60 ARDELLA RD - ELECTRIC 01L�fr
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A CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J - " z 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-1663
Job Type: ELECTRIC ONLY
Description: repair 57 outlets & switches, (1) a/c circuit, (1) heat circuit
Estimated Value: $13,200.00
Issue Date: 7/22/2016
Expiration Date: 1/18/2017
PROPERTY ADDRESS:
Address: 60 ARDELLA RD
RE Number: 172065-0000
PROPERTY OWNER:
Name: HAMIL JR, ROBERT M
Address: 60 ARDELLA RD
GENERAL CONTRACTOR INFORMATION:
Name: SPURGEON ELECTRIC INC
Address: 850489 US HWY QA RONALD S PEACOCK
Phone: 904-225-0671
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Lighting Outlets, Including Fixtures $34.20
Trade Permit Base Fee $55.00
Total Payments: $93.20
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALI. CITY OF ATLAN I I(' BEACH ORDINANCES AND THE FLORIDA
BUILDING('ODES.
ELECTRICAL PERMIT APPLICATION `/kl 1 6 r
CITY OF ATLANTIC BEACH I'-- el..- C.-1(1(43
800 Seminole Rd, Atlantic Beach, FL 32233 1(0-
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Ph (904)247-5826 Fax (904) 247-5845
JOB ADDRESS: i< 0 AisL ,( PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS a( U AMPS .23o VOLTS -'"1/76E-PHASE
V►tiCrc-ee /414_ p3/-3j)7
U (r VALUE OF WORK$ /3 2O U
NEW SERVICE ❑ Overhead n Underground ❑I Underground up Pole
Residential(Main)Service
0-100 amps 1101-150amps 151-200amps amps # of Meters
Commercial(Main) Service
:0-100 amps 11101-150amps 151-200amps amps CT Service amps
Conductor Type Size
Multi-Family(Main) Service
0-100 amps 101-150amps 151-200amps amps #of Unit Meters
Temporary Pole amps
SERVICE UPGRADE i amps : : CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps 150amps 200amps amps CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 7 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: / 0-60amps 61-100amps
Heat Circuits: / # circuits @ /0 kw
Number of Lighting Outlets, IncludingFixtures: 47/0
OTHER ELECTRICAL PROJECTS
Swimming Pool ; I Sign (Smoke Detectors Qty I Transformers KVA !Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans& Fire Alarm Checklist)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can , !Safety Inspection Panel Change . I OH to UG
i-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 kb ie.71- h9, /7441;7 (re, Phone Number
Electrical Company .Spire £ ON £ie_ X,e .I'YC____ Office Phone999-22-$=0(ax 225-.-9W7
Co. Address: g5b ` J LIS /- w4Y e 7 City )U/f C State /C7'Zip 32--.V7
License Holder(Print): A,-r4 !_ 40, &„a 44cOciV State Certification/Registration# cc O0b2VO
Notarized Signature of License Holder - - '...."64.
.� - Sworn and subscribed before met is �a�� d.
.1:..i ....... DONNA L enittE ��� 20 ��D
+i=: i ;,: MY COhNNSSI(NI niol.j-;? oP" Efi REs'.Maa Signature of Notary Public ,047/12Q I 1/r i