900 PLAZA #33 -16-ELEC-1773 repair meter can permit (--
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CITY OF ATLANTIC BEACH
r, 800 SEMINOLE ROAD
10
J JATLANTIC BEACH, FL 32233
�� INSPECTION PHONE LINE 247-5814� r
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ELEC-1773
Job Type: ELECTRIC ONLY
Description: unit 33 - ELECTRICAL - METER CAN PROBLEM
Estimated Value: $200.00
Issue Date: 8/4/2016
Expiration Date: 1/31/2017
PROPERTY ADDRESS:
Address: 900 Plaza
RE Number: 171725-0500
PROPERTY OWNER:
Name: SEA OATS ACQUISITIONS, LLC
Address: 645 MAYPORT RD SUITE 5 645 MAYPORT ROAD SUITE 5
GENERAL CONTRACTOR INFORMATION:
Name: SCOTT ELECTRIC, INC.
Address: 6347 POTTSBURG PLANTATION BLVD SCOTT SELLARS
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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING:CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904)247-5826 Fax (904) 247-5845 I(p - E-EC - /7 7 3
JOB ADDRESS: 9i9 ) p(,424 OA)/ r # ?3 PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS /ZS✓ AMPS 2.9.0 VOLTS / PHASE
VALUE OF WORK$ Zoe
NEW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up Pole
LiResidential(Main)Service
00-100 amps ❑101-150amps ❑151-200amps 0 amps #of Meters
❑Commercial(Main)Service
(70-100 amps ❑101-150amps 0151-200amps 0 amps CT Service amps
Conductor Type Size
U Multi-Family(Main)Service
❑0-100 amps ❑101-150amps _i 151-200amps 0 amps # of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps U CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps 0150amps 0200amps ❑ 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 @ 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
0 Replace Burnt/Damaged Meter Can ❑Safety Inspection O Panel Change ❑OH to UG
Other: 7P4//Z mown) AIC-L/7724 / o8t IA) Mamie / �-fO NO to a. Plvtovl
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. "� C (U
Property Owners Name c4 Oky-S (it,teiiitA4 M6d''r6604) Phone Number M4 " ry
Electrical Company J2orr 6.(..EciiiC, /rJL. Office Phone 333 08S2" Fax /
Co.Address: 63(0 190770.)24 P670d ate" City JA K State F, Zip 322.((
License Holder(Print): 5 &Tr cgl.f_.41-, State Certification/Registration# f/30/Y3Q(
No ' • __..__:__ - older
-., TONI GINDLESPERGER . �► i
+�`':'' s MY COMMISSION FF 924951 Before me this da o 'er t
+' EXPIRES:Goober 6 2019 y • \ I
w,a Bonded Thns Notary Public Undenmtera I
Signature of Notary Public 9�
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