1753 SEMINOLE RD - ELECTRIC (---
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; '' \s\ CITY OF ATLANTIC BEACH
r c """' _ 800 SEMINOLE ROAD
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-1556
Job Type: ELECTRIC ONLY
Description: ELECTRIC - 20 OUTLETS
Estimated Value: $1,900.00
Issue Date: 7/12/2016
Expiration Date: 1/8/2017
PROPERTY ADDRESS:
Address: 1753 SEMINOLE RD
RE Number: 169639-0010
PROPERTY OWNER:
Name: BROWN, HOWARD & HAZEL TRUST, *
Address: 1753 SEMINOLE RD 1753 SEMINOLE RD
GENERAL CONTRACTOR INFORMATION:
Name: DEPENDENT ELECTRIC INC
Address: 6360 LOUIS CLARK CT BRYAN SCOTT CAMERON
Phone: - -
FEES: ---- ----
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Switch Outlets $12.00
Total Payments: $71.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUII.UING CODES.
ELECTRICAL. PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233 i Lc c— l L---
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Ph(904)247-5826 Fax (904)247-5845 co
JOB ADDRESS: 1753 Seminole Rd PERMIT##
Atlantic Bch,FL 32233
JEA INFORMATION REQUIRED ON ALL PERMITS 200 AMPS 240 VOLTS single PHASE
VALUE OF WORKS 1900.00
NEW SERVICE ❑ Overhead ❑ Underground [1J Underground up Pole
1 CResidential(Main)Service
00-100 amps U 101-150amps . l 51-200amps amps pi of Meters __
t]Commercial(Main)Service
00-100 amps 0101-150amps 1151-200amps amps 1 ;Cf Service amps
Conductor TypeSize
i'Multi-Family(Main)Service -- --
1.0-100 amps f1101-150amps 1 151-200amps amps ;/of Unit Meters _,
-.Temporary Pole i_._^_amps
SERVICE UPGRADE i_:_ amps CT Service amps
VEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
1 100 amps i'150amps C1200amps fi amps CT Service amps
1DDITIONS,REMODIU 5,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 12 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps _ 31-100amps _101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: #circuits® kw
Number of Lighting Outlets,Including Fixtures:_. 20
THER ELECTRICAL PROJECTS
-1 Swimming Pool ti Sign ❑Smoke Detectors___Qty UTransformcrs KVA IMotors hp
IRE ALARM SYSTEM (Requires 3 sets of plans)
Qty_ volts/amps - VALUE OF WORK$
I EPAIRS/MISCELLANEOUS
I]Replace Bunn/Damaged Meter Can ;Safety Inspection I IPancl Change I OH to Oct
'Other: - —
mit becomes void if work docs not commence within a six month period or work is suspended or abandoned far six months. I hereby certify that I have
I this application and know the same to he true and correct All provisions of laws and ordinances governing this work will be complied with whether
'died 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
il ;tructiOft.
perty Owners Name Showcase Properties Phone Number
0 ctrical Company Dependent Electric Inc Office Phone 904-999-6608 Fax
Address: 6360 Louis Claris Ct — _ City Jax., State FL Zip 32222
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Ilse Holder(Print): /G, (G.✓re ^ State Certification/Registration#.45-2624543
arized Signature of License Holder
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Befo ' e this 1 I day ,1. _(JI_l _�20
Si�laturc of Notary Public /�
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l';:, TIFFANYMATTNEWS
= MY COt,1MISSION It FF 182313
;a EXPIRES:December 9,2018
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