395 5TH ST - ELECTRIC FENCE � �j�-L�J.rJ
t,,
.'��� CITY OF ATLANTIC BEACH
''tt� Sl 800 SEMINOLE ROAD
J r ;r ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ELEC-1802
Job Type: ELECTRIC ONLY
Description: ELECTRIC - POWER FOR FENCE
Estimated Value: $1,000.00
Issue Date: 8/8/2016
Expiration Date: 2/4/2017
PROPERTY ADDRESS:
Address: 395 5TH ST
RE Number: 169880-0000
PROPERTY OWNER:
Name: ELYANOW, MICHAEL J & KIMBERLY, *
Address: 217 PALM AVE
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Switch Outlets $0.60
Trade Permit Base Fee $55.00
Total Payments: $59.60
I'ER%IIi' IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
I
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach,FL 32233
Ph (904)247-5826 Fax (904)247-5845 1 (j - E I~ -180
JOB ADDRESS: 3 (J 5W-i 51-02ee-r PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS •24,0AMPS t 7-0%.gLVOLTS le PHASE
VALUE OF WORK$ /POD. op
NEW SERVICE ❑ Overhead 2rUnderground n1 Underground up Pole
fiesidential(Main)Service
L10-100 amps ❑101-150amps 11-200amps E amps # of Meters
[Commercial(Main)Service
C10-100 amps O 101-150amps 0151-200amps ❑ amps ❑CT Service amps
Conductor Type Size
[Multi-Family(Main)Service
00-100 amps ❑101-150amps ❑151-200amps 0 amps # of Unit Meters
[Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 0200amps ❑ amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-3 Damps 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 Sign ❑Smoke Detectors_Qty [Transformers KVA [Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change OOH to UG
❑Other: Rio)Nijo- 20,,e.,... ,at EX-1X5 SWC 4 1400 lb Fr-d�G� l^BeurL
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 Phone Number
Electrical Company repA, •e44CP, -eEec.-�2« ��'G Office Phone Iasi c/o -63 ax 2!/ 2-0/.
Co. Address: ,24„, R.9„Y w`s%/ 14t I City /1 iddie),...5 Statear_Zip 37...c>ee
License Holder(Print):"3"vSet:A P pr,) -4i.v i State ertification/Reegistration#6Q-b01170 f3
Notarized Si;nat. , __...-•-- .lder 4.-1, Oafri
TONT GINSiESPERG 24 efore e th's day o U 0 ,I
,�'..h, ;` MY COMMISSION r FF 924951 Ot
:+• ' October 6,20191411 U
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"t; ,: 991 .ignature of Notary Public