * .ci . 2 2.3 4"PERMS#
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VALUE OF WORK$:
NEW SERVICE E.Overhead ❑ Underground UT Underground up Pole
❑Residential(Main)Service
00-100 amps 0101-150amps 0151-200amps 0 amps #of Meters
°Commercial(Main)Service
00-100 amps 0101-150amps ❑151-200amps 0 amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps 0101-150amps 0151-20oamps 0 amps #of Unit Meters
❑Temporary Pole 0 amps
;ERVICE UPGRADE 0 amps 0 CT Service amps
1EW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps 0150amps O200amps 0 amps OCT Service . . amps
,DDITIONS,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:
THER ELECTRICAL PROJECTS
DSwitutning Pool 0 Sign OSmoke Detectors_Qty ❑Transformers KVA DMotors hp
(REALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
EPAIRS/M[SCELLANEOUS
❑Replace Burnt/Damaged Meter Can 0 Safety Inspection OPanel Change ❑OH to UG
Other: 1 ' . . IL-. [ar,'
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
d 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
cifted 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. Ca t k 't'D M L L-k
7perty Owners NamejaSiT) Phone NurnbeL3S2)" C$ct -20-7‘o
ctrical Company G Y(V.1.3 Fritraj, e Office Phone0O4)7 1-551 kw(\ 040241- t 03
Address: 2 50( ftc ch -Q4-• flet . City Nep1ii io ?)c h State FL, Zip 2 ,
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w„d.amuwen° -" - -" Signature of Notary Public � :r' ,
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