2233 SEMINOLE RD #16 - ELECTRIC �" ' s\ CITY OF ATLANTIC BEACH
, ,t," ", �- 800 SEMINOLE ROAD
_, p ;" ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
0.219'x=
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ELEC-1682
Job Type: ELECTRIC ONLY
Description: ELECTRICAL - 10 OUTLETS, 2 CIRCUITS, 2 APPLIANCES
Estimated Value: $5,000.00
Issue Date: 7/26/2016
Expiration Date: 1/22/2017
PROPERTY ADDRESS:
Address: 2233 SEMINOLE RD UNIT 016
RE Number: 169519-0130
PROPERTY OWNER:
Name: NIXON, CHRISTOPHER C
Address: 3301 PERRINS CHASE
GENERAL CONTRACTOR INFORMATION:
Name: IDEAL CONDITIONS HEATING &
Address: 5971 -5 PO POWERS AVE CLIFFORD D SNELL
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
AC Circuits $5.00
Motors $4.00
Switch Outlets $7.80
Trade Permit Base Fee $55.00
Total Payments: $75.80
I
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 16- C L c.� ( �U -
Ph(904)247-5826 Fax 904)_247-5845
JOB ADDRESS: n3) C\ �n66 61.6) / V PERMIT# ' c—f/MI( ?)
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORKS
NEW SERVICE ❑ Overhead ❑ Underground Pi Underground up Pole
❑Residential(Main) Service
00-100 amps ❑101-150amps ❑151-200amps amps #of Meters
❑Commercial(Main)Service
O 0-100 amps ❑101-150amps ❑151-200amps amps -1CT Service amps
Conductor Type Size
[Multi-Family(Main)Service
00-100 amps ❑101-150amps ❑151-200atnps ❑ amps # of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps l 150amps 0200amps ❑ amps OCT Service amps
ADDITIONS,REMODELS REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 1 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: I0-60amps 61-100amps
Heat Circuits: ` # circuits @ kw
Number of Lighting Outlets, Including Fixtures: 3
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign Smoke Detectors Qty ❑Transformers KVA r1 Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK S
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change UGH to UG
❑Other:
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 Cechy.
> ,C�L Phone Number
Electrical Company .2V44 hm g/.e �•�,/ CO-91 f rgc4s Za.Office Phone .3%'2-F-76;?-- Fax
Co.Address: 5S7/--S /�Prwe,� I.y 1-e' City O �X State d
License Holder(Print): C/ lr�'j7 % State Certification/Registration# ,c C/3OOL(9
Notarized Signature of License Holder C �
Before me this day of 20
Signature of Notary Public