111 S SARATOGA CIR - ELECTRIC -<,�r\i,r):.
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��' j', CITY OF ATLANTIC BEACH
;,� 1�I 800 SEMINOLE ROAD
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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-1671
Job Type: ELECTRIC ONLY
Description: remove exposed wiring, install covers on boxes, replace broken
fixtures
Estimated Value: $200.00
Issue Date: 7/25/2016
Expiration Date: 1/21/2017
PROPERTY ADDRESS:
Address: 111 S SARATOGA CIR
RE Number: 171769-0000
PROPERTY OWNER:
Name: MAHONEY, TIMOTHY F
Address: 2441 MONTREAL ST
GENERAL CONTRACTOR INFORMATION:
Name: LIGHTHOUSE ELECTRICAL CTR.
Address: 2345 URBAN RD QA RICHARD LEE GRAVES
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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904)247-5845 1 Co--CLEC. -[(07 (
,' ADDRESS: I I I SRRRTOc- Crt2-CLE iT PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS /5 0 AMPS 2"I0 VOLTS I PHASE
VALUE OF WORK$ 200 --
NEW SERVICE El Overhead ❑ Underground (lJ Underground up Pole
'Residential(Main)Service
)0-100 amps Cl 101-150amps 7151-200amps amps # of Meters
LJ Commercial(Main) Service
0-100 amps 1101-150amps H 151-200amps ❑ amps 1CT Service amps
Conductor Type Size
Multi-Family(Main)Service
0-100 amps H 101-150amps C 151-200amps amps # of Unit Meters
1-:Temporary Pole 1 amps
SERVICE UPGRADE l : amps 1 . CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
i100 amps il 150amps :200amps I' amps CT 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
L'Swimming Pool ❑ Sign i.1 Smoke Detectors_Qty i ':Transformers KVA H Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS �
I_ Replace Burnt/Damaged Meter Can N'Safety Inspection I_.Panel Change OH to UG
N7 )ther: Remove eXpoied kl i r s/3 I ins 4-a ll ecves-f op, boke () rpt c..e42 brt,k=e,. -Fi,‹ i rel'
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 GERRV NA e HcN Phone Number 904-i _367-305y
Electrical Company LT6rtTNfluic ELE cnt2TLA L- e o" C_TWil Office Phone 4oL1-38 Ll-61R> Fax Wool -3S'/- 6667
Co. Address: 2345- tst2-t3ANI 11-0 City TA-'`- State FL- Zip 32-24t,
I '-ense Holder(Print): 121-crierh14r l-C ( \-rte State Certification/Registration# CC6(StwL 2.i
O tarized Signature of License Holder `--`^
..r)"a•"°,%, KARENSTUDZINSKI Sworn and subscribed be e me this S day of J ` 20
* MY COMMISSION#EE 214681
EXPIRES:October 6,2016 Signature of Notary Pub ' d- -
Banded TM Budget Nota y Services